Harbor:Main

This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.

Message of the Moment

• Radiology Discrepancy Process
  • Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something
  • In Synapse "notes" section write the following and "add"
    • "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
    • I.e., ED PRELIM - Fracture R distal radius. Peterson 23202
• The 7am Triage Resident will review any discrepancies daily.
  • Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
  • Review

3/25/19 - Peterson

General Administrative

• Pre-hospital
  • Incoming transfers
  • Screening EMS Patients
  • Triaging Ambulance Runs
• Administrative duties
  • Administrative resident directions
  • Receiving Phone Calls
    • Critical Result Callback
  • EKG Screening
  • Pre-shift: 5S
• Administrative resources
  • Core Measures
  • Harbor ED policy manual
  • RME & triage
  • ED attending on call plan
  • Harbor Legal

Managing your Patient

General

• PC Cheat Sheet
• Phone numbers
• Forms

Tests & Orders

• Labs
• Radiology
  • Ultrasound
    • Ordering a Formal Ultrasound
    • Ultrasound approval list
    • Formal & ED Ultrasounds
  • Example text for a discrepancy e-mail
  • CT
    • Ordering a CT
    • CT Specs
  • MRI
    • STAT MRI
    • MRI Specs
• Other orders
  • Blood products
  • Antibiotics
    • Harbor antibiogram
    • Harbor antibiotics in sepsis
      • Sepsis core measures

Consults

• Phone numbers
• Paging consults
• Social work
• Whole person care

Finding Things

• Forms
• Equipment
  • Equipment (AED/RME)
  • Equipment (peds)
  • Durable Medical Equipment (DME)
• Phone numbers

Procedures

• Consenting a patient
• Equipment (AED/RME)
• Procedure Videos

Special patient types

• Activations
  • Code Activations
    • Involuntary holds
  • Airway management team
  • Code Stroke
  • STEMI Activation
  • Trauma Activations
• Sepsis
  • Harbor antibiotics in sepsis
  • Sepsis core measures
  • Exposures
    • Occupational Exposure
    • Industrial or On-the-Job Accidents (IA)
    • Sexual Assault/STI Exposure
• Others
  • AVF/graft complications
  • Respiratory isolation
  • Scheduled dialysis patients in ED
  • Infectious Disease Threats
    • Suspected Ebola protocol
  • Replantation Patients

Patient Disposition

Discharge

• Prescribing
• ED Follow-Up
  • ED follow up flow chart
  • ED Follow-Up Clinics
    • Coumadin clinic
    • Expedited workup clinic
• Law Enforcement Discharge Escort

Admission, OBS, & CORE

• Paging consultants
• Admitting a patient
  • Admission and consultation guidelines (Who goes to what service; policy 312)
    • C-Team Admissions
    • 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

Other Disposition

• Deceased patients
• Transferring a patient
  • Transferring to psych ER

Documentation

• PC Cheat Sheet
  • Macros and Autotext
• Attending Documentation
• Resident documentation
• Consenting a Patient
  • File:Harbor-Photo-Consent.pdf
• Forms

Disaster & Surge

• Disaster plan
• Surge plan
• ORCHID Downtime
• Infectious Disease Threats
  • Suspected Ebola protocol

Resident Education

• Teaching Rounds Topics
• VA MICU rotation
• How to get started in research at Harbor

See Also

• Harbor:RME Manual