Mholtz: Text replacement - "w/" to "with"

2018-06-09T18:31:17Z

Text replacement - "w/" to "with"

← Older revision		Revision as of 18:31, 9 June 2018
Line 131:		Line 131:
	ERCP: Medicine<br />		ERCP: Medicine<br />

	Upper/Lower GI Bleed: Stable w/ HGB >/= 7, Medicine; Active or HGB <7, MICU<br />		Upper/Lower GI Bleed: Stable with HGB >/= 7, Medicine; Active or HGB <7, MICU<br />

	=== Hem/Onc ===		=== Hem/Onc ===
Line 207:		Line 207:
	If Capped:<br/>		If Capped:<br/>

	COU admissions to be changed to Medicine w/ Cardiology c/s<br/>		COU admissions to be changed to Medicine with Cardiology c/s<br/>

	CCU admissions to change to MICU or next available ICU bed <br/>		CCU admissions to change to MICU or next available ICU bed <br/>

Mholtz at 05:15, 11 August 2017

2017-08-11T05:15:40Z

← Older revision		Revision as of 05:15, 11 August 2017
Line 240:		Line 240:
	==See Also==		==See Also==
	*[[University of California Los Angeles (Ronald Reagan + Olive View Medical Centers)]]		*[[University of California Los Angeles (Ronald Reagan + Olive View Medical Centers)]]


			[[Category:Admin]]

Rossdonaldson1: Created page with "''Ronald Regan DEM administrative portal'' == RR ED Phone Numbers == === ED numbers === Main attending 78447
U3 attending 78448
Senior res 78449
Junior re..."

2017-08-10T12:49:34Z

Created page with "''Ronald Regan DEM administrative portal'' == RR ED Phone Numbers == === ED numbers === Main attending 78447 U3 attending 78448 Senior res 78449 Junior re..."

New page

''Ronald Regan DEM administrative portal''

== RR ED Phone Numbers ==

=== ED numbers ===

Main attending 78447 
U3 attending 78448 
Senior res 78449 
Junior res 78450 
U3 res 78451 
Intern 78393 
Triage hospitalist 79873 

=== Radiology ===

Radiology operator 78700 
CT PM reading 78737 
GI/ABD reading 78737 
Neuro reading 78729 
Chest reading 78704 
CT tech 78786 
Xray tech 78703 
MRI 78745 
US 78796 

=== Ancillary ===

RR operator 66766 
CWA 78407 
Bed control 56922 
Blood Bank 78150 
RR Lab 78100 
ED LAB 78159 
Pharm ER 77219 
Pharm RR 77621 
Social Work 79805 
CM 797639 
RT 78912 

=== Consults ===

==== Medicine ====

CCU p90080 

J (liquid onc) p90050 

MICU p90090 

Neuro Gen p89114 

Neuro Stroke p90130 

Renal non transplant p96110 

Renal transplant p96220 

Psych p95722 

==== Surgical ====

C (onc) p90021 

ENT p89060 

Face: even days ENT; Odd days plastics 

Gyn p90595 

Liver p89190 

Neurosurg p94320 

OB p95944 

Optho p33887 

Ortho p88003 

Plastics p89074 

Spine: even days neurosurgery; odd days ortho 

Trauma R1 76453/p95549 

Trauma R3 76454 / p95550 

U (colorectal ) p90022 

Urology p89045 

Vascular p90065 

== Medicine Admission Criteria ==

=== Cardiac ===

Arrhythmias: known a.fib & stable, medicine; new onset or unstable, CCU 

Rule out MI: low risk, OBS; low risk not obs appropriate, Medicine; high risk, CCU 

Syncope: low risk, OBS; moderate risk, Medicine; high risk, CCU 

s/p Heart Transplant: CCU 

HTN Emergency: CCU 

CHF: mild, medicine; new onset or severe, CCU 

=== Pulm ===

Asthma: mild, OBS; moderate, Medicine; severe, MICU 

CAP: mild, OBS; moderate, medicine; severe, MICU 

Pulm HTN: mild-moderate, Medicine; severe, MICU 

s/p Lung transplant: mild-moderate, Medicine; severe, MICU 

Pulm Fibrosis: mild-moderate, Medicien; severe, MICU 

=== GI ===

Gastroenteritis: mild, OBS; mod-severe, Medicine 

PO Intolerance: mild or known cause, OBS; unknown cause or severe, Medicine 

ERCP: Medicine 

Upper/Lower GI Bleed: Stable w/ HGB >/= 7, Medicine; Active or HGB <7, MICU 

=== Hem/Onc ===

Sx Anemia: known dx or admit for tx only, OBS; new dx, Medicine 

Neutropenia/Fever: J patient, J service; not a J patient, Medicine 

ALL: J service, 

AML: J service, 

s/p BMT: J service, 

Solid Tumors: SMH; unless not a Solid One Patient or Patient refused transfer, Medicine 

=== Renal ===

Hyponatremia: Na >/= 120, Medicine; Na <120, MICU 

Hypernatremia: Na </= 160, Medicine; Na > 160, MICU 

Hypokalemia: K>/= 2.5, Medicine; K<2.5, MICU 

Hyperkalemia: K</= 6, Medicine, K>6, MICU 

s/p Renal Transplant: stable, Medicine 

=== Endo ===

DKA: MICU 

Myxedema Coma: MICU 

Thyroid Storm: MICU 

=== ID ===

Cellulitis: stable, OBS; if DM, PVD, immunocompromised or involving hand, Medicine 

=== Other ===

EtOH Withdrawal: mild&uncomplicated, OBS; moderate, Medicine; Severe, MICU 

Neuro Checks: >q2h, Medicine; </= q2h, MICU 

Frequent Labs: <q4h, MICU 

Suctioning: >q1h, Medicine; </=q1h, MICU 

== Medicine Bed Requests / Sign-Outs / Transfers / Misc ==

=== Bed Requests ===

24 hours a day, place bed request prior to calling hospitalist. 

5pm to 7am: call hospitalist; If hospitalist does not agree with bed request they change the bed request. 

7am to 5pm: do not call hospitalist unless OBS admission or dispo questions; if medicine team disagrees with dispo they change the bed request. 

=== Sign Outs ===

5pm to 7am: place bed request, call hospitalist. give a one line sign-out. medicine team will then call you for full sign out. 

7am to 5pm: place bed request, a medicine team will call you; unless OBS, call hospitalist. 

at all times, if team disagrees with bed request, that team will change bed request and sign out to team they think is most appropriate, ED not responsible for changing bed request or re-signing out to another team, this includes OBS sign-outs 

=== Capped Services ===

5pm to 7am: All medicine admissions should be through triage hospitalist who will redirect admissions based on capped services. 

7am to 5pm: if CCU, MICU or J service are capped, they will let hospitalist know, hospitalist will inform CWA who will let ED know to follow the below changes in bed requests. 

If Capped: 

COU admissions to be changed to Medicine w/ Cardiology c/s 

CCU admissions to change to MICU or next available ICU bed 

MICU admissions to next available ICU bed 

J service admissions to change to Medicine 

=== Santa Monica Transfers ===

If ED states “Not appropriate for transfer” but hospitalist or case manager disagree, hospitalist will change this designation. If CM disagrees with ED decision on appropriateness of transfer, they are to call hospitalist, not ED team to discuss.

=== Next Day Follow-Up ===
Evaluation and Treatment Center in Santa Monica: 
1245 16th Street Suite 125 
Direct Line : 310-899-7440 
What is it? Urgent Care Type Center with expanded resources) 
 
How to be seen there? 
Scheduling a patient to be assessed by an MD the following day after an ED Visit can be accomplished by calling the Direct Line above. 
1)Patients will be provided an appointment time Monday through Friday from 8:00AM to 5:00PM 
2) Patients may also “walk in” to the evaluation without an appointment Monday through Friday 5:00PM to 9:00PM; Saturday, Sunday and Holidays walk in patients are seen 9:00AM to 5:00PM 
3) MD orders are not required for these appointments as the evaluating MD would assess the patient for ongoing medical needs 
 
Nurses Service ONLY Appointments 
1) Patients who require care that a registered nurse can provide may be scheduled for RN Services only 
2) These appointments are also scheduled at the number above, however would require orders from a treating physician 
a) Care such as IV hydration 
b) IV Antibiotics 
 

==See Also==
*[[University of California Los Angeles (Ronald Reagan + Olive View Medical Centers)]]

RRMC:ED - Revision history

Mholtz: Text replacement - "w/" to "with"

Mholtz at 05:15, 11 August 2017

Rossdonaldson1: Created page with "''Ronald Regan DEM administrative portal'' == RR ED Phone Numbers == === ED numbers === Main attending 78447 U3 attending 78448 Senior res 78449 Junior re..."

Rossdonaldson1: Created page with "''Ronald Regan DEM administrative portal'' == RR ED Phone Numbers == === ED numbers === Main attending 78447
U3 attending 78448
Senior res 78449
Junior re..."