Harbor: ED to UCC - Revision history

Bchap23: /* If the patient is OOP after full registration at UCC */

2026-01-27T20:52:53Z

If the patient is OOP after full registration at UCC

Bchap23: /* 2nd Chance */

2026-01-27T20:41:22Z

2nd Chance

← Older revision		Revision as of 20:41, 27 January 2026
Line 35:		Line 35:
	===2nd Chance===		===2nd Chance===
	* Revised 1/21/2026		* Revised 1/21/2026
	* If the banner bar does NOT say DHS/DHS Eligible , and they are an ESI 4/5 patient that the triage provider feels is appropriate for UCC, right click the “Events” column, click “OK for UCC”, then click “OK” which will place the icon on the board. When the ED PAC team sees this icon in an ESI 4/5 patient, they will offer the patient an appointment at the UCC noting the estimated 6-hour ED wait.		* If the '''banner bar does NOT say DHS/DHS Eligible''', and they are an ESI 4/5 patient that the triage provider feels is appropriate for UCC, right click the “Events” column, click “OK for UCC”, then click “OK” which will place the icon on the board. When the '''ED PAC team sees this icon in an ESI 4/5 patient, they will offer the patient an appointment at the UCC noting the estimated 6-hour ED wait'''.
	* If the patient is not eligible for UCC or declines an appt at UCC, registration will change the icon and the patient will then need to be seen on FastTrack.		** If the patient is not eligible for UCC or declines an appt at UCC, registration will change the icon and the patient will then need to be seen on FastTrack.
	* If an appointment is made, the PAC team member will hand the appointment slip to the RME flow nurse (or RME charge as backup) and place the patient in the green chairs (in case they need pain reassessment post medication in triage). The Flow RN will “depart to other area” on the tracking board if nothing else is needed (and ensure the patient gets to UCC on time if their appointment is soon), or the pain reassessment nurse will do the same once their pain has been reassessed (within 60 min of oral medication administration).		** If an appointment is made, the '''PAC team member will hand the appointment slip to the RME flow nurse (or RME charge as backup)''' and place the patient in the green chairs (in case they need pain reassessment post medication in triage). The Flow RN will “depart to other area” on the tracking board if nothing else is needed (and ensure the patient gets to UCC on time if their appointment is soon), or the pain reassessment nurse will do the same once their pain has been reassessed (within 60 min of oral medication administration).
	* If the patient is < 25 and going to PED (YAFT), do not mark “OK for UCC”		* If the patient is < 25 and going to PED (YAFT), do not mark “OK for UCC”

Bchap23 at 20:38, 27 January 2026

2026-01-27T20:38:56Z

← Older revision		Revision as of 20:38, 27 January 2026
Line 1:		Line 1:
	== ED to UCC ==		== ED to UCC ==

	* Revised 11-12-2025
	* Goal: Get patients age 18+ to the most appropriate level of care to facilitate expedient care and increase ED capacity for critical and undifferentiated patients given the beds lost to boarding.		* Goal: Get patients age 18+ to the most appropriate level of care to facilitate expedient care and increase ED capacity for critical and undifferentiated patients given the beds lost to boarding.

	===Direct from Triage===		===Direct from Triage===
			* Revised 11-12-2025
	* Quick Reg at Router – chief complaint and triage priority (most likely “routine”)		* Quick Reg at Router – chief complaint and triage priority (most likely “routine”)
	* Patients to “Waiting for Triage” section of the AWR		* Patients to “Waiting for Triage” section of the AWR
Line 33:		Line 32:
	**** Patient is re-registered at UCC (new FIN) and appointment made		**** Patient is re-registered at UCC (new FIN) and appointment made
	*** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.		*** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.

			===2nd Chance===
			* Revised 1/21/2026
			* If the banner bar does NOT say DHS/DHS Eligible , and they are an ESI 4/5 patient that the triage provider feels is appropriate for UCC, right click the “Events” column, click “OK for UCC”, then click “OK” which will place the icon on the board. When the ED PAC team sees this icon in an ESI 4/5 patient, they will offer the patient an appointment at the UCC noting the estimated 6-hour ED wait.
			* If the patient is not eligible for UCC or declines an appt at UCC, registration will change the icon and the patient will then need to be seen on FastTrack.
			* If an appointment is made, the PAC team member will hand the appointment slip to the RME flow nurse (or RME charge as backup) and place the patient in the green chairs (in case they need pain reassessment post medication in triage). The Flow RN will “depart to other area” on the tracking board if nothing else is needed (and ensure the patient gets to UCC on time if their appointment is soon), or the pain reassessment nurse will do the same once their pain has been reassessed (within 60 min of oral medication administration).
			* If the patient is < 25 and going to PED (YAFT), do not mark “OK for UCC”

	===If the patient is OOP after full registration at UCC===		===If the patient is OOP after full registration at UCC===

Bchap23: /* Step-by-step Process */

2026-01-27T19:54:10Z

Step-by-step Process

← Older revision		Revision as of 19:54, 27 January 2026
Line 4:		Line 4:
	* Goal: Get patients age 18+ to the most appropriate level of care to facilitate expedient care and increase ED capacity for critical and undifferentiated patients given the beds lost to boarding.		* Goal: Get patients age 18+ to the most appropriate level of care to facilitate expedient care and increase ED capacity for critical and undifferentiated patients given the beds lost to boarding.

	===~~Step-by-step Process~~===		===Direct from Triage===
	* Quick Reg at Router – chief complaint and triage priority (most likely “routine”)		* Quick Reg at Router – chief complaint and triage priority (most likely “routine”)
	* Patients to “Waiting for Triage” section of the AWR		* Patients to “Waiting for Triage” section of the AWR
Line 32:		Line 32:
	**** Triage Nurse removes patient from the Tracking board (“Depart to Other Area of Facility”)		**** Triage Nurse removes patient from the Tracking board (“Depart to Other Area of Facility”)
	**** Patient is re-registered at UCC (new FIN) and appointment made		**** Patient is re-registered at UCC (new FIN) and appointment made
	*** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.		*** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.

	===If the patient is OOP after full registration at UCC===		===If the patient is OOP after full registration at UCC===

Bchap23: /* Cheat Sheets */

2026-01-05T23:16:40Z

Cheat Sheets

← Older revision		Revision as of 23:16, 5 January 2026
Line 75:		Line 75:
	*** Place order for pain medication if needed		*** Place order for pain medication if needed
	*** Place “Discharge Patient” order in Orchid		*** Place “Discharge Patient” order in Orchid
	*** If patient returns from UCC, discontinue the “discharge” order and		*** If patient returns from UCC, discontinue the “discharge” order and place orders for Tasking
	place orders for Tasking

Bchap23: /* If the patient is OOP after full registration at UCC */

2026-01-05T23:16:02Z

If the patient is OOP after full registration at UCC

← Older revision		Revision as of 23:16, 5 January 2026
Line 36:		Line 36:
	===If the patient is OOP after full registration at UCC===		===If the patient is OOP after full registration at UCC===
	* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN		* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN
	* UCC Registration will move the patient to AWR 2 with a note in the “RN Comments” column “from UCC”		* UCC Registration will move the patient to "AWR" with a note in the “RN Comments” column “from UCC”
	* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED		* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED
	* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN		* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN

Bchap23: /* If the patient is OOP after full registration at UCC */

2026-01-05T23:15:32Z

If the patient is OOP after full registration at UCC

← Older revision		Revision as of 23:15, 5 January 2026
Line 36:		Line 36:
	===If the patient is OOP after full registration at UCC===		===If the patient is OOP after full registration at UCC===
	* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN		* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN
	* UCC Registration will move the patient to ~~Triage~~ 2 with a note in the “RN Comments” column “from UCC”		* UCC Registration will move the patient to AWR 2 with a note in the “RN Comments” column “from UCC”
	* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED		* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED
	* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN		* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN

Bchap23: /* CHEAT SHEETS */

2025-11-13T07:57:02Z

CHEAT SHEETS

← Older revision		Revision as of 07:57, 13 November 2025
Line 51:		Line 51:
	* Patient to AWR or FastTrack when bed available or ready for DC		* Patient to AWR or FastTrack when bed available or ready for DC

	===~~CHEAT SHEETS~~===		===Cheat Sheets===
	* ED to UCC (RN role)		* ED to UCC (RN role)
	** Completing check-in process at UCC; if no appt available,		** Completing check-in process at UCC; if no appt available,

Bchap23: /* CHEAT SHEETS */

2025-11-13T07:56:34Z

CHEAT SHEETS

← Older revision		Revision as of 07:56, 13 November 2025
Line 52:		Line 52:

	===CHEAT SHEETS===		===CHEAT SHEETS===
			* ED to UCC (RN role)
			** Completing check-in process at UCC; if no appt available,
	ED to UCC (RN role)
	• Completing check-in process at UCC; if no appt available,
	may be sent back to ED (expected 6-hour wait for care)		may be sent back to ED (expected 6-hour wait for care)
	1. Triage Note		** Triage Note
	2. If pain med given, call UCC RN x65110/11/15/18		** If pain med given, call UCC RN x65110/11/15/18
	with Name, MRN, DOB, med, reassessment time		with Name, MRN, DOB, med, reassessment time
	3. Give patient green map, circle at top if med was given		** Give patient green map, circle at top if med was given
	4. If escort needed, USA x66973 (backup = x66950 for NA)		** If escort needed, USA x66973 (backup = x66950 for NA)
	5. Patient to RED LINE at UCC Check-in Window		** Patient to RED LINE at UCC Check-in Window
	6. Remove from Orchid – “Transfer to Other Service Area”		** Remove from Orchid – “Transfer to Other Service Area”
	• If patient returns from UCC:		** If patient returns from UCC:
	o Quick Triage (“refer to initial triage note from today”)		*** Quick Triage (“refer to initial triage note from today”)
	o Pain reassessment if medication was given in ED		*** Pain reassessment if medication was given in ED
	o Have original Physician/APP place additional orders		*** Have original Physician/APP place additional orders
	o Send patient to Tasking (reg completed at UCC)		*** Send patient to Tasking (reg completed at UCC)




	ED to UCC (Physician/APP role)		* ED to UCC (Physician/APP role)
	1. Complete MSE/note		** Complete MSE/note
	• UCC Eligible:		*** UCC Eligible:
	o Any ESI 4/5 without EMC (does not requires immediate		**** Any ESI 4/5 without EMC (does not requires immediate medical attention to avoid severe harm, permanent disability, or death) and is stable to be discharged without additional stabilizing treatment prior to being seen at the UCC within the next 24 hours
	medical attention to avoid severe harm, permanent disability,		*** “DHS/DHS Eligible” on Banner Bar
	or death) and is stable to be discharged without additional		*** Place order for pain medication if needed
	stabilizing treatment prior to being seen at the		*** Place “Discharge Patient” order in Orchid
	UCC within the next 24 hours		*** If patient returns from UCC, discontinue the “discharge” order and
	o “DHS/DHS Eligible” on Banner Bar		place orders for Tasking
	o
	2. Place order for pain medication if needed
	3. Place “Discharge Patient” order in Orchid
	• If patient ~~return~~ from UCC, place orders for Tasking

Bchap23 at 07:42, 13 November 2025

2025-11-13T07:42:49Z

← Older revision		Revision as of 07:42, 13 November 2025
Line 5:		Line 5:

	===Step-by-step Process===		===Step-by-step Process===
	** Quick Reg at Router – chief complaint and triage priority (most likely “routine”)		* Quick Reg at Router – chief complaint and triage priority (most likely “routine”)
	** Patients to “Waiting for Triage” section of the AWR		* Patients to “Waiting for Triage” section of the AWR
	** RN Triage & Physician/APP MSE exam and documentation completed, and patient felt to be appropriate for UCC, defined as any '''ESI 4/5 who does not have an emergency medical condition''' (health issue that requires immediate medical attention to avoid severe harm, permanent disability, or death) '''and is stable to be discharged without additional stabilizing treatment prior to being seen at the UCC within the next 24 hours'''		* RN Triage & Physician/APP MSE exam and documentation completed, and patient felt to be appropriate for UCC, defined as any '''ESI 4/5 who does not have an emergency medical condition''' (health issue that requires immediate medical attention to avoid severe harm, permanent disability, or death) '''and is stable to be discharged without additional stabilizing treatment prior to being seen at the UCC within the next 24 hours'''
	** Provider checks '''banner bar for “DHS/DHS Eligible” or Empaneled DHS Provider'''		* Provider checks '''banner bar for “DHS/DHS Eligible” or Empaneled DHS Provider'''
	*** If patient is not appropriate for UCC or is not “DHS/DHS Eligible”, proceed with usual process (place all relevant orders, proceed to ED registration, tasking, FastTrack)		** If patient is not appropriate for UCC or is not “DHS/DHS Eligible”, proceed with usual process (place all relevant orders, proceed to ED registration, tasking, FastTrack)
	** If the patient is appropriate AND eligible:		* If the patient is appropriate AND eligible:
	*** If pain medication is needed		** If pain medication is needed
	**** Triage physician/APP orders necessary pain medication (no other orders)		*** Triage physician/APP orders necessary pain medication (no other orders)
	***** No need to order the “OK for UCC” event in Orchid		**** No need to order the “OK for UCC” event in Orchid
	**** Triage nurse administers the medication and documents in Orchid		*** Triage nurse administers the medication and documents in Orchid
	**** Triage Nurse calls UCC x64110 (alt: x64111/64115/641118) to notify UCC RN of		*** Triage Nurse calls UCC x64110 (alt: x64111/64115/641118) to notify UCC RN of
	***** Patient Name		**** Patient Name
	***** MRN		**** MRN
	***** DOB		**** DOB
	***** Medication name and time given		**** Medication name and time given
	***** Time pain reassessment due		**** Time pain reassessment due
	**** Triage physician/APP orders “Discharge Patient” in Orchid		*** Triage physician/APP orders “Discharge Patient” in Orchid
	**** Triage nurse hands patient map to UCC and notes at the top date and if pain medications were given		*** Triage nurse hands patient map to UCC and notes at the top date and if pain medications were given
	**** Triage nurse instructs patient to go to front desk of UCC (RED LINE) to “complete their check-in process” (do not say for registration as this often has financial connotations)		*** Triage nurse instructs patient to go to front desk of UCC (RED LINE) to “complete their check-in process” (do not say for registration as this often has financial connotations)
	***** If the patient does not know how to get to UCC, arrange for escort from ED		**** If the patient does not know how to get to UCC, arrange for escort from ED
	****** Volunteer at the Router		***** Volunteer at the Router
	****** USA x66973		***** USA x66973
	****** RME Charge RN x66950 for a Nursing Assistant		***** RME Charge RN x66950 for a Nursing Assistant
	****** HMA x66968/9		***** HMA x66968/9
	***** Do NOT remove wrist band (helps facilitate more rapid registration at UCC)		**** Do NOT remove wrist band (helps facilitate more rapid registration at UCC)
	***** Triage Nurse removes patient from the Tracking board (“Depart to Other Area of Facility”)		**** Triage Nurse removes patient from the Tracking board (“Depart to Other Area of Facility”)
	***** Patient is re-registered at UCC (new FIN) and appointment made		**** Patient is re-registered at UCC (new FIN) and appointment made
	**** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.		*** '''UCC PAC will call RME Charge RN x66950 when all appointments are full''' (24-hour rolling opening of appointments); at this time, all patients will be seen in the ED.

			===If the patient is OOP after full registration at UCC===
			* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN
			* UCC Registration will move the patient to Triage 2 with a note in the “RN Comments” column “from UCC”
			* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED
			* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN
			* The triage physician/APP who initially saw the patient (reference MSE Note) should be notified so they can place any additional necessary orders (as only pain medications were ordered for patients going to UCC)
			** RN
			*** Quickly repeat triage (“refer to initial triage note from today”)
			*** If pain medications were given on the initial visit, perform the pain reassessment
			** Physician/APP
			*** Click MSE and note “see prior MSE from today”)
			*** If the initial MSE physician/APP is no longer on shift, the next available triage physician/APP can review the previous MSE note (quickly examine the patient if necessary) and place appropriate orders
			* Patient to RME Registration for full registration
			* Patient to Tasking for initiation of orders
			* Place in R4/5 for pain reassessment if additional pain medications are needed
			* Patient to AWR or FastTrack when bed available or ready for DC

			===CHEAT SHEETS===
	~~If the patient is OOP after full registration at UCC:~~
	~~1. UCC Registration staff will message the PAC supervisor to reactivate the ED FIN~~
	~~2. UCC Registration will move the patient to Triage 2 with a note in the “RN Comments” column “from UCC”~~
	~~3. UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED~~
	~~4. UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN~~
	5. The triage physician/APP who initially saw the patient (reference MSE Note) should be notified so they can place any additional necessary orders (as only pain medications were ordered for patients going to UCC)
	~~a. RN~~
	~~i. Quickly repeat triage (“refer to initial triage note from today”)~~
	~~ii. If pain medications were given on the initial visit, perform the pain reassessment~~
	~~b. Physician/APP~~
	~~i. Click MSE and note “see prior MSE from today”)~~
	ii. If the initial MSE physician/APP is no longer on shift, the next available triage physician/APP can review the previous MSE note (quickly examine the patient if necessary) and place appropriate orders
	~~6. Patient to RME Registration for full registration~~
	~~7. Patient to Tasking for initiation of orders~~
	~~8. Place in R4/5 for pain reassessment if additional pain medications are needed~~
	~~9. Patient to AWR or FastTrack when bed available or ready for DC~~







	CHEAT SHEETS

← Older revision		Revision as of 20:52, 27 January 2026
Line 41:		Line 41:

	===If the patient is OOP after full registration at UCC===		===If the patient is OOP after full registration at UCC===
	* UCC Registration staff will message the PAC supervisor to reactivate the ED FIN		* UCC Registration staff will message the PAC supervisor to '''reactivate the ED FIN'''
	* UCC Registration will move the patient to "AWR" with a note in the “RN Comments” column “from UCC”		** UCC Registration will '''move the patient to "AWR"''' with a note in the “RN Comments” column “from UCC”
	* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED		* UCC RN will call the RME Charge RN at x66950 to notify them the patient was OOP and will be returning to the ED
	* UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN		** UCC will escort the patient to Triage 2 (same process as other patients transferred from UCC to ED); if Triage 2 team unavailable, UCC will handoff patient to the RME Charge RN
	* The triage physician/APP who initially saw the patient (reference MSE Note) should be notified so they can place any additional necessary orders (as only pain medications were ordered for patients going to UCC)		* The triage physician/APP who initially saw the patient (reference MSE Note) should be notified so they can place any additional necessary orders (as only pain medications were ordered for patients going to UCC)
	** RN		** RN
	*** Quickly repeat triage (“refer to initial triage note from today”)
	*** If pain medications were given on the initial visit, perform the pain reassessment		*** If pain medications were given on the initial visit, perform the pain reassessment
	** Physician/APP		** Physician/APP
	*** Click MSE and note “see prior MSE from today”)
	*** If the initial MSE physician/APP is no longer on shift, the next available triage physician/APP can review the previous MSE note (quickly examine the patient if necessary) and place appropriate orders		*** If the initial MSE physician/APP is no longer on shift, the next available triage physician/APP can review the previous MSE note (quickly examine the patient if necessary) and place appropriate orders
	* Patient to RME Registration for full registration		* Patient to RME Registration for full registration