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

OOP (Out of Plan)

• 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
• OOP Health Plan and/or clinic name will print automatically on the Patient Summary (Discharge Instructions).

DHS Empaneled

• To find out if a patient is empaneled to DHS, look at the banner bar on the patient chart. Look right hand side "Emp Prov". Name of PCP will be written there.
• If empaneled, clinic name can be found listed under Additional Patient Information.

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.

TFU (Telephone Follow Up)

• Used for follow-up of culture or GC/chlamydia results
• To refer to TFU, click ED Post Visit Plan while completing Depart process, choose ED-TFU-OVM and indicate what needs to be followed up
• Ensure we have a correct phone number on the patient
• If patient has already been discharged from the ED and you want to refer to TFU
  • Step 1: Find patient on the Look Up track (only good for 7 days after discharge)
  • Step 2: Choose patient on the Look Up track, click Modify Events.....Request Event......Post Visit ED TFU
  • Step 3: Open patient's chart......Depart.....now fill out ED Post Visit Plan form
  • If you do not follow these steps, TFU will not be flagged to follow-up the patient

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

Radiology

On Call Schedule

• Operator has Radiology on-call schedule and pager numbers
• Also posted on OVMC Website...Departments....Radiology....On-Call Schedules....Radiology Faculty Schedule Current Month

USC Coverage

• Mon-Fri 11pm-7am
• Sat/Sun and Holidays 7pm-7am
• 323-409-6679

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)

Psychiatry

• x4340
• For patients without medical complaints, medically screen patients at Triage or Ambulance Triage. If medically cleared, provider should call x4340 and speak to Psychiatry MD who should approve patient being sent over to the Psych ED
• If patient is placed into an ED bed and needs emergent psychiatry, order Consult to Psychiatry and call x4340 to speak to Psychiatry MD.

Transfers

Higher Level of Care Transfers

• Neurosurgery

Utilization Review

• x4890

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

Downtime Protocols

• ED1A Clerk has all downtime forms
• Downtime protocol pdf

Links

• OVMC Ultrasound
• UCLA/OVMC Emergency Medicine Residency
• Pain-EM