This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.
- 1 Admin Updates
- 2 General Administrative
- 3 Managing your Patient
- 3.1 General
- 3.2 Tests & Orders
- 3.3 Finding Equipment/DME
- 3.4 Procedures
- 4 Special patient types
- 5 Patient Disposition
- 6 Documentation
- 7 Disaster & Surge
- 8 Resident Education
- 9 See Also
- EWC - 8/5/19 - back to scheduling directly into EWC; Cerner is working again!
- Surge Criteria Pilot - 7/10/19: ED census for surge criteria includes R5, R6, R7, & R12; Available med/surg OR ICU/PCU
(Dr. Peterson, Dr. Stein, Mark Redulla [pt flow])
- PERT (PE Response Team) Started Monday 6/24
- Page the PERT Fellow p9956 for (sub)massive PE when considering thrombolytics
- for details: https://www.wikem.org/wiki/Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus
- Incoming transfers
- Exodus Transfers
- Exodus should call Psych ED about transfer, not Med ED
- Med ED will do MSE
- Administrative resident directions
- Receiving Phone Calls
- EKG Screening
- Pre-shift: 5S
- Airway Bag
- Missing or low on equipment such as McGrath blades or batteries - inform the overall charge nurse (more in nursing office)
- PURPLE SENIOR - use the laminated checklist to stock AT EACH SHIFT CHANGE on on-call days
- Locks let you know which compartments to check
- ED pharmacists help with meds BUT SENIORS should double check.
- TURN OFF McGRATH AFTER USE!
- Can use new “GlideScope Go” with a MAC 3 & 4 blade, but bring it back. (It’s not part of bag).
Managing your Patient
Tests & Orders
- Oral contrast
- No more gastrograffin, replaced by omnipaque. Must place an order for it. If you need to obtain a retrograde urethrogram, order a KUB.
- Below is the suggested/usual volume of omnipaque used for certain indication sent to us by Dr. Putnam:
- For use in bowel obstruction, a volume of 100cc of Omnipaque 300 is used.
- For use in tube contrast studies, a volume anywhere between 50-200cc of Omnipaque 300 would likely be used.
- For a CT with po contrast, the order is for 30cc of Omnipaque 300 in 970cc of water.
- Buprenorphine/Opiate Withdrawal Treatment
Upload Outside Films to PACS
- Get form from clerk
- Put patient sticker on Form
- Check "Import"
Get Images on Disc (For DC or Transfer)
- Same as upload EXCEPT
- Check "Export"
- Write time frame on form you want studies from
Special patient types
- Whole person care
- Social work
- Occupational Exposure
- Industrial or On-the-Job Accidents (IA)
- Sexual Assault/STI Exposure (SART)
- PE Response Team
- AVF/graft complications
- Respiratory isolation
- Scheduled dialysis patients in ED
- Infectious Disease Threats
- Replantation Patients
- XRT transfers
- Follow-up of out patient labs/imaging
- Any imaging or labs requested by a consultant in the ED that will NOT be resulted during the patient's stay in the ED should be ordered by the consultant making the request. Follow-up of outpatient tests can be either performed by the consultant OR by the CCC.
- Opiate Withdrawal/MAT/BUP
- Substance Use Disorder
- Medical Legal Partnership
- Immigration Assistance
- Hospital Based Violence Intervention Program and Trauma Recovery Center
- Coumadin clinic
- Expedited workup clinic
- Law Enforcement Discharge Escort
- Admission and consultation guidelines
- Admitting a patient
- Who Goes to Family Medicine
- Right level of care
- Internal Medicine Admission Template
- Post-admission management/Orders on Admitted Patients
- Direct Admission after Hours
OBS & CORE
- Observation placement
- CORE placement
- Observation Patients Direct from UCC
- Do not need an ED MSE - can go direct to OBS
- If no OBS beds available in GOLD - should be made Direct Admits to the Hospital
- Death Packet Checklist
- Deceased patients
- Transferring a patient
- PC Cheat Sheet
- Attending Documentation
- Resident documentation
- Consenting a Patient