SCVMC:ED

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

  • Departmental Dot Phrases
  • Important Door Codes
    • ED Break Room - 76543
    • Call Room Outer Door - Simultaneously press 1 & 2, then 4
    • Call Room Inner Doors - 75391
    • 6th Floor Staff Lounge - 75391
  • OBGYN Protocols
  • HS-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
  • Bridge Suboxone Induction Protocol | SCVMC Algorithm
    • 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
  • Occupational Exposure of HHS Healthcare Workers
    • M-F 8AM-430PM: Refer to Employee Health 408-793-2658 - 751 S. Bascom Avenue, Suite 160 (Valley Specialty Center)
    • After hours: ED/EXC evaluation
      • Exposed employee should notify their supervisor regarding source patient. Source patient's attending to order source testing panel
      • Do not order tests on exposed employee.
      • Have patient fill out Post-Exposure Form. Fax one copy, give another copy to exposed employee
      • Determine HIV PEP need:
        • If source patient is HIV negative: no HIV PEP needed.
        • If source patient is HIV positive: highly recommend HIV PEP
        • If source patient HIV status unknown: per CDC reasonable to provide HIV PEP until source testing is confirmed, give patient HIV PEP first dose in ED and prescribe enough until Employee Health follow up date
      • Exposed employee follows up next business day at Employee Health
  • Ordering (DME) Durable Medical Equipment From ED: Pacific Medical

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)
  • Kaiser patient on a 5150 hold who is medically cleared: Discharge to EPS (EPRP will pass case along to Kaiser Behavioral Health Team)

Disposition Assistance

  • Sobering Center: Mission Street 408-648-4411
    • Must be an adult and able to walk or do own wheelchair transfers
  • 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 Bergersen 3/2020

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