Harbor:Main: Difference between revisions
| Line 19: | Line 19: | ||
* Monkeypox | * '''Monkeypox''' | ||
** Move directly to a negative-pressure room | ** See [[Monkeypox]] | ||
*** Consider in patients with travel history | |||
*** Rash typically preceded by fever, lymphadenopathy, malaise, HA, and muscle aches | |||
*** Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs | |||
*** Higher likelihood in MSM patients, presenting with lesions in the genital area | |||
** Move directly to a negative-pressure room; airborne (N-95) and contact precautions | |||
** Call IPC x66532 and Micro x66289 and get a monkeypox collection kit from Microbiology | |||
*** Call LAC Acute Communicable Disease Control (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) [http://publichealth.lacounty.gov/acd/Monkeypox.htm LA County Monkeypox] | |||
==General Administrative== | ==General Administrative== | ||
Revision as of 18:07, 25 May 2022
This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.
Admin Updates
- Harbor's COVID page Coronavirus (COVID-19) Info
- Paxlovid, Remdesivir, etc ... COVID Treatment Options
- QR Code Resources
- Interqual criteria Interqual Criteria Tips
- Contrast
- Consider non-contrast studies or MRI/MRA
- 5/9 - Gastrograffin now available as substitute for PO Omnipaque
- Monkeypox
- See Monkeypox
- Consider in patients with travel history
- Rash typically preceded by fever, lymphadenopathy, malaise, HA, and muscle aches
- Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs
- Higher likelihood in MSM patients, presenting with lesions in the genital area
- Move directly to a negative-pressure room; airborne (N-95) and contact precautions
- Call IPC x66532 and Micro x66289 and get a monkeypox collection kit from Microbiology
- Call LAC Acute Communicable Disease Control (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) LA County Monkeypox
- See Monkeypox
General Administrative
- Pre-hospital
- Incoming transfers
- Exodus Transfers
- Exodus should call Psych ED about transfer, not Med ED
- Med ED will do MSE
- DEM AOD DEM Admin on Duty (AOD)
- Resident Responsibilities
Ambulance (EMS) Triage
Administrative duties
Administrative resources
RME & triage
Harbor ED policy manual
ED attending on call plan
Harbor Legal
Managing your Patient
General
On shift (PC) Cheat Sheet
Paging consultants
Phone numbers
Radiology directory
Tests & Orders
Radiology
- Ultrasound
- Enter Prelim Rads Read
- Example text for a discrepancy e-mail
- CT
- Oral contrast
- Contrast Extravasation:
Radiology Hours
Urgent Outpatient IR
STAT MRI
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
Blood products
Antibiogram
Finding Equipment/DME
E supplies A-Z
Procedures
Special patient types
Code Activations
Social Work
Opiate Withdrawal/MAT/BUP
Harbor:Alcohol Use Disorder/Withdrawal Treatment
Harbor:Stimulant Use Disorder Treatment
Baby Safe Surrender Program
Placement patients
PE Response Team
Psych Patients (Exodus)
Harbor: Identifying Jane/John Doe, finding next of kin tips
Scheduled dialysis patients in ED
Sepsis
Sepsis core measures
Occupational Exposure
Sexual Assault/STI Exposure (SART)
Infectious Disease Threats
Patient Disposition
Discharge
ED Follow-Up Options
DC with meds in ED
- Eye drops (vanco & tobra) and STI prophylaxis for home
- HIV prophylaxis for sexual assault patients (raltegravir and Truvada)
- Coumadin clinic
- Expedited workup clinic
- Law Enforcement Discharge Escort
- Home Health
- Harbor:Home hospice from ED
Transportation Needs
Social EM resources
Admission
Admission Guidelines
Interqual Criteria Tips
Interqual Override Notes
Right level of care
- Admitting to Medicine - use MS Teams (no more clipboard)
- Post-admission management/Orders on Admitted Patients
- Direct Admission after Hours
OBS & CORE
Dialysis in the ED
Other Disposition
Transferring a patient
- Transferring to psych ER
- Exodus Psych transfers
- Transfer to L&D
- Transfer/Discharge to Specialty Clinic
- 911 STEMI out
- MAC Transfer Burn or Replant
- Transfer to Comprehensive Stroke Center
- XRT transfers
Documentation
Disaster & Surge
- Disaster plan
- Surge plan
- Harbor:Diversion for ALS and BLS
- ORCHID Downtime
- Infectious Disease Threats
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