Harbor:Main

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

Contents

Admin Updates




  • Contrast
    • 6/8 - OK to resume typical ordering practices with thoughtful attention to H&P and recent studies


  • Monkeypox
    • See Monkeypox for medical information & Harbor Monkeypox Plan
      • Consider in patients with travel history
      • Rash typically preceded by fever, lymphadenopathy, malaise, HA, and muscle aches
        • Prodrome 5-13 days after exposure
        • Rash 1-4 days after prodrome
      • Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs
      • Higher likelihood in MSM patients, presenting with lesions in the genital area
    • Move directly to a negative-pressure room; airborne (N-95) and contact precautions
    • Call IPC x66532 and Micro x66289 and get a monkeypox collection kit from Microbiology
      • Call LAC Acute Communicable Disease Control (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) LA County Monkeypox


  • Active Threat in the ED
    • Situational awareness
      • Stand between door and patient
      • Ensure patient is gowned
      • Be aware of long stethoscope, lanyard, long hair, etc
      • Panic buttons at nursing stations/router
      • Run & scream for help
    • Hospital Codes
      • Gold x111 - combative/agitated patient
      • Gray x64450 - combative/agitated NON-patient
      • Silver x111 - weapon, active shooter, hostage

General Administrative

Ambulance (EMS) Triage

Administrative duties

Administrative resources

RME & triage

Harbor ED policy manual

ED attending on call plan

Harbor Legal

Managing your Patient

General

On shift (PC) Cheat Sheet

Paging consultants

Phone numbers

Radiology directory

Tests & Orders


Radiology

Radiology Hours

[Radiology Directory]

Urgent Outpatient IR

STAT MRI

Upload Outside Films to PACS

  • Get form from clerk
  • Put patient sticker on Form
  • Check "Import"
  • Sign

Get Images on Disc (For DC or Transfer)

  • Same as upload EXCEPT
    • Check "Export"
    • Write time frame on form you want studies from

Blood products

Antibiogram

Finding Equipment/DME

E supplies A-Z

Procedures

Special patient types

Code Activations

Social Work

Opiate Withdrawal/MAT/BUP

Harbor:Alcohol Use Disorder/Withdrawal Treatment

Harbor:Stimulant Use Disorder Treatment

Baby Safe Surrender Program

Reporting to DCFS

Placement patients

PE Response Team

Psych Patients (Exodus)

Harbor: Identifying Jane/John Doe, finding next of kin tips

Scheduled dialysis patients in ED

Sepsis

Sepsis core measures

Occupational Exposure

Sexual Assault/STI Exposure (SART)

Infectious Disease Threats

Patient Disposition

Discharge

ED Follow-Up Options

DC with meds in ED

  • Eye drops (vanco & tobra) and STI prophylaxis for home
  • HIV prophylaxis for sexual assault patients (raltegravir and Truvada)


Transportation Needs

Social EM resources

Admission

Admission Guidelines

Interqual Criteria Tips

Interqual Override Notes

Right level of care

OBS & CORE


Dialysis in the ED

Other Disposition

Transferring a patient

Documentation

Disaster & Surge

Resident Education

See Also