Harbor:Main

This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.

Admin Updates

• New central line kits - more inclusive, just need to get sterile gloves. See [here] for details.
• Synapse got a new look. See link for details. A one-page intro guide are available on DHS SharePoint
  • Alt+C still works to compare studies.
  • Open the PowerJacket (folder icons) and then you can pull up the read on 'reports'. Click the dropdown to switch from 'report' to 'notes' to find a free text prelim read.
  • Change your default settings to what PowerJacket looks like and select ‘Notes’ and ‘Reports’ to always open so you can see prelim and final reads, respectively.
• Patient Relations Representatives (PRR) 3p-2a, 7days a week – call Registration for PRR who can help empanel into DHS or change empanelment/network in real time in the ED. PRR can come to bedside to meet with patient or send patient to Registration Windows. During business hours, send patient to Patient Relations Office in Rm 1-B-1.

• Harbor's COVID page Coronavirus (COVID-19) Info
  • Paxlovid, Remdesivir, etc ... COVID Treatment Options

• QR Code Resources
  • For Staff (QI forms and equipment issue links)
  • For Patients

• Interqual criteria Interqual Criteria Tips

• Monkeypox
  • See Monkeypox for medical information & Harbor Monkeypox Plan
  • Educational Material
    • LA County Monkeypox
    • LAC DPH Monkeypox
    • http://publichealth.lacounty.gov/media/monkeypox/resources.htm#reduce
    • CDC Monkeypox

• Active Threat in the ED
  • Situational awareness
    • Stand between door and patient
    • Ensure patient is gowned
    • Be aware of long stethoscope, lanyard, long hair, etc
    • Panic buttons at nursing stations/router
    • Run & scream for help
  • Hospital Codes
    • Gold x111 - combative/agitated patient
    • Gray x64450 - combative/agitated NON-patient
    • Silver x111 - weapon, active shooter, hostage

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

Administrative duties

• • Administrative resident directions
  • Receiving Phone Calls
    • Critical Result Callback
  • EKG Screening
  • Pre-shift: 5S
  • Airway Bag Harbor:Airway_management_team

RME & triage

• • Harbor:Direct Admission after Hours
  • Core Measures
  • Crown Checks in PED

Managing your Patient

General

Paging consultants

• Harbor:Ophtho abbreviation dictionary

Tests & Orders

• Labs

Radiology

• Ultrasound
  • Ordering a Formal Ultrasound
  • Formal & ED Ultrasounds
  • Endocavitary Probes
• Enter Prelim Rads Read
• Example text for a discrepancy e-mail
• CT
  • Ordering a CT
  • CT Specs
• Oral contrast
• Contrast Extravasation:
  • Hyaluronidase for IV Contrast Extravasation order Form

Radiology Hours

[Radiology Directory]

STAT MRI

• MRI Specs

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

Antibiogram

• • Harbor antibiotics in sepsis
    • Sepsis core measures

Finding Equipment/DME

• Equipment (AED/RME)
• Equipment (peds)
• Durable Medical Equipment (DME)

Procedures

• Consenting a patient
• Procedure Videos

Special patient types

Code Activations

• Involuntary Holds
• Airway Management Team
• Code Stroke
• STEMI Activation
• Trauma Activations

Sepsis

• Harbor antibiotics in sepsis

Occupational Exposure

• Industrial or On-the-Job Accidents (IA)

Infectious Disease Threats

• COVID
• Suspected Ebola protocol
• Harbor:Infectious_Disease_Threats#Monkeypox\Monkeypox

Patient Disposition

Discharge

ED Follow-Up Options

• Prescribing

DC with meds in ED

• Eye drops (vanco & tobra) and STI prophylaxis for home
• HIV prophylaxis for sexual assault patients (raltegravir and Truvada)

• Paper Forms

• Coumadin clinic
• Expedited workup clinic
• Law Enforcement Discharge Escort
• Home Health
• Harbor:Home hospice from ED

Admission

Admission Guidelines

• Admitting a patient
• Who Goes to Family Medicine

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

• Observation placement
• CORE placement

Other Disposition

• Death Packet Checklist
• Deceased patients

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

• PC Cheat Sheet
  • Macros and Autotext
• Attending Documentation
• Resident documentation
• Consenting a Patient
  • File:Harbor-Photo-Consent.pdf

Disaster & Surge

• Disaster plan
• Surge plan
• Harbor:Diversion for ALS and BLS
• ORCHID Downtime
• Infectious Disease Threats
  • Suspected Ebola protocol

Resident Education

• Teaching Rounds Topics
• VA MICU rotation
• How to get started in research at Harbor
• Jeopardy Policy

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