Harbor:Urgent Outpatient IR - Revision history

Bchap23 at 23:02, 3 April 2026

2026-04-03T23:02:36Z

← Older revision		Revision as of 23:02, 3 April 2026
Line 4:		Line 4:
	*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell		*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell
	** If afterhours and felt to be truly emergent (e.g., the patient would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), have the '''ED attending call the IR attending'''		** If afterhours and felt to be truly emergent (e.g., the patient would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), have the '''ED attending call the IR attending'''


	* '''Outpatient IR''' - for stable '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		* '''Outpatient IR''' - for stable '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
Line 21:		Line 22:
	*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"		*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"

	** '''For OOP patients''':
	*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.		* '''For OOP patients''':
			** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.


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

Bchap23 at 23:02, 3 April 2026

2026-04-03T23:02:02Z

← Older revision		Revision as of 23:02, 3 April 2026
Line 3:		Line 3:
	** Complete the “.harir” autotext and save to the chart to expedite the consult		** Complete the “.harir” autotext and save to the chart to expedite the consult
	*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell		*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell
	** If ~~after hours~~ and felt to be truly emergent (~~''eg~~, the ~~patients~~ would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', ~~please~~ have the '''ED attending call the IR attending'''		** If afterhours and felt to be truly emergent (e.g., the patient would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), have the '''ED attending call the IR attending'''

	* '''Outpatient IR''' - for stable '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		* '''Outpatient IR''' - for stable '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.

Bchap23 at 22:59, 3 April 2026

2026-04-03T22:59:50Z

← Older revision		Revision as of 22:59, 3 April 2026
Line 1:		Line 1:
	* '''~~For EMERGENT~~ procedures~~, place the autopage for~~ "Consult to Interventional Radiology" ~~order~~ - this both pages the IR resident and places the consult order		* '''Emergent''' – IR will try to accommodate same-day procedures
	** ~~Please complete~~ the “.harir” autotext ~~(use~~ the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell~~) and save it to the chart to expedite the consult~~		** Autopage "Consult to Interventional Radiology" in Orchid - this both pages the IR resident and places the consult order
	** If possible, IR will try to accommodate same-day procedures		** Complete the “.harir” autotext and save to the chart to expedite the consult
			*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell
	** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''		** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''

			* '''Outpatient IR''' - for stable '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
	~~• Emergent – IR will try to accommodate same-day procedures~~		** Autopage "Consult to Interventional Radiology" in Orchid - this both pages the IR resident and places the consult order; in the next month, we will have a separate order to be used after-hours that will put the consult on their list without waking them up for non-emergent issues
	~~• Autopage "Consult to Interventional Radiology" in Orchid - this both pages the IR resident and places the consult order~~		*** Coming soon:
	~~• Complete the ".harir” autotext and save to the chart to expedite the consult~~		**** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident)
	• If after hours and felt to be truly emergent (e.g., the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), please have the ED attending call the IR attending		**** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
			** Utilize the ".harir" autotext as pertinent to an outpatient visit
			*** Note patient contact number for the IR scheduler
			*** Provide reason for consult and requested IR procedure
	* '''~~For STABLE patients who can get OUTPATIENT~~ IR ~~procedures~~'''		*** Note the priority (<48 hrs)
	** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		*** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
	*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident		**** If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
	*** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)		*** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
	*** Utilize the ".~~bcIR~~" autotext		** The IR scheduler will contact them after ~8:30 am with their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
	**** Note ~~requesting team,~~ contact number~~, and attending~~		*** If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
	**** Provide reason for consult and requested IR procedure
	**** note the priority (<48 hrs)~~, outpatient status (vs still in ED), and ambulation status~~
	**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
	***** If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
	**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
	*** '''Patient will ~~be contacted by the IR schedulers for~~ their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure~~'''~~.
	*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"		*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"


	~~• Outpatient IR - for stable DHS patients who require an urgent IR procedure within 2 days and have no other indication to be admitted~~
	o Autopage "Consult to Interventional Radiology" in Orchid - this both pages the IR resident and places the consult order; in the next month, we will have a separate order to be used after-hours that will put the consult on their list without waking them up for non-emergent issues
	~~o Utilize the ".harir" autotext as pertinent to an outpatient visit~~
	~~ Note patient contact number for the IR scheduler~~
	~~ Provide reason for consult and requested IR procedure~~
	~~ Note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status~~
	 The IR scheduler will contact them after ~8:30 am with their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
	~~ If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED~~
	~~ The most recent labs will automatically pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])~~
	~~o Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"~~



	** '''For OOP patients''':		** '''For OOP patients''':
	*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.		*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.


	~~• For OOP patients:~~
	o ED providers can call UM to see if the patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.





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

Bchap23 at 22:33, 3 April 2026

2026-04-03T22:33:56Z

@@ Line 1: / Line 1: @@
 * '''For EMERGENT procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
-** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
+** Please complete the “.harir” autotext (use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell) and save it to the chart to expedite the consult
 ** If possible, IR will try to accommodate same-day procedures
 ** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''
@@ Line 19: / Line 25: @@
 *** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.
 *** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"
 ** '''For OOP patients''':
 *** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.
 [[Category:Admin]]

Bchap23 at 21:27, 18 February 2026

2026-02-18T21:27:43Z

← Older revision		Revision as of 21:27, 18 February 2026
Line 9:		Line 9:
	** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
	*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident		*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident
	*** After hours, ~~free text the "Consult to IR"~~ order (do not page the IR resident after hours unless emergent)		*** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
	*** Utilize the ".bcIR" autotext		*** Utilize the ".bcIR" autotext
	**** Note requesting team, contact number, and attending		**** Note requesting team, contact number, and attending

Bchap23 at 21:18, 18 February 2026

2026-02-18T21:18:41Z

← Older revision		Revision as of 21:18, 18 February 2026
Line 15:		Line 15:
	**** note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status		**** note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status
	**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am		**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
			***** If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
	**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])		**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
	*** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.		*** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.
	*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"		*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"

	** '''For OOP patients''':		** '''For OOP patients''':
	*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.		*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.

Bchap23 at 21:17, 18 February 2026

2026-02-18T21:17:04Z

← Older revision		Revision as of 21:17, 18 February 2026
Line 1:		Line 1:
	* '''For ~~emergent~~ procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order		* '''For EMERGENT procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
	** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult		** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
	*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.		*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
Line 6:		Line 6:


	* '''For ~~stable~~ patients who can get ~~outpatient~~ IR procedures'''		* '''For STABLE patients who can get OUTPATIENT IR procedures'''
	** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
	*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident		*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident

Bchap23 at 21:16, 18 February 2026

2026-02-18T21:16:24Z

← Older revision		Revision as of 21:16, 18 February 2026
Line 1:		Line 1:
	* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order		* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
	** Please complete the ".bcIR" ( will transition to “==HarIRrequest==") autotext and save to the chart to expedite the consult		** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
	*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.		*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
	** If possible, IR will try to accommodate same-day procedures		** If possible, IR will try to accommodate same-day procedures

Bchap23 at 21:13, 18 February 2026

2026-02-18T21:13:58Z

← Older revision		Revision as of 21:13, 18 February 2026
Line 1:		Line 1:
	* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order		* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
	** Please complete the ".bcIR" ( will transition to “==HarIRrequest==") autotext and save to the chart to expedite the consult		** Please complete the ".bcIR" ( will transition to “==HarIRrequest==") autotext and save to the chart to expedite the consult
	*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C. ~~(Ross F. once new ==HarIRrequest is updated - new version Feb 2026)~~		*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
	** If possible, IR will try to accommodate same-day procedures		** If possible, IR will try to accommodate same-day procedures
	** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''		** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''

Bchap23 at 21:13, 18 February 2026

2026-02-18T21:13:11Z

← Older revision		Revision as of 21:13, 18 February 2026
Line 1:		Line 1:
	* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order		* '''For emergent procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
	** Please complete the “==HarIRrequest==" autotext and save to the chart to expedite the consult		** Please complete the ".bcIR" ( will transition to “==HarIRrequest==") autotext and save to the chart to expedite the consult
	*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Ross F. (new version ~~2/2026if using it for the first time.~~		*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C. (Ross F. once new ==HarIRrequest is updated - new version Feb 2026)
	** If possible, IR will try to accommodate same-day procedures		** If possible, IR will try to accommodate same-day procedures
	** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''		** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''
Line 7:		Line 7:

	* '''For stable patients who can get outpatient IR procedures'''		* '''For stable patients who can get outpatient IR procedures'''
	** '''DHS''' patients who require an '''urgent IR procedure, and have no other indication to be admitted'''~~, the patient~~ will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.		** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
	*** ~~Patient will need a CBC~~, ~~chem 7~~, ~~INR, and COVID test~~		*** Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident
	*** ~~'''Order~~ the ~~procedure needed'''~~		*** After hours, free text the "Consult to IR" order (do not page the IR resident after hours unless emergent)
	**** ~~IR Central Venous Catheter Tunneled (~~for ~~both placements~~ and ~~exchanges)~~		*** Utilize the ".bcIR" autotext
	**** ~~IR Renal Catheter Perc Placement~~ (~~Left or Right~~)		**** Note requesting team, contact number, and attending
	**** IR ~~Exchange of Nephrostomy Catheter~~		**** Provide reason for consult and requested IR procedure
	**** ~~IR loopogram~~ (~~for clotted HD access~~)		**** note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status
			**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
			**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
	*** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.		*** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.
	*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"		*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"
	** '''For OOP patients''':		** '''For OOP patients''':
	*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to ~~either schedule the patient into the IR Procedure Clinic~~ admit the patient, given ~~that~~ procedure will be done the ~~next~~ day.		*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.


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