Template:Harbor EKG screening: Difference between revisions

Revision as of 18:40, 19 January 2017

ECG Screening by Providers

CP patient from Triage needs an ECG in RME 11 CP room.
ECG tech hands ECG to Provider.
Who can sign ECG's electronically:
- ED Attendings and PGY-4's can sign electronically ("No STEMI Activation")
- NP's can sign electronically in ORCHID only for ECGs that say “Normal Sinus Rhythm.”
  - For ECGs that say anything else, if the ECG is already uploaded into ORCHID, the NP can call an ED attending (x23202 or 23206) for the electronic ECG screen
  - If the ECG is not yet uploaded, the NP need to hand to an ED attending who will perform the electronic ECG screen.
- PGY 1-3's can only visually review the ECG but then must hand off to or call an Attending or R4 to sign electronically

Chappell 8/2016

@@ Line 1: / Line 1: @@
-===EKG Screening===
+===ECG Screening by Providers===
-''Only Attending Physicians should do the "STEMI Screen" in AAED. STEMI screen does not need to performed in the PED.''
+*CP patient from Triage needs an ECG in RME 11 CP room.
+*ECG tech hands ECG to Provider.
+*Who can sign ECG's electronically:
+**ED Attendings and PGY-4's can sign electronically ("No STEMI Activation")
+**NP's can sign electronically in ORCHID only for ECGs that say “Normal Sinus Rhythm.”
+***For ECGs that say anything else, if the ECG is already uploaded into ORCHID, the NP can call an ED attending (x23202 or 23206) for the electronic ECG screen
+***If the ECG is not yet uploaded, the NP need to hand to an ED attending who will perform the electronic ECG screen.
+**PGY 1-3's can only visually review the ECG but then must hand off to or call an Attending or R4 to sign electronically
-#The EKG tech should bring an attending the paper copy of each EKG to review as soon as it is completed. This is done because there can be delays in uploading EKG's to ORCHID, and because we are not always in front of ORCHID.
+Chappell 8/2016
-#If the EKG has been uploaded you may see the eyeglasses icon in the EKG column: double click to open the EKG an review it there.  Write “No STEMI Activation” or "STEMI Activation”, whichever is appropriate.
-#Click the “ED review and close” box to close the EKG and you should see a green checkmark in the EKG column. If there is a delay with uploading the EKG image to ORCHID, you should document the time of your review of the paper EKG once it does upload to ORCHID, i.e. “ED screen @1745: no STEMI Activation”.
-Dir OPS, 6/1/15