Harbor:PC Cheat Sheet

Paging

• For consults:
  • Place order for consult in quick orders tab; these orders are located in the right hand column of the quick orders page
    • Auto-page consults: enter your callback number
    • No auto-page consults: after placing order, enter your page through the Harbor Alpha Page link on the intranet home page

Order Sets

• Within the quick orders tab, use the "Search for new order" bar at the top of the third column
  • ED focused order sets generally start with "ED "
    • i.e., "ED Chest Pain," "ED Trauma," "ED Intubation"
    • ICU Therapeutic Hypothermia Targeted Temperature Management
    • ICU Vasopressors Subphase
    • ICU Anti-Hypertensive Medications
    • Med TB Sputum AFB Bundle
    • Med Insulin One Time Dose
    • Med or Ped Med/Surg IV Fluid Subphase
    • ED Holding orders: Don’t forget you can write holding orders for admitted patients past the 2 hour window.
    • ED Sepsis Screening and Management Bundle: Has recommended antibiotics based on source of infection, labs, and IVF orders. Don’t forget to use the .sepsis autotext phrases as well for documentation requirements.
  • Select "Modify order" and select the components of the order set you need

Bedside US

• Place order for study from within the quick orders page
  • Located at the bottom of the second column
    • Orders titled "ED US __"
• Open the US machine, end the current study and select "New patient"
• Select "Update" from the list of tabs along the bottom of the screen (this may take a minute to appear)
• Select your patient from the list
• Perform POCUS study, freeze and save images with necessary measurements
• Review images and delete inadequate or poor quality images prior to placing US machine back in charging dock
• Select "New patient/End Study" to end the current study and automatically upload images

Placing in Obs

• Place order for interqual request to initiate utilization review process of evaluation for possible transfer
• When green "Met" icon appears on tracking list indicating able to place on observation:
• Write the patient's name and MRN in the aluminum Obs binder next to the AED Clerk, in the next available time slot that has not yet passed
• Page the ED hospitalist at 310-204-9753
• Complete the "Place in Observation" order, with "Emergency Department" for Location, and "Observation" for Service.

Admitting

• Place order for interqual request to initiate utilization review process of evaluation for admission vs transfer
• When green "Met" icon appears on tracking list indicating able to admit to Harbor:
• Write the patient's name and MRN in the aluminum Admissions binder next to the AED Clerk, in the next available time slot that has not yet passed
• Page the admitting resident at the number provided
• Inpatient hospitalists admit on Tuesdays and Saturdays, this information is also in the aluminum binder
• Transfers
• EMTALA form
• Transport patient between facilities

See Also

• Harbor:Main