Harbor:Stress Testing - Revision history

Bchap23 at 21:13, 1 May 2024

2024-05-01T21:13:29Z

@@ Line 8: / Line 8: @@
 ** '''Low risk (HEART score <3, consider<4)''' - ensure patient goes to Registration Window 6 to finish the Medical application/empanelment process
 ** Intermediate to high risk, admit to CORE for further eval (typically CCTA, sometimes nuc test)
-** On the rare occasion you sill feel the need to order the '''CV Treadmill Stress Test''', the order goes to the Heart station and they will schedule the patient.  It is not done by the ED clerk or ED PAC.
+** On the rare occasion you sill feel the need to order the '''CV Treadmill Stress Test''' for "Chest Pain", the order goes to the Heart station and they will schedule the patient.  It is not done by the ED clerk or ED PAC.
 *** Remember, patients should be able to ambulate independently without a cane or walker for about 2 blocks, and make sure the EKG does not have resting ST abnormalities, LBBB, pacing or WPW
+Drs. Chappell & Shah, 5/1/2024
 [[Category:Admin]]

Bchap23 at 21:05, 1 May 2024

2024-05-01T21:05:35Z

@@ Line 1: / Line 1: @@
-* OOP - refer back to in-network PCP for cardio workup
+* '''OOP''' - refer back to in-network PCP for cardio workup
-<big><big>* '''72-hour treadmill stress testing is available again''' - Chappell 10/2023 </big></big>
+* '''DHS empaneled''' - if low risk, message PCP for further cardio workup or schedule for stress test (typically doing CCTA)
 ** 3 - Place order for '''"CV Treadmill Stress Test"'''
 *** Reason for procedure "Chest Pain"

Bchap23 at 05:58, 24 October 2023

2023-10-24T05:58:18Z

← Older revision		Revision as of 05:58, 24 October 2023
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	* OOP - refer back to in-network PCP for cardio workup		* OOP - refer back to in-network PCP for cardio workup

	<big><big>* '''No 72-hour treadmill stress testing ~~currently~~ available''' - Chappell 1/10/2023 </big></big>		<big><big>* '''72-hour treadmill stress testing is available again''' - Chappell 10/2023 </big></big>

	* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test		* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test

Bchap23 at 17:52, 10 January 2023

2023-01-10T17:52:51Z

← Older revision		Revision as of 17:52, 10 January 2023
Line 1:		Line 1:
	* OOP - refer back to in-network PCP for cardio workup		* OOP - refer back to in-network PCP for cardio workup

	<big><big>* '''No 72-hour stress testing currently available''' - Chappell 1/10/2023 </big></big>		<big><big>* '''No 72-hour treadmill stress testing currently available''' - Chappell 1/10/2023 </big></big>

	* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test		* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test

Bchap23 at 17:16, 10 January 2023

2023-01-10T17:16:16Z

← Older revision		Revision as of 17:16, 10 January 2023
Line 1:		Line 1:
	* OOP - refer back to in-network PCP for cardio workup		* OOP - refer back to in-network PCP for cardio workup

			<big><big>* '''No 72-hour stress testing currently available''' - Chappell 1/10/2023 </big></big>

	* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test		* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test

Bchap23 at 23:34, 6 December 2021

2021-12-06T23:34:02Z

← Older revision		Revision as of 23:34, 6 December 2021
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	* OOP - refer back to in-network PCP for cardio workup		* OOP - refer back to in-network PCP for cardio workup


	* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test		* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test
	** 1 - '''Ensure patient is ambulatory''' (walk 2 blocks); if not able to complete a treadmill stress test, consult cardiology to determine best option		** 1 - '''Ensure patient is ambulatory''' (walk 2 blocks); if not able to complete a treadmill stress test, consult cardiology to determine best option
Line 9:		Line 11:
	**** Modify to: "future order"; "RN collect"; "anterior nares"		**** Modify to: "future order"; "RN collect"; "anterior nares"
	**** Call x67786 (N-26) with any questions about the COVID testing procedure		**** Call x67786 (N-26) with any questions about the COVID testing procedure
	** 3 - Place order for "CV Treadmill Stress Test"		** 3 - Place order for '''"CV Treadmill Stress Test"'''
	*** Reason for procedure "Chest Pain"		*** Reason for procedure "Chest Pain"
	*** '''Special Instructions "Schedule in 3-4 business days"'''		*** '''Special Instructions "Schedule in 3-4 business days"'''
			*** Outpatient P-MIBI Nuclear stress has to be arranged by CORE
	** 4 - In DEPART section, click '''"Schedule Follow-up Appointment"''' so clerk makes appointment prior to patient DC		** 4 - In DEPART section, click '''"Schedule Follow-up Appointment"''' so clerk makes appointment prior to patient DC
	*** If the COVID test is positive, the Cardiology fellow/attending at the Heart Station will call the patient to discuss		*** If the COVID test is positive, the Cardiology fellow/attending at the Heart Station will call the patient to discuss
Line 21:		Line 24:
	****** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test		****** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test
	****** If deemed low-risk, stress testing will be deferred to the PCP for follow up		****** If deemed low-risk, stress testing will be deferred to the PCP for follow up
			**'''If test is abnormal, cardiology follow up automatically generated by HEART station.'''
			**If test is normal, no notification occurs, other than typical follow up. If you want someone to follow up on the result, consider messaging empaneled PCP or refer to CCC.


	* '''DHS Eligible without assigned PCP'''		* '''DHS Eligible without assigned PCP'''
Line 31:		Line 37:
	*** Reason for procedure "Chest Pain"		*** Reason for procedure "Chest Pain"
	*** '''Special Instructions "Schedule in 3-4 business days"'''		*** '''Special Instructions "Schedule in 3-4 business days"'''
			*** Outpatient P-MIBI Nuclear stress has to be arranged by CORE
	** 4 - In DEPART section		** 4 - In DEPART section
	* '''CCC for NERF**''' (get a PCP assigned)		* '''CCC for NERF**''' (get a PCP assigned)
Line 42:		Line 49:
	***** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test		***** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test
	***** If deemed low-risk, stress testing will be deferred to CCC for follow up		***** If deemed low-risk, stress testing will be deferred to CCC for follow up
			**'''If test is abnormal, cardiology follow up automatically generated by HEART station.'''
			**If test is normal, no notification occurs, other than typical follow up. If you want someone to follow up on the result, consider messaging empaneled PCP or refer to CCC.


	Drs. Chappell, Shah, & Pillutla 8/19/2020		Drs. Chappell, Shah, & Pillutla 8/19/2020

	[[Category:Admin]]		[[Category:Admin]]

Rossdonaldson1 at 10:28, 23 October 2021

2021-10-23T10:28:03Z

← Older revision		Revision as of 10:28, 23 October 2021
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	Drs. Chappell, Shah, & Pillutla 8/19/2020		Drs. Chappell, Shah, & Pillutla 8/19/2020

			[[Category:Admin]]

Rossdonaldson1: Rossdonaldson1 moved page Stress Testing to Harbor:Stress Testing

2021-10-23T10:21:17Z

Rossdonaldson1 moved page Stress Testing to Harbor:Stress Testing

← Older revision	Revision as of 10:21, 23 October 2021
(No difference)

Andreawu: Created page with "* OOP - refer back to in-network PCP for cardio workup * '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test ** 1 - '''Ensure patient is am..."

2021-10-15T22:47:05Z

Created page with "* OOP - refer back to in-network PCP for cardio workup * '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test ** 1 - '''Ensure patient is am..."

New page

* OOP - refer back to in-network PCP for cardio workup
* '''DHS empaneled''' - message PCP for further cardio workup or schedule for stress test
** 1 - '''Ensure patient is ambulatory''' (walk 2 blocks); if not able to complete a treadmill stress test, consult cardiology to determine best option
** 2 - Send COVID test via "'''AMB Coronavirus Covid-19'''" order
*** Select "nasopharyngeal" then modify order
**** Change order for '''future visit to "no"'''
**** Change '''collection priority to "STAT"'''
*** If the stress test appointment is more than a week in advance, DHS patients can be tested at N26 (the COVID test has to be resulted within 3-7 business days of the procedure)
**** Modify to: "future order"; "RN collect"; "anterior nares"
**** Call x67786 (N-26) with any questions about the COVID testing procedure
** 3 - Place order for "CV Treadmill Stress Test"
*** Reason for procedure "Chest Pain"
*** '''Special Instructions "Schedule in 3-4 business days"'''
** 4 - In DEPART section, click '''"Schedule Follow-up Appointment"''' so clerk makes appointment prior to patient DC
*** If the COVID test is positive, the Cardiology fellow/attending at the Heart Station will call the patient to discuss
**** 1 - COVID symptoms
***** If asymptomatic for >10 days (or >20 days if severe COVID disease or immunocompromised), the appointment will stand
***** If symptomatic, the appointment will be canceled and the Cardiology fellow/attending at the Heart Station will message the empaneled PCP to ensure close follow-up
**** 2 - Cardiac Symptoms
***** The Cardiology fellow/attending at the Heart Station will call the patient to further risk stratify
****** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test
****** If deemed low-risk, stress testing will be deferred to the PCP for follow up

* '''DHS Eligible without assigned PCP'''
** 1 - '''Ensure patient is ambulatory'''(walk 2 blocks); if not able to complete a treadmill stress test, consult cardiology to determine best option
** 2 - Send COVID test via "'''AMB Pre-surgical/Procedure Coronavirus COVID-19 Screening'''" order
*** Select "nasopharyngeal" then modify order
**** Change order for '''future visit to "no"'''
**** Change '''collection priority to "STAT"'''
** 3 - Place order for "CV Treadmill Stress Test"
*** Reason for procedure "Chest Pain"
*** '''Special Instructions "Schedule in 3-4 business days"'''
** 4 - In DEPART section
*** '''***CCC for NERF***''' (get a PCP assigned)
*** Click '''"Schedule Follow-up Appointment"''' so clerk makes appointment prior to patient DC
** If the COVID test is positive, the Cardiology fellow/attending at the Heart Station will call the patient to discuss
*** 1 - COVID symptoms
**** If asymptomatic for >10 days (or >20 days if severe COVID disease or immunocompromised), the appointment will stand
**** If symptomatic, the appointment will be canceled and the Cardiology fellow/attending at the Heart Station will message the empaneled PCP to ensure close follow-up
*** 2 - Cardiac Symptoms
**** The Cardiology fellow/attending at the Heart Station will call the patient to further risk stratify
***** If deemed high risk, Cardiology will schedule an alternate non-AGP stress test
***** If deemed low-risk, stress testing will be deferred to CCC for follow up

Drs. Chappell, Shah, & Pillutla 8/19/2020