Difference between revisions of "Harbor:PC Cheat Sheet"

(Admitting)
(Admitting)
 
Line 49: Line 49:
 
*Inpatient hospitalists admit on Tuesdays and Saturdays, this information is also in the aluminum binder
 
*Inpatient hospitalists admit on Tuesdays and Saturdays, this information is also in the aluminum binder
 
* Transfers
 
* Transfers
**EMTALA form - go
+
**EMTALA form - go to depart process and change drop down to EMTALA form then print and fill out with transfer facility name and accepting provider. Have patient sign.
To depart process and change drop down to EMTALA form then print and fill out with transfer facility name and accepting provider. Have patient sign.
+
** Order “Transport patient between facilities”
* Order “Transport patient between facilities”
 
  
 
==See Also==
 
==See Also==

Latest revision as of 06:03, 8 June 2020

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 ONLY your callback number
      • If the desired specialty doesn't receive 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:
  • Page the ED hospitalist at 310-204-9753
  • Complete the "Place in Observation" order, with "Emergency Department" for Location, and "Observation" for Service.

Placing in CORE

  • 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:
  • Page the CORE NP during daytime hours, ED hospitalist after 5pm at 310-204-9753
  • Right-click the ADT column on the tracking board, click "CORE Placement" box

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 - go to depart process and change drop down to EMTALA form then print and fill out with transfer facility name and accepting provider. Have patient sign.
    • Order “Transport patient between facilities”

See Also

References


See Also