Harbor:Urgent Outpatient IR

• 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 “.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

• 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 • 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

• 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.
    • 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 ".bcIR" autotext
      • Note requesting team, contact number, and attending
      • 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"

• 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:
    • 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.