Harbor:Urgent Outpatient IR

• For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
  • Please complete the “==HarIRrequest==" autotext and save to the chart to expedite the consult
    • Use “autotext copy utility” button on the FirstNet toolbar to copy it from Ross F. (new version 2/2026if using it for the first time.
  • If possible, IR will try to accommodate same-day procedures
  • If after hours and felt to be truly emergent (eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), please have the ED attending call the IR attending

• For stable patients who can get outpatient IR procedures
  • DHS patients who require an urgent IR procedure, and have no other indication to be admitted, the patient will be accommodated in the IR schedule to get their procedure done within 2 days as an outpatient.
    • Patient will need a CBC, chem 7, INR, and COVID test
    • Order the procedure needed
      • IR Central Venous Catheter Tunneled (for both placements and exchanges)
      • IR Renal Catheter Perc Placement (Left or Right)
      • IR Exchange of Nephrostomy Catheter
      • IR loopogram (for clotted HD access)
    • Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
    • Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"
  • For OOP patients:
    • ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to either schedule the patient into the IR Procedure Clinic admit the patient, given that procedure will be done the next day.