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| Contents
| | {{#ask: [[Is DrugClass::Benzodiazepine]] | ?SeizureDose=Dose | ?BrandName=Trade Name}} |
| *PRE-HOSPITAL/SURGE PLANS
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| **INTERNAL/EXTERNAL DISASTERS
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| *** Closing to EMS (ALS) Ambulances
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| *** Surge Plan
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| *** DISASTER INSTRUCTIONS
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| ** ORCHID Downtime
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| ** Infectious Disease Threats
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| *** Hepatitis A
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| *** Flu/ILI
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| *** Harbor Ebola Precautions
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| ** EMS: Screening Ambulance Patients
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| * LABS
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| 2.1 iSTAT Tests
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| 2.2 Coagucheck
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| 2.3 RSV/Influenza PCR
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| 2.4 BIOFIRE TESTS
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| 2.5 Stool Culture
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| 2.6 Lab
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| 2.7 Critical Lab/Radiology Results Callback
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| 3 Radiology
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| 3.1 Formal US in the ED
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| 3.2 Rules for Performing ED Ultrasounds
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| 3.3 CT Scanner Specs
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| 3.4 STAT MRI's
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| 3.5 Discrepancy Review Process
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| 3.6 Discrepancy E-mail
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| 4 Other Testing
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| 4.1 ECG STEMI screening
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| 4.2 Occupational Exposure
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| 4.3 Non-Occupational Exposure
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| 4.4 INDUSTRIAL OR ON-THE-JOB ACCIDENTS (IA) FOR HARBOR EMPLOYEES
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| 5 EQUIPMENT
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| 5.1 Equipment Locations
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| 5.2 Equipment Issues
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| 5.3 4. Durable Medical Equipment (DME)
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| 5.3.1 walkers
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| 5.3.2 wheelchairs
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| 5.3.3 other DME
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| 5.3.4 TLSO Braces
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| 5.4 New iCare
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| 6 OBSERVATION/CORE
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| 6.1 Observation Placement Guidelines
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| 6.2 CORE
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| 7 ADMISSIONS
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| 7.1 RIGHT LEVEL of CARE
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| 7.2 Admitting a Patient
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| 8 Admission and Consultation Rules
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| 8.1 Surgical or Subspecialty Patients with Medical Co-morbidities
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| 8.2 Aortic Aneurysms
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| 8.3 Brain Death
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| 8.4 Breast abscess/mastitis
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| 8.5 Breast mass/malignancy
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| 8.6 Burns
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| 8.7 Cardiology
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| 8.8 Cellulitis(Non-maxillofacial)
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| 8.9 Dialysis fistula/graft problem (e.g. bleeding or thrombosed
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| 8.10 Decubitus Ulcers
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| 8.11 Deep venous thrombosis
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| 8.12 Delirium/Dementia
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| 8.13 GI Bleeding
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| 8.14 Hand Injuries
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| 8.15 Intracranial mass lesions
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| 8.16 Lower back pain
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| 8.17 Maxillofacial trauma
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| 8.18 Maxillofacial infections
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| 8.19 Meningitis
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| 8.20 Osteomyelitis requiring admission
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| 8.21 Painless Jaundice
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| 8.22 Pancreatitis
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| 8.23 Pyelonephritis
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| 8.24 ROSC (Approved by the Chairs of IM and EM 5/1/16)
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| 8.25 Septic Arthritis
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| 8.26 Spinal Injuries
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| 8.27 Stroke
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| 8.28 Thyroid Masses
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| 8.29 Trauma patients
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| 8.30 Vaginal Bleeding
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| 9 References
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| 9.1 Orders on Admitted Patients
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| 9.2 Boarding Patients Sent from Clinic
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| 9.3 Direct Admission after Hours
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| 9.4 Insurance Problems
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| 10 TRANSFERS
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| 10.1 TRANSFERS - INCOMING
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| 10.2 Responding to a Helicopter Landing
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| 10.3 Clinic Referrals to ED
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| 10.4 Guidelines for Flow of patients between the Psychiatric and Adult Emergency Departments (ED Policy 3.4)
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| 10.5 TRANSFERS - OUTGOING
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| 11 FOLLOW-UP
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| 11.1 Summary
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| 11.1.1 REFER TO ED follow up flow chart
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| 11.2 DHS Patient with Empanelled Provider
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| 11.3 Urgent <2 Week Specialty Follow-up for DHS or MHLA Patients
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| 11.4 Discharging Patients Direct to Specialty Clinic
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| 11.5 Follow up in CCC
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| 11.6 Follow up MAT/Buprenorphine/Opiate Withdrawal Treatment
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| 11.6.1 REFER TO MAT Pathway File:Harbor UCLA ED Bup DH 11-28-18 Final.pdf
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| 11.6.2 Patient Discharge Handout File:Bup Start (Harbor).pdf
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| 11.6.3 Patient MAT/Buprenorphine Follow Up Options
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| 11.7 Follow up In Other Clinics
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| 11.7.1 Anticoagulation (Coumadin) Clinic
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| 11.7.2 Breast Diagnostic Center (Radiology)
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| 11.7.3 Breast Surgery Clinic
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| 11.7.4 CARDIOLOGY
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| 11.7.5 DERM
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| 11.7.6 ENT
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| 11.7.7 Expedited Work-up Clinic (EWC)
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| 11.7.8 GYN
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| 11.7.9 Gyn UCC
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| 11.7.10 Nephrology Clinic
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| 11.7.11 Neurosurgery
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| 11.7.12 OB
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| 11.7.13 ONCOLOGY
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| 11.7.14 OPHTHO
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| 11.7.15 ORTHO
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| 11.7.16 PEDIATRICS
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| 11.7.17 Pediatric Adolescent Clinic
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| 11.7.18 Pediatric Cardiology
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| 11.7.19 PLASTIC SURGERY
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| 11.7.20 PULMONARY
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| 11.7.21 RHEUM
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| 11.7.22 SURGERY
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| 11.7.23 UROLOGY
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| 11.7.24 72 HRS STRESS TEST
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| 11.8 FOLLOW-UP FOR OUT-OF-COUNTY/OUT-OF-COUNTRY (OOC) PATIENTS
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| 12 Physicians
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| 12.1 Important Numbers
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| 12.2 Printable FORMS
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| 12.3 PC CHEAT SHEET
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| 12.4 Contacting the Attending On-Call/Problems with On-Call Physicians
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| 12.5 On Call Plan - Emergency Department Attending Physicians
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| 12.6 Trauma Activations
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| 12.7 STEMI Activations
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| 12.8 CODE STROKE
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| 12.9 Scheduled Dialysis Patients in ED
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| 12.10 Attending Documentation
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| 12.10.1 Minimum Content for Attending Notes
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| 12.11 Resident Documentation
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| 12.12 E-Prescribing
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| 12.13 CODES
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| 12.13.1 CODE ASSIST
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| 12.13.2 CODE BLUE
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| 12.13.3 CODE WHITE
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| 12.14 CODE GREEN See "LEGAL"
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| 12.15 CODE GOLD See "LEGAL"
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| 12.15.1 AIRWAY MANAGEMENT TEAM
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| 12.15.1.1 Airway Coverage Times
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| 12.15.1.2 Documentation
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| 12.16 Templates
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| 13 RME/TRIAGE
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| 13.1 RME Phones
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| 13.2 RME Patient Flow
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| 13.3 FastTrack
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| 13.4 Triaging Clinic Patients
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| 13.5 Direct to Back
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| 13.6 Criteria for an immediate transfer to Chest Pain Room
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| 13.7 ECG Screening by Providers
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| 13.8 Patient Transfers to other areas of the hospital
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| 13.8.1 Psych ED
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| 13.8.2 Gyn UCC
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| 13.8.3 Urgent Care
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| 13.8.3.1 Transfer of Low Acuity Patients from ED to UCC
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| 13.8.3.2 Pausing Patient Flow from ED to UCC
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| 13.8.3.3 Transfer of Patients from UCC to ED
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| 13.9 FastTrack Roles
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| 13.10 NP Independent Workup Guidelines
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| 13.11 Being Seen by Consultants Prior to ED Evaluation
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| 13.12 NP Consultation Guidelines
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| 13.13 NP Consultation with the Attending Physician
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| 13.14 NP Independent Discharge Guidelines
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| 13.15 Rapid Discharge Procedure
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| 13.16 RIPT
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| 13.17 Discharge to Chairs
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| 13.18 LBTC FOLLOW-UPS
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| 14 LEGAL
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| 14.1 INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN
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| 14.2 Mandatory Reporting of Adverse Events
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| 14.3 Prescriptions
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| 14.3.1 Lost Triplicate Prescriptions
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| 14.3.2 Safe Pain Medication Prescribing Guidelines
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| 14.4 Family Viewing of Deceased Patients
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| 14.5 Law Enforcement Escorting Patients Out Of the Emergency Department
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| 14.6 Weapons in ED
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| 14.7 ILLICIT DRUGS/MARIJUANA IN ED
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| 14.8 OBSERVERS IN THE ED
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| 15 Social Work
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| 15.1 Social Work Consultation Guidelines
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| 15.1.1 1. SW Order Indications
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| 15.1.1.1 Lack of Resources
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| 15.1.1.2 Poor judgement/Substance Abuse
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| 15.1.1.3 Psychosocial Support
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| 15.1.1.4 Regulatory/Legal Issues
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| 15.1.1.5 Nonspecific
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| 15.1.2 2. Transportation home:
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| 15.1.3 3. Patient who are homeless:
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| 15.1.4 5. Patients whom family is no longer able to take care of
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| 15.1.5 6. Pt/family not happy with current skilled nursing facility (SNF)
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| 15.1.6 7. Clothing rack / clothing for patients
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| 15.1.7 8. Patients who need PT/OT for placement
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| 15.2 Whole Person Care
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| 16 Core Measures
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| 16.1 SEPSIS Core Measure Guidelines
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| 16.2 Sepsis Abx
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| 17 HARBOR ED POLICY MANUAL
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| 17.1 Home Page → Policies and Procedures → HUMC → HUMC Policies and Procedures
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| 17.2 3.0 Admissions and Consultations
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| 17.3 21.3 Respiratory Isolation Patient Protocol[1]
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| 17.4 21.4 Care of Potential Myocardial Ischemia Patient in Triage
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| 17.5 21.5 Medications in Triage: Standardized Procedure
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| 17.6 Consent
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| 18 See Also
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| 19 References
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| | [[Scarlet_fever_1.2.jpg|thumb|"Slapped cheeks" and "white mustache" (circumoral pallor) typical of scarlet fever.]] |
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