SCVMC:ED: Difference between revisions
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==Operations==
==Operations==
===ED Follow-Up===
*[https://www.wikem.org/w/images/Requesting_a_PCP_for_patient.pdf Request a PCP for a patient]
*[https://www.wikem.org/w/images/Requesting_a_PCP_for_patient.pdf Request a PCP for a patient]
**Send a new message to 'P HHS Panel Management [10907]' for the request
**Send a new message to 'P HHS Panel Management [10907]' for the request
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**Save as a QuickAction for next time
**Save as a QuickAction for next time
*[https://www.wikem.org/w/images/Creating_a_Personal_Follow_Up_List.pdf Create a Personal Follow Up List Instructions]
*[https://www.wikem.org/w/images/Creating_a_Personal_Follow_Up_List.pdf Create a Personal Follow Up List Instructions]
*[https://hhsconnect.sccgov.org/Pages/policies-home.aspx VMC Policies & Procedures Webpage]




===On Shift===
*[https://www.wikem.org/w/images/SCVMC_Chest_Pain_Algorithm.pdf High-sensitivity Troponin Chest Pain Algorithm]
*[https://www.wikem.org/w/images/SCVMC_Chest_Pain_Algorithm.pdf High-sensitivity Troponin Chest Pain Algorithm]
*[https://docs.google.com/document/d/10Dv_fwZK6JYFibRIrnBRxBeQIcn64Tnu0z5SpFMC6ic/edit COVID-19 ED Guidance]
*[https://docs.google.com/document/d/10Dv_fwZK6JYFibRIrnBRxBeQIcn64Tnu0z5SpFMC6ic/edit COVID-19 ED Guidance]
*[https://hhsconnect.sccgov.org/sites/vmc/pharmacy/Pages/references.aspx Pharmacy Protocols]
**[https://www.wikem.org/w/images/SCVMC_Adult_Antibiogram_2019.pdf Adult Antibiogram 2019] | [https://www.wikem.org/w/images/SCVMC_Pediatric_Antibiogram_2019.pdf Pediatric Antibiogram 2019]
***[https://hhsconnect.sccgov.org/sites/vmc/pharmacy/Pages/antimicrobial.aspx VMC Antimicrobial Stewardship Webpage]
*Advancing imaging protocoling (x57625) is necessary for:
*Advancing imaging protocoling (x57625) is necessary for:
**CT scans with IV contrast
**CT scans with IV contrast
**MRI
**MRI
**Ultrasound - Friday 10pm - Sunday 10pm & holidays
**Ultrasound - Friday 10pm - Sunday 10pm & holidays
*[https://www.bridgetotreatment.org/resources Suboxone Induction Protocol]
*[https://www.bridgetotreatment.org/resources Suboxone Induction Protocol]
**'''Business Hours Process''':
**'''Business Hours Process''':
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**[https://pcssnow.org/medication-assisted-treatment/ Free Online DEA-X Waiver Training] (Cat 1 CME: MD 8hr, PA 24hr) is available
**[https://pcssnow.org/medication-assisted-treatment/ Free Online DEA-X Waiver Training] (Cat 1 CME: MD 8hr, PA 24hr) is available


 
===Hospital/Departmental Protocols===
*[https://hhsconnect.sccgov.org/sites/vmc/pharmacy/Pages/references.aspx Pharmacy Protocols]
**[https://www.wikem.org/w/images/SCVMC_Adult_Antibiogram_2019.pdf Adult Antibiogram 2019] | [https://www.wikem.org/w/images/SCVMC_Pediatric_Antibiogram_2019.pdf Pediatric Antibiogram 2019]
***[https://hhsconnect.sccgov.org/sites/vmc/pharmacy/Pages/antimicrobial.aspx VMC Antimicrobial Stewardship Webpage]
*[https://hhsconnect.sccgov.org/Pages/policies-home.aspx VMC Policies & Procedures Webpage]
*[https://www.wikem.org/w/images/QI_case_rating_form.pdf QI Case Review Form]
*[https://www.wikem.org/w/images/QI_case_rating_form.pdf QI Case Review Form]


Revision as of 19:28, 4 April 2020

Santa Clara Valley Medical Center: Emergency Department

Operations

ED Follow-Up

  • Request a PCP for a patient
    • Send a new message to 'P HHS Panel Management [10907]' for the request
    • Save as a QuickAction for next time
  • Quality RN
    • Can help out with:
      • Filing DMV loss of consciousness form
    • Send a new message to 'P ED Quality Call Back Pool (Non-Urgent) [16010929]'
    • Save as a QuickAction for next time
  • Create a Personal Follow Up List Instructions


On Shift

  • High-sensitivity Troponin Chest Pain Algorithm
  • COVID-19 ED Guidance
  • Advancing imaging protocoling (x57625) is necessary for:
    • CT scans with IV contrast
    • MRI
    • Ultrasound - Friday 10pm - Sunday 10pm & holidays
  • Suboxone Induction Protocol
    • Business Hours Process:
      • Induce patient per protocol
      • Contact Jill Lassettre, our Substance Use Navigator (SUN), 669-236-1564
        • She will arrange followup care with Substance Use Treatment Services (SUTS)
    • After Hours Process:
      • Induce patient per protocol
      • Fill out a Treatment Appointment Form
        • Located on a clipboard hanging on the wall by the nursing stations in RME or XC
        • Every business day, an 8am appointment at the Central Valley Clinic (CVC) is kept open for ED-induced patients
      • Send Jill Lassettre a message via EMR with MRN and expected appointment date
    • Buprenorphine Home Induction
    • Free Online DEA-X Waiver Training (Cat 1 CME: MD 8hr, PA 24hr) is available

Hospital/Departmental Protocols

Interdepartmental Affairs

  • Contacting Consultants
    • STEMI: MUC to page
    • Stroke: MUC to page
    • Trauma Activation: MUC to page
    • Emergent Consult: MUC to page
    • Anesthesia: Use AMION to call phone
    • All other consults: Use Secure Chat
  • Kaiser patient on a 5150 hold needing medical admission: Admit to Medicine at VMC with Inpatient Psych Consult (get EPRP approval)

Disposition Assistance

  • STI/HIV & TB Clinic Follow Up
    • Look up "Crain STI" or "VHC Lenzen TB" clinics in Dispo
    • 976 Lenzen Ave, San Jose 95126

See Also

References


Singh 3/2020

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