Harbor:Urgent Outpatient IR: Difference between revisions

Latest revision as of 23:02, 3 April 2026

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
- 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 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.
- 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
  - Coming soon:
    - Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident)
    - 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
  - Note the priority (<48 hrs)
  - 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])
- 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
  - 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.

Authors:

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-* Interventional Radiology (IR) - outpatient - for items such as stenosed/thrombosed dialysis catheter, etc
+* '''Emergent''' – IR will try to accommodate same-day procedures
-** For '''DHS/MHLA''' patients who require an urgent IR procedure, and have no other indication to be admitted, then the patient will be accommodated in the IR schedule to get their procedure done '''within 24-48 hours as outpatient'''.
+** Autopage "Consult to Interventional Radiology" in Orchid - this both pages the IR resident and places the consult order
-*** '''IR Business hours''':
+** Complete the “.harir” autotext and save to the chart to expedite the consult
-**** ED provider will '''discuss with the IR resident on call x64747, p5423'''
+*** Use the “autotext copy utility” button on the FirstNet toolbar to copy it from Dr. Chappell
-**** If request for outpatient urgent IR procedure happens during the hours that IR clerk is available, then the providers can discuss with IR if the procedure can be done the next day or day after.
+** 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'''
-**** The ED provider will need to fill out the grey IR paper form which will need to be delivered to IR in 2 West, Room 40 (copies are in the hanging folders in doc boxes)
-**** Patient will need CBC, chem 7, POC INR, and COVID test
-*** '''Afterhours''':
+* '''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'''.
-**** ED provider does NOT need to discuss with IR resident
+** 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
-**** Fill out the electronic [https://teams.microsoft.com/l/file/F3A9ABA8-DF16-4F6E-B5DD-C30845F3EDF0?tenantId=07597248-ea38-451b-8abe-a638eddbac81&fileType=docx&objectUrl=https%3A%2F%2Flacounty.sharepoint.com%2Fteams%2FHarborEDProviderscopy%2FShared%20Documents%2FGeneral%2F1-%20IR%20Consultation%20Form%20afterhours.docx&baseUrl=https%3A%2F%2Flacounty.sharepoint.com%2Fteams%2FHarborEDProviderscopy&serviceName=teams&threadId=19:dbce6612063346aba3d3ea1775478494@thread.skype&groupId=5ca89281-2ef3-4fb4-a828-2e9df7660b86 IR Form] for after hours and email it to the following:
+*** Coming soon:
-***** Juliana Castel
+**** Monday - Thursday, 7a - 4p:  place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident)
-***** Shontay Hysaw
+**** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
-***** Anton Mlikotic
+** Utilize the ".harir" autotext as pertinent to an outpatient visit
-**** Subject: ED IR REQUEST
+*** Note patient contact number for the IR scheduler
-**** The request will be processed at the beginning of the following business day.
+*** Provide reason for consult and requested IR procedure
-**** '''Patient will be contacted by the IR schedulers for 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 the priority (<48 hrs)
-***'''For OOP patients''':
+*** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
-**** 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 patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient, given that procedure will be done the next day.
+**** 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])
+** 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
+*** 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.
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