Harbor:Main: Difference between revisions
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*** Reports go directly into FirstNet | *** Reports go directly into FirstNet | ||
*** Faxing prelim during downtime | *** Faxing prelim during downtime | ||
**** Can also directly login to their website: [https://clients.statrad.com/Account/Login?ReturnUrl=%2f StatRad] | **** Can also directly login to their website: [https://clients.statrad.com/Account/Login?ReturnUrl=%2f StatRad] Main tab --> review exams & images --> can search by name or MRN | ||
***** Call Dr. Chappell for login information | ***** Call Dr. Chappell for login information | ||
** Fortino | ** Fortino |
Revision as of 19:22, 27 July 2021
This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.
Admin Updates
- Ortho - who to splint and schedule for f/up without consulting
- COVID VACCINES AVAILABLE to ALL PATIENTS 12 and older with ORCHID MRN:
- both Pfizer and Janssen now available in ED on the Quick Order page "Med Immunization COVID Subphase"
- https://wikem.org/wiki/Harbor:Infectious_Disease_Threats#Vaccines
- No CCC for specialty e-consult
- DHS: message PCP for anything urgent
- OOP: return to PCP
- NOT EMPANELED DHS ELIGIBLE: NERF for PCP who can submit e-consult
- CCC: still available for non-empaneled DHS eligible patients with urgent follow-up needs (eg., uncontrolled DM)
- Goal: Reduce number of CCC referrals solely for e-consults to ZERO by September 2021
- Interventional Radiology (IR) - outpatient (dialysis catheter, etc)
- For DHS/MHLA patients who require an urgent IR procedure, and have no other indication to be admitted, then the patient will be accommodated in the IR schedule to get their procedure done within 24-48 hours as outpatient.
- ED provider will discuss with the IR resident in call.
- IR Business hours:
- If request for outpatient urgent IR procedure happens during the hours that IR clerk is available, then the providers can discuss with IR if the procedure can be done the next day or day after.
- The ED provider will need to fill out the grey IR paper form which will need to be delivered to IR in Room 40 (copies are in the hanging folders in doc boxes)
- Patient will need CBC, chem 7, POC INR, and COVID test
- Afterhours:
- If request is approved by on call IR attending/resident, but the clerk is not there, then the plan should be to do the procedure not the next day, but the day after, to give time to create the appointment and FIN.
- ED provider fills out grey form to be left under the door in room 40.
- Patient will be contacted by the IR schedulers for exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
- For OOP patients:
- ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient, given that procedure will be done the next day.
- IR Business hours:
- Coronavirus (COVID-19) Info
- DHS Visitor Policy 6/15/21
- Signage posted at the entrances (no individual screening)
- In the last 24 hours, have you had a temperature of ≥100.4 ̊F and/or thought you had a fever?
- In the last 24 hours, have you had a cough, shortness of breath, difficulty breathing, chills, muscle or body aches, new loss of taste or smell?
- If you have not been vaccinated against COVID-19, have you had any contact with someone who had a confirmed case of COVID-19/coronavirus in the past 14 days?
- If Positive screen, ok if with PED or patient who needs assistance (but the visitor must be masked)
- Parents who have recently been exposed to COVID-19 may still come into building if they have received and are two weeks beyond all required doses of the COVID-19 vaccination and can show proof of vaccination.
- If Positive screen, ok if with PED or patient who needs assistance (but the visitor must be masked)
- MUST wear a facility-provided face mask at all times while in the hospital
- Patients who refuse to wear a mask will be required to remain outside of building until the time of appointment at which time only the patient (no visitors) will be directly escorted to the appointment site
- Failure of a visitor to mask will result in being asked to immediately leave the hospital; must stay in the patient’s room for the entire visit except as noted below
- 2 visitors in the ED
- Visitors may be required to wear appropriate PPE, per Nursing instructions based on isolation precautions. In some circumstances, visitors may only be able to view the patient from outside of the room.
- Signage posted at the entrances (no individual screening)
- DHS Visitor Policy 6/15/21
- STEMI transfer during cath lab remodel
- 911 IFT - 30 min from door to transfer (unless there happens to be a county ALS unit in our ED ready to go)
- Clerk fax EKG, copies face sheet and
- Call LCM Torrance on radio, fill out STEMI transfer out form
- EMTALA form from patient
- MICN contact 911
- If patient on pressors, sedation for vent, antiarrhythmic gtt --> OCN will find RN/MICN to go with pt (and likely Triage/FT or PED resident)
- HIPPABridge goes away 4/30; replace with TEAMS for text, picture, or video communication regarding patient care
- Eye drops (vanco & tobra) and HIV prophylaxis (raltegravir and Truvada) for home - coming soon ~6/7/21
- For patients needing glaucoma or corneal ulcer meds from pharmacy, there is a new process to order from pharmacy and allow the patient to legally take the meds home
- Daytime Outpatient Pharmacy Hours (M-F 7a-10p, S/S 8a-6p):
- 1 - Place typical order and in comments section write "ok to use home med in ED"
- 2 - E-Rx as usual
- Process:
- RN to call outpatient pharmacy to notify med need immediately
- Pharmacy calls RN when Rx and med info sheets are ready
- USA picks up med in med box, gives to bedside RN
- RN signs pickup slip and USA returns to pharmacy
- After Outpatient Pharmacy Hours:
- 1 - Place typical order for meds
- 2 - E-Rx and add comment "dispensed by ED Pharmacist"
- Daytime Outpatient Pharmacy Hours (M-F 7a-10p, S/S 8a-6p):
- For patients needing glaucoma or corneal ulcer meds from pharmacy, there is a new process to order from pharmacy and allow the patient to legally take the meds home
- Reminder: Keep HL patients on track in AWR and HL Taskforce will DC once the patient has been seen and all SW issues addressed
General Administrative
- Pre-hospital
- Incoming transfers
- Exodus Transfers
- Exodus should call Psych ED about transfer, not Med ED
- Med ED will do MSE
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
RME & triage
Harbor ED policy manual
Harbor Legal
Managing your Patient
General
On shift (PC) Cheat Sheet
Paging consultants
Phone numbers
Radiology directory
Tests & Orders
Radiology Hours
- StatRad
- All studies Fri 4p-Mon 8a with expected TAT<4 hrs
- Code Strokes after 4p daily
- Available 24/7 as-needed
- Reports go directly into FirstNet
- Faxing prelim during downtime
- Can also directly login to their website: StatRad Main tab --> review exams & images --> can search by name or MRN
- Call Dr. Chappell for login information
- Can also directly login to their website: StatRad Main tab --> review exams & images --> can search by name or MRN
- Fortino
- All X-rays M-F 8a-5p
- Radiology resident
- Mon – Thursday 4p - 8a
- Prelim reads on ED CT, US, MRI
- Call resident for any XR questions overnight (prelim read), otherwise enter an ED PRELIM and Fortino will over-read in the AM
- For any XR or CT disagreements overnight, the ED attending can request radiology resident send to StatRad for a final attending read
- The radiology resident will ask for your name and call-back spectralink and push the radiology study to StatRad
- StatRad
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
- Oral contrast
- No more gastrograffin, replaced by omnipaque. Must place an order for it. If you need to obtain a retrograde urethrogram, order a KUB.
- Below is the suggested/usual volume of omnipaque used for certain indication sent to us by Dr. Putnam:
- For use in bowel obstruction, a volume of 100cc of Omnipaque 300 is used.
- For use in tube contrast studies, a volume anywhere between 50-200cc of Omnipaque 300 would likely be used.
- For a CT with po contrast, the order is for 30cc of Omnipaque 300 in 970cc of water.
Outpatient IR
- Interventional Radiology (IR) - outpatient - for items such as stenosed/thrombosed dialysis catheter, etc
- For DHS/MHLA patients who require an urgent IR procedure, and have no other indication to be admitted, then the patient will be accommodated in the IR schedule to get their procedure done within 24-48 hours as outpatient.
- ED provider will discuss with the IR resident in call.
- IR Business hours:
- If request for outpatient urgent IR procedure happens during the hours that IR clerk is available, then the providers can discuss with IR if the procedure can be done the next day or day after.
- The ED provider will need to fill out the grey IR paper form which will need to be delivered to IR in Room 40 (copies are in the hanging folders in doc boxes)
- Patient will need CBC, chem 7, POC INR, and COVID test
- Afterhours:
- If request is approved by on call IR attending/resident, but the clerk is not there, then the plan should be to do the procedure not the next day, but the day after, to give time to create the appointment and FIN.
- ED provider fills out grey form to be left under the door in room 40.
- Patient will be contacted by the IR schedulers for exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
- For OOP patients:
- ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient, given that procedure will be done the next day.
- IR Business hours:
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
E supplies A-Z
Procedures
Special patient types
Whole Person Care
Social Work
Code Activations
Sepsis
Sepsis core measures
Occupational Exposure
Sexual Assault/STI Exposure (SART)
- PE Response Team
- Psych Patients (Exodus)
- Harbor: Identifying Jane/John Doe, finding next of kin tips
Others
Scheduled dialysis patients in ED
COVID
Patient Disposition
Discharge
Empanelment
- NERF steps of DHS without empaneled PCP: Primary Care Information tab in Cerner -> New Empanelment -> click any applicable special populations -> Harbor-UCLA MC as requesting facility -> enter any additional pertinent comments -> click box to get email notification once empanelment occurs -> Send NERF request
- please let patient know they should get a call within 14 days (typically ~72 hours)
- CCC for specialist and bridge to PCP if DHS without empaneled PCP
- DHS eligible patient can go to Patient Relations in Rm. 1B1 during business hours to choose a PCP
- PAC (Patient Access Center) x64400 can follow up to schedule appointments and give updates about e-consults.
- OOP patients or Out of County patients can call 2-1-1, their insurance card.
ED Follow-Up Clinics
DC with meds in ED
- Eye drops (vanco & tobra) and STI prophylaxis for home - starting 6/7/21
- For patients needing glaucoma or corneal ulcer meds from pharmacy, there is a new process to order from pharmacy and allow the patient to legally take the meds home
- Daytime Outpatient Pharmacy Hours (M-F 7a-10p, S/S 8a-6p):
- 1 - Place typical order and in comments section write "ok to use home med in ED"
- 2 - E-Rx as usual
- Process:
- RN to call outpatient pharmacy to notify med need immediately
- Pharmacy calls RN when Rx and med info sheets are ready
- USA picks up med in med box, gives to bedside RN
- RN signs pickup slip and USA returns to pharmacy
- After Outpatient Pharmacy Hours:
- 1 - Place typical order for meds
- 2 - E-Rx and add comment "dispensed by ED Pharmacist"
- Daytime Outpatient Pharmacy Hours (M-F 7a-10p, S/S 8a-6p):
- For patients needing glaucoma or corneal ulcer meds from pharmacy, there is a new process to order from pharmacy and allow the patient to legally take the meds home
- 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)
- Coumadin clinic
- Expedited workup clinic
- Law Enforcement Discharge Escort
- Home Health
- Harbor:Home hospice from ED
Transportation Needs
- BUS/METRO TAP CARDS:
- 8a-5p - send to Social Work Office
- Nights/weekends/holidays - ED RN can get from the House Supervisor x65620 or spectra 23721 who will deliver the voucher to the ED
- TAXI VOUCHERS: Must have a place to go with keys/someone home, or a shelter where patient is already accepted
- Daytime - call Social Work to facilitate
- Night/Weekend/Holidays - call house supervisor x65620 or spectra 23721 who will deliver the voucher to the ED
- RN calls taxi - must notify taxi if needs wheelchair accessibility (Yellow Cab @ 310-533-6800)
- RN takes the patient to the hospital nursing office; taxi driver comes to nursing office to sign paperwork and pick up the patient
- UBER/LYFT:
- Similar to above Taxi Vouchers
- Available to patient's without insurance who do not have other transportation options
- AMBULANCE: for patients that have a medical necessity (cannot ambulate, here w/o wheel chair, etc) and medically cannot take a taxi
- ED RN & area clerk to coordinate with insurance (if applicable)
- If patient is UNINSURED (including restricted Medi-Cal) - use county transport to get an ambulance home
- UR & SW can get involved if issues
- If patient lives outside of LA County, call nursing supervisor or SW as they may need further authorization
- Joy Lagrone can authorize county transport as a last resort
- Kids without car seats: For kids who arrive (usually by ambulance) w/o a car seat, we do not have car seats available. however, options are:
- Take the bus home (no need for car seat)
- Have someone bring a car seat and pick them up or go home in a taxi with the car seat that is brought in
- If either of above options is not possible, may try arranging for ambulance (see section above)
Social EM resources
- Harbor Social Work
- 24/7 Auto page in house social worker p1735 for various issues including: homelessness, discharge planning, sexual assault, crisis/grief, suspected elder/child abuse, recoup care, disability benefits (SSI), etc.
- Homeless Task Force, in person during business hours 730a-4p Mon-Fri pager # is (310) 501-0637 and their phone number is (310) 413-8871
- Opiate Withdrawal/MAT/BUP
- Medical Legal Partnership
- Immigration Assistance
- Hospital Based Violence Intervention Program (HBVIP) and Trauma Recovery Center (TRC)
- Whole Person Care (WPC) autopage in Cerner (p0145), refer 24/7.
- Substance Use Disorder (SUD)
- Available SUD counselor in-person Mon 8a-5p, T-F 8a-12:30a, Sat 4p-12:30a.
- Otherwise will follow up next business day via phone call. Need good contact phone number. Ensure patient knows you put a referral and someone will be contacting them.
- On discharge, include the WPC discharge instructions (“Whole Person Care Harbor-UCLA”, also available in Spanish) from ORCHID
- Medically Complex Transitions of care (includes 3 visits to ED in past year)
- 1) ORCHID Message/Call/Text Rosario Aliviado - Social Work Supervisor. Please include MRN, pt phone number, and reason for referral. (213) 294-8908. She will respond M-F 9:00-4:30 pm but you can ORCHID message/call/text/email anytime.
- AND 2) place order in ORCHID "Consult to Whole Person Care". Reason for Consult Freetext: "Substance Abuse", "MAT", or "TOC" and any relevant details.
- Substance Use Disorder (SUD)
- Re-entry (released from prison <6 months with medical, mental health, substance abuse, or social needs) (844) 804-5200 (24/7) and put patient on phone.
- Food Pharmacy, free fruits and vegetables every Wednesday 9a-1p outside front entrance of S/E building
- Free cell phones:
- Lifeline free phones: Outside of S/E building 8a-6p (Mon-Sat)
- Social work has a limited number
- Mental Health
- Residential & Bridging Care (transition from mental health institution to community) (213) 738-4775
- Intensive Service Recipients (mental health with 2 or more admissions in year, recent DC from psych hospital) (844) 804-5200
- Perinatal (high-risk pregnant mothers - homeless, mental health, substance abuse, domestic violence, no food) Mama's Program (844) 376-2627
Admission
Admission Guidelines
Interqual Override Notes
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
Dialysis in the ED
Other Disposition
Documentation
Disaster & Surge
Resident Education
See Also
- Harbor-UCLA
- Harbor:5S
- Harbor:911 STEMI out
- Harbor:AB 2760: Naloxone for patients at risk for opioid overdose
- Harbor:AVF/graft complications
- Harbor:Administrative resident
- Harbor:Admission and consultation guidelines
- Harbor:Admitting a patient
- Harbor:Adults
- Harbor:Adults results/symptom phone follow up
- Harbor:Adverse event mandatory reporting
- Harbor:Airway management team
- Harbor:Alcohol Use Disorder/Withdrawal Treatment
- Harbor:Antibiogram
- Harbor:Attending documentation
- Harbor:BUP
- Harbor:Baby Safe Surrender Program
- Harbor:Burns
- Harbor:CCC
- Harbor:CORE
- Harbor:Code STEMI
- Harbor:Code stroke
- Harbor:Codes
- Harbor:Consenting a patient
- Harbor:Consultation of subspecialists (peds)
- Harbor:Core Measures
- Harbor:Coroners' case
- Harbor:Coumadin clinic
- Harbor:Creatinine screening prior to IV contrast
- Harbor:Critical Result Callback
- Harbor:Crown Checks in PED
- Harbor:DC with meds in ED
- Harbor:DEM Admin on Duty (AOD)
- Harbor:DHS-Eligible patient needing Primary Care
- Harbor:DHS Visitor Policy
- Harbor:DME
- Harbor:Death Packet Checklist
- Harbor:Deceased patients
- Harbor:Direct Admission after Hours
- Harbor:Direct book without consultant discussion
- Harbor:Disaster plan
- Harbor:Discrepancy Review Process
- Harbor:Diversion for ALS and BLS
- Harbor:ED Radiology Specs
- Harbor:ED attending on call plan
- Harbor:ED follow-up options
- Harbor:ED policy manual
- Harbor:ED supplies A-Z
- Harbor:EKG screening
- Harbor:Ebola
- Harbor:Empiric antibiotics
- Harbor:Endocavitary Probes
- Harbor:Entering Prelim Radiology Read
- Harbor:Equipment
- Harbor:Equipment and supplies (peds)
- Harbor:Example text for a discrepancy e-mail
- Harbor:Exodus
- Harbor:Expedited Work-up Clinic (EWC)
- Harbor:Expedited workup clinic
- Harbor:Forms
- Harbor:Hip fractures
- Harbor:Home Health
- Harbor:Home hospice from ED
- Harbor:Hospital Based Violence Intervention Program and Trauma Recovery Center
- Harbor:How to NERF
- Harbor:How to get started in research at Harbor
- Harbor:How to submit CCC referral
- Harbor:Immigration Legal Assistance
- Harbor:Incoming transfers
- Harbor:Industrial Accident (IA)
- Harbor:Infectious Disease Threats
- Harbor:Instructions for clerk requesting/booking an appointment
- Harbor:Insurance Codes
- Harbor:Internal Medicine Admissions
- Harbor:Interqual Criteria Tips
- Harbor:Interqual Override Notes
- Harbor:Involuntary holds
- Harbor:Jeopardy Policy
- Harbor:Labs
- Harbor:Law Enforcement Discharge Escort
- Harbor:Legal
- Harbor:MAC Transfer Burn or Replant
- Harbor:Main
- Harbor:Medical Legal Partnership
- Harbor:NERF
- Harbor:NFL Injured Player/Staff Protocol
- Harbor:Non-Occupational Exposure
- Harbor:OOP follow up options
- Harbor:ORCHID Downtime
- Harbor:Observation placement
- Harbor:Occupational exposure
- Harbor:Occupational exposure (dot-phrases)
- Harbor:Opiate Withdrawal/MAT/BUP
- Harbor:Options for follow-up (peds)
- Harbor:Oral contrast
- Harbor:Ordering Blood Products
- Harbor:Ordering a CT
- Harbor:Ordering a Formal Ultrasound
- Harbor:PC Cheat Sheet
- Harbor:PED psych patients
- Harbor:PE Response Team
- Harbor:Paging
- Harbor:Patient wants to switch to Harbor
- Harbor:Pediatric:Subspecialties
- Harbor:Pediatric ED (main)
- Harbor:Pediatric admission guidelines
- Harbor:Pediatric antibiotics
- Harbor:Pediatrics CCS Follow up
- Harbor:Peds
- Harbor:Peds ED follow-up track information
- Harbor:Peds ED schedule and sick backup plans
- Harbor:Peds results/symptom phone follow up
- Harbor:Phone numbers
- Harbor:Placement patients
- Harbor:Post-admission management
- Harbor:Prescribing
- Harbor:Primary Care
- Harbor:Procedures Videos
- Harbor:Psych patients
- Harbor:QR for Patients
- Harbor:QR for Staff
- Harbor:RME & TRIAGE
- Harbor:RME Manual
- Harbor:Radiology Hours
- Harbor:Radiology directory
- Harbor:Receiving phone calls
- Harbor:Replantation Patients
- Harbor:Resident Documentation
- Harbor:Resident documentation
- Harbor:Resident responsibilities and transitions of responsibility
- Harbor:Respiratory isolation
- Harbor:Right level of care
- Harbor:Rules for Performing ED Ultrasounds
- Harbor:SB 1152 - 2019 California homeless patient discharge planning law
- Harbor:STAT MRI
- Harbor:STEMI 911 Inter-Facility Transfer (IFT)
- Harbor:Same/Next Day Specialty Clinic Follow up
- Harbor:Sandbox
- Harbor:Scheduled dialysis patients in ED
- Harbor:Screening EMS Patients
- Harbor:Sepsis antibiotics
- Harbor:Sepsis core measures
- Harbor:Sexual assault
- Harbor:Social EM resources
- Harbor:Social work
- Harbor:Stimulant Use Disorder Treatment
- Harbor:Stress Testing
- Harbor:Substance Use Disorder
- Harbor:Surge plan
- Harbor:Teaching Rounds Topics
- Harbor:Transfer/Discharge to Specialty Clinic
- Harbor:Transfer to Comprehensive Stroke Center
- Harbor:Transfer to L&D
- Harbor:Transferring a patient
- Harbor:Transferring to psych ER
- Harbor:Transportation Needs
- Harbor:Trauma activations
- Harbor:Ultrasound approval list
- Harbor:Ultrasound reference card
- Harbor:Urgent Outpatient IR
- Harbor:Urgent Specialty Follow-up for DHS or MHLA Patients
- Harbor:VA MICU rotation
- Harbor:Wellness
- Harbor:Who goes to family medicine
- Harbor:Whole person care
- Harbor:XRT
- Harbor: Base Hospital Resource for Physicians and MICNs
- Harbor: Bullet Removal Guidelines
- Harbor: ED Bedside Ultrasound Policy and Procedure Guidelines
- Harbor: Hyperbaric Transfers
- Harbor: Identifying Jane/John Doe, finding next of kin tips
- Harbor: Macros and Autotext
- Harbor: Reporting to DCFS
- Harbor: Social Resources
- Harbor: Thoraco lumbar sacral orthosis
- HarborUCLA:5S
- HarborUCLA:Administrative resident
- HarborUCLA:EKG screening
- HarborUCLA:Main
- HarborUCLA:Pediatric ED (main)
- HarborUCLA:Receiving phone calls
- HarborUCLA:Triaging ambulance runs
- Harbor Macros: AMA
- Harbor Macros: Abdominal Pain
- Harbor Macros: Abdominal Pain(Female)
- Harbor Macros: Back Pain
- Harbor Macros: Chest Pain
- Harbor Macros: EKG
- Harbor Macros: Pediatrics
- Harbor Macros: Syncope
- Harbor UCLA - CIR