OVMC:ED

This is the main page for the Olive View Medical Center Emergency Department

Admission Guidelines

• Tele Guidelines
• Surgical Subspecialty Guidelines

Follow Up Guidelines

Out of Plan OOP

• Orange OOP on Tracking Board indicates out of plan insurance. Patient should be referred back to their health plan and PCP. Info on health plan and PCP found on Patient Summary (Discharge Instructions), Demographics and Utilization Review tabs.
• Do not refer OOP patients to subspecialty care at OVMC

MHLA (My Health LA)

• Not an insurance plan but gives patient access to primary care clinic and PCP
• MHLA patients receive all specialty care at OVMC or other DHS facilities
• OK to refer MHLA patients to subspecialty care at OVMC

NERF (New Empanelment Referral Form)

• Used to enroll patients with significant PMH who have no primary care or health plan
• Patient must have at least one of the following diagnoses (see attached list)
• Only about 1/3 of patients will actually receive a PCP through the NERF process. Because of that, give patient a clinic list upon discharge so he/she can find a PMD on their own.
• To enroll in NERF program, click NERF while completing Depart process. Check off diagnoses that apply. Click green arrow. Clerk will complete on-line NERF form.

CCC (Continuing Care Clinic)

• ED Followup Clinic used for complicated patients without primary care or an outside health plan
• To refer to CCC, click ED Post Visit Plan while completing Depart process, choose ED-CCC-OVM and indicate why patient needs CCC Follow-up
• Guidelines for CCC:

Urgent Referrals for Subspecialty Care/Message Pools

• Used to refer patients to certain subspecialty clinics for urgent follow-up appts (<2 weeks)
• Do NOT refer OOP patients or non-urgent complaints through the Message Pool

Econsult

• Used to refer patients to subspecialty clinics for non-urgent follow-up appts. Not all referrals are approved. If approved, appts are likely months away.
• Do NOT refer the following:

GI - diverticulitis, undiagnosed abdominal pain, gastritis without minimum of 3 months of PPI or h.pylori treatment Neuro - simple seizures, headaches

Interventional Radiology After Hours

• Intervential Radiology Available After Hours (Operator has Interventional Radiology on-call schedule)
  • Percutaneous abscess drainage
  • Image-guided paracentesis
  • Image-guided thoracentesis
  • Percutaneous cholecystostomy
  • Percutaneous nephrostomy/nephroureteral stent placement and other urologic intervention as applicable
  • Transhepatic biliary drainage and other biliary intervention as applicable
  • Central venous access including placement of tunneled/non-tunneled catheter
  • IVC filter placement
  • Transarterial embolization for unremitting hemorrhage refractory to conventional therapy
  • IR Consultation
• Interventional Radiology NOT Available After Hours (Only available Mon-Fri 8am-5pm)
  • No MSK procedures (e.g. no joint aspirations)
  • No LPs
  • No G/GJ tube replacement (if tube fell out, place foley temporarily)

Supplies and Equipment

Orthopedic supplies

• Located in Room 43

Crutches, Walkers, Wheelchairs

• Located in ED1A MD Room

Bronchoscope

• Located in storage room near Triage 4. Disposable scopes in cabinet in same room.

Forms

• Blood Transfusion Consent English
• Blood Transfusion Consent Spanish
• DMV Request for Reexamination
• Public Health - Animal Bite Reporting Form
• Public Health - Confidential Morbidity Report
• Public Health - STD Confidentiality Morbidity Report
• TB Patient Info Form English
• TB Patient Info Form Spanish
• Transfer Patient Consent
• Transfer Interfacility Transport Form

Links

• OVMC Ultrasound
• UCLA/OVMC Emergency Medicine Residency