Harbor:Main
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
- Harbor's COVID page Coronavirus (COVID-19) Info
- File:DHS COVID Visitation EP notes 8-2021.pdf
- Testing unvaccinated parents of pediatric patients getting admitted
- Determine if the child needs to be admitted to our hospital ( if being transferred we should not do the test ). This is for all patients being admitted to pediatrics ward, sdu, PICU, NICU, nursery.
- If parent unvaccinated and want a covid test they will be registered and insurance info documented in the PED by registration. Any symptomatic parent will not be allowed upstairs.
- Parents can be told we will bill insurance but they will not be responsible for copay or deductible.
- Provider will do an MSE note stating the parent is being seen only to get a Covid test so they can accompany their child upstairs for admission. MSE note sample: Mrs. X is a 35 yo woman unvaccinated for covid. Her child is being admitted to Harbor UCLA pediatric department. Mrs. X is only be seen for a covid test so she can accompany her child during their admission.
- Covid test will be ordered and done as an Admitted asymptomatic test.
- No vital signs or other exam will be done on the parent or guardian. If they request it be done they will be seen and billed as a full ED visit.
- This will be offered for only one parent or guardian.
- The parent can wait in PED waiting room if the child is moved upstairs prior to their Covid test resulting.
- If Covid test + parent or guardian will not be allowed upstairs with their child. If the Covid test is + but it has been greater than 10 days since a previous covid test they can still accompany their child on admission.
- Once the Covid test results parents will be told their Covid result and they will be discharged. If neg they may go upstairs to be with their admitted child. If + they can not go upstairs unless it has been greater than 10 days since their last + covid test.
- Please call Dr. Padlipsky or Dr. Zangwill with any questions or concerns that come up.
- There is a book with magenta colored rectangles/squares on it labeled Parents Covid tested in PED. This will be kept on top of the safe. Please write down the parents name and MRN and date of the test so we can make sure they are not billed for the visit.
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 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
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.
Urgent Outpatient IR
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
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
- 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 PCDC building 8a-6p (Mon-Fri), Wednesday only they outreach in front of the SE building to catch patients participating in the Food Pharmacy program.
- 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
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