Harbor:Main: Difference between revisions
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**[[Harbor:Incoming transfers|Incoming transfers]] | **[[Harbor:Incoming transfers|Incoming transfers]] | ||
===[[Harbor:Screening EMS Patients|Screening EMS Patients]]=== | ===[[Harbor:Screening EMS Patients|Screening EMS Patients]]=== | ||
===Administrative duties=== | |||
**[[Harbor:Administrative resident|Administrative resident directions]] | **[[Harbor:Administrative resident|Administrative resident directions]] | ||
**[[Harbor: Phone Calls|Receiving Phone Calls]] | **[[Harbor: Phone Calls|Receiving Phone Calls]] | ||
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**[[Harbor:EKG screening|EKG Screening]] | **[[Harbor:EKG screening|EKG Screening]] | ||
**[[Harbor:5S|Pre-shift: 5S]] | **[[Harbor:5S|Pre-shift: 5S]] | ||
*Administrative resources | **Airway Bag | ||
***Missing or low on equipment such as McGrath blades or batteries - inform the overall charge nurse (more in nursing office) | |||
***PURPLE SENIOR - use the laminated checklist to stock AT EACH SHIFT CHANGE on on-call days | |||
***Locks let you know which compartments to check | |||
***ED pharmacists help with meds BUT SENIORS should double check. | |||
***TURN OFF McGRATH AFTER USE! | |||
*** Can use new “GlideScope Go” with a MAC 3 & 4 blade, but bring it back. (It’s not part of bag). | |||
Wu 11/2019) | |||
===Administrative resources=== | |||
**[[Harbor:RME & TRIAGE|RME & triage]] | **[[Harbor:RME & TRIAGE|RME & triage]] | ||
**[[Harbor:Direct Admission after Hours]] | **[[Harbor:Direct Admission after Hours]] | ||
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====ED supplies A-Z==== | ====ED supplies A-Z==== | ||
*A-Z listing | *A-Z listing for entire ED | ||
*Main Supply Room | ** Glidescopes - trauma 1-7 | ||
**[[File:WikEM1.jpg|400px]][[File:WikEM2.jpg|400px]][[File:WikEM3.jpg|400px]][[File:WikEM4.jpg|400px]] | ** Slit Lamps - AED 1, teaching lamp in RME 10 | ||
*Airway | *Main Supply Room A-Z | ||
*Central Line | **[[File:WikEM1.jpg|400px]] | ||
* | **[[File:WikEM2.jpg|400px]] | ||
*Precipitous | **[[File:WikEM3.jpg|400px]] | ||
* | **[[File:WikEM4.jpg|400px]] | ||
* | *Main Supply Room by cart | ||
*Airway Cart | |||
*Central Line Cart | |||
*Ortho/splinting Cart | |||
*Precipitous Delivery (BOA) Cart | |||
*RME 1-4 Carts | |||
*Suture Cart | |||
*Triage Hall Cart | |||
*Triage Room Carts | |||
===Procedures=== | ===Procedures=== | ||
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*'''[[Harbor: ED Follow-Up Options|ED Follow-Up Clinics]]''' | *'''[[Harbor: ED Follow-Up Options|ED Follow-Up Clinics]]''' | ||
*'''[[Harbor:Forms|Forms]]''' | *'''[[Harbor:Forms|Forms]]''' | ||
*Follow-up of out patient labs/imaging | |||
**Any imaging or labs requested by a consultant in the ED that will NOT be resulted during the patient's stay in the ED should be ordered by the consultant making the request. Follow-up of outpatient tests can be either performed by the consultant OR by the CCC. | |||
(Peterson 11/19) | |||
*[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]] | *[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]] | ||
*[[Harbor:Substance Use Disorder|Substance Use Disorder]] | *[[Harbor:Substance Use Disorder|Substance Use Disorder]] | ||
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*[[Harbor:VA MICU rotation|VA MICU rotation]] | *[[Harbor:VA MICU rotation|VA MICU rotation]] | ||
*[[Harbor:How to get started in research at Harbor|How to get started in research at Harbor]] | *[[Harbor:How to get started in research at Harbor|How to get started in research at Harbor]] | ||
*[[Harbor:Jeopardy Policy|Jeopardy Policy]] | |||
==See Also== | ==See Also== |
Revision as of 17:25, 20 November 2019
This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.
Admin Updates
- EWC - 8/5/19 - back to scheduling directly into EWC; Cerner is working again!
- Surge Criteria Pilot - 7/10/19: ED census for surge criteria includes R5, R6, R7, & R12; Available med/surg OR ICU/PCU
(Dr. Peterson, Dr. Stein, Mark Redulla [pt flow])
- PERT (PE Response Team) Started Monday 6/24
- Page the PERT Fellow p9956 for (sub)massive PE when considering thrombolytics
- for details: https://www.wikem.org/wiki/Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus
General Administrative
- Pre-hospital
Screening EMS Patients
Administrative duties
- Administrative resident directions
- Receiving Phone Calls
- EKG Screening
- Pre-shift: 5S
- Airway Bag
- Missing or low on equipment such as McGrath blades or batteries - inform the overall charge nurse (more in nursing office)
- PURPLE SENIOR - use the laminated checklist to stock AT EACH SHIFT CHANGE on on-call days
- Locks let you know which compartments to check
- ED pharmacists help with meds BUT SENIORS should double check.
- TURN OFF McGRATH AFTER USE!
- Can use new “GlideScope Go” with a MAC 3 & 4 blade, but bring it back. (It’s not part of bag).
Wu 11/2019)
Administrative resources
Managing your Patient
General
PC Cheat Sheet
Paging consultants
Phone numbers
Tests & Orders
- Labs
- Radiology
Enter Prelim Rads Read
- Ultrasound
- Ordering a Formal Ultrasound
- Ultrasound approval list
- Formal & ED Ultrasounds
- Cleaning Endocavitary Probes
- Place in Red Bag (above probe cabinet in clean utility room)
- Place patient sticker on bag
- Give to area charge nurse
- Once cleaned, probe comes back in clear bag
- T. Jang 8/2019
STAT MRI
- MRI Specs
- Other orders
- Blood products
- Antibiotics
Antibiogram
- Buprenorphine/Opiate Withdrawal Treatment
Upload Outside Films to PACS
- Get form from clerk
- Put patient sticker on Form
- Check "Import"
- Sign
Get Images on Disc (For DC or Transfer)
- Same as upload EXCEPT
- Check "Export"
- Write time frame on form you want studies from
Finding Equipment/DME
ED supplies A-Z
- A-Z listing for entire ED
- Glidescopes - trauma 1-7
- Slit Lamps - AED 1, teaching lamp in RME 10
- Main Supply Room A-Z
- Main Supply Room by cart
- Airway Cart
- Central Line Cart
- Ortho/splinting Cart
- Precipitous Delivery (BOA) Cart
- RME 1-4 Carts
- Suture Cart
- Triage Hall Cart
- Triage Room Carts
Procedures
Special patient types
- Whole person care
- Social work
- Activations
- Sepsis
- Occupational Exposure
- Industrial or On-the-Job Accidents (IA)
- Sexual Assault/STI Exposure (SART)
- Harbor:PE Response Team
Others
- AVF/graft complications
- Respiratory isolation
- Scheduled dialysis patients in ED
- Infectious Disease Threats
- Replantation Patients
- XRT transfers
Patient Disposition
Discharge
- Follow-up of out patient labs/imaging
- Any imaging or labs requested by a consultant in the ED that will NOT be resulted during the patient's stay in the ED should be ordered by the consultant making the request. Follow-up of outpatient tests can be either performed by the consultant OR by the CCC.
(Peterson 11/19)
- Opiate Withdrawal/MAT/BUP
- Substance Use Disorder
- Medical Legal Partnership
- Immigration Assistance
- Hospital Based Violence Intervention Program and Trauma Recovery Center
- Coumadin clinic
- Expedited workup clinic
- Law Enforcement Discharge Escort
Admission
- Admission and consultation guidelines
- Admitting a patient
- Who Goes to Family Medicine
- Right level of care
- Internal Medicine Admission Template
- Post-admission management/Orders on Admitted Patients
- Direct Admission after Hours
OBS & CORE
- Observation placement
- CORE placement
- Observation Patients Direct from UCC
- Do not need an ED MSE - can go direct to OBS
- If no OBS beds available in GOLD - should be made Direct Admits to the Hospital
Peterson 8/2019