Harbor:Main

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

Admin Updates

• PERT (PE Response Team) Starts 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
  • Incoming transfers

Screening EMS Patients

• Administrative duties
  • Administrative resident directions
  • Receiving Phone Calls
    • Critical Result Callback
  • EKG Screening
  • Pre-shift: 5S
• Administrative resources
  • Core Measures
  • Harbor ED policy manual
  • RME & triage
  • ED attending on call plan
  • Harbor Legal

Managing your Patient

Tests & Orders

• Labs
• Radiology

Enter Prelim Rads Read

• • Ultrasound
    • Ordering a Formal Ultrasound
    • Ultrasound approval list
    • Formal & ED Ultrasounds
  • Example text for a discrepancy e-mail
  • CT
    • Ordering a CT
    • CT Specs

STAT MRI

• • • MRI Specs
• Other orders
  • Blood products
  • Antibiotics

Antibiogram

• • • Harbor antibiotics in sepsis
      • Sepsis core measures
  • Buprenorphine/Opiate Withdrawal Treatment
    • Opiate Withdrawal/MAT/BUP

Finding Equipment/DME

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

Procedures

• Consenting a patient
• Procedure Videos

Special patient types

Whole person care

• Social work
• Activations
  • Code Activations
    • Involuntary holds
  • Airway management team
  • Code Stroke
  • STEMI Activation
  • Trauma Activations
• Sepsis
  • Harbor antibiotics in sepsis
  • Sepsis core measures

Occupational Exposure

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

Sexual Assault/STI Exposure (SART)

• Others
  • AVF/graft complications
  • Respiratory isolation
  • Scheduled dialysis patients in ED
  • Infectious Disease Threats
    • Suspected Ebola protocol
  • Replantation Patients
  • XRT transfers

Patient Disposition

Discharge

• Prescribing
• ED Follow-Up
  • ED follow up flow chart

Forms

• • • Opiate Withdrawal/MAT/BUP
    • Medical Legal Partnership
    • Coumadin clinic
    • Expedited workup clinic
• Law Enforcement Discharge Escort

Admission, OBS, & CORE

• Admitting a patient

Admission & Consult Guidelines (OLD (retired) policy 312)

• 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

Other Disposition

Death Packet Checklist

• Deceased patients
• Transferring a patient
  • Transferring to psych ER
  • XRT transfers
  • Replantation patient transfer

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

• ORCHID Downtime
• Infectious Disease Threats
  • Suspected Ebola protocol

Resident Education

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

See Also

• Harbor:RME Manual

Authors:

Alex Doo, Andrea Wu, Bradley Chappell, Dennis Hsieh, Justin Arndt, Kian Preston-Suni, Kelly Young, Neil Young, Daniel Ostermayer, Mike Peterson, Ross Donaldson, Tom Fadial, Michael O'Brien, MD