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 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
- Place order for consult in quick orders tab; these orders are located in the right hand column of the quick orders 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
- ED focused order sets generally start with "ED "
Bedside US
- Place order for study from within the quick orders page
- Located at the bottom of the second column
- Orders titled "ED US __"
- Located at the bottom of the second column
- 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
Placing in CORE
- Cardiology Observation Rapid Evaluation CORE
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