Harbor:Receiving phone calls: Difference between revisions

Revision as of 12:40, 5 May 2015

Search for patient in Orchid to see if still in ED, discharged, or admitted
If admitted, tell the tech/rads that they need to call the admitting doctor by calling up to the floor
Check out what was done for the patients in Provider Notes
If pt was sent home and you feel they need to be recontacted look up pt contact info - go to Demographics tab in Orchid. If you cannot get a hold of patient, can fill out "telegram" form (on Harbor Intranet --> Departments --> Emergency Department ) and then give it to the clerk.

You are responsible for taking a look at this folder every shift, and clearing 2-3 over-reads
Open synapse and go to -->Conferences--->ED discrepancy
If the patient is admitted, then just write that the pt is admitted in the note section
if not, then it's the same process for pt with abnl labs, depending on the situation you may have to track down the patient and call them/send a telegram
Again, ask an attdg if you have questions

We generally don't refuse any transfers
However, if the pt is unstable, they should call 911 and go to the nearest hospital
Inform the charge nurse that there is someone coming and if they need to be monitored d) You generally cannot triage MLK/HH transfers back out to triage...but if we are severely overcrowded (as above) it's acceptable if the attdg is ok with it

Again, generally cannot refuse patients
if they do not need to be monitored bed, they can go to Urgent Care instead
if they are being admitted, and are otherwise stable (do not need monitor) then they should bypass the ED and go through pt flow coordinator
When Urgent care closes, pt get sent to the ED
Again FYI the charge nurse about all incoming patients

Often for "higher level of care"
Make sure you run the patient by the specialist and admitting team, e.g. multi-trauma pt who needs NSG intervention needs to be accepted by neurosurgery AND trauma
Good trick: tell MAC to call consultant directly, can then bypass the ED if they have a bed.

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 ==Abnormal Lab Callbacks==
-# Try to locate patient, check if patient is still in the ED (or even in MSE), admitted
+# Search for patient in Orchid to see if still in ED, discharged, or admitted
 # If admitted, tell the tech/rads that they need to call the admitting doctor by calling up to the floor
-#Check out what was done for the patients -- EDM -- if not yet in EDM, to find out WHO SAW THE PATIENT and the pt's DISCHARGE DIAGNOSIS--- on regular Affinity, go to the Results scroll down for "chemistry" vs "comprehensive" select "ED Log", a new window pops up that should give you the resident who saw them and their diagnosis
+#Check out what was done for the patients in Provider Notes
-# If pt was sent home and you feel they need to be recontacted look up pt contact info - I do so by using the "affinity clinic work station" as this has a separate "Administrative data" scroll down button with phone number and address. There is supposed to be a Demographics button on the regular affinity too - Call patient or send them a telegram if they are hard to reach
+# If pt was sent home and you feel they need to be recontacted look up pt contact info - go to Demographics tab in Orchid. If you cannot get a hold of patient, can fill out "telegram" form (on Harbor Intranet --> Departments --> Emergency Department ) and then give it to the clerk.
 ==ED Discrepancy Folder (Over Reads)==