Harbor:Urgent Outpatient IR

• Interventional Radiology (IR) - outpatient - for items such as stenosed/thrombosed dialysis catheter, etc
  • 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 48-72 hours as outpatient.
    • Patient will need CBC, chem 7, POC INR, and COVID test
    • ED provider does NOT need to discuss with IR resident
    • send a message to the “Har-IR request” message pool using the “==HarIRrequest==" (replaces the paper Grey form)
      • use “auto text copy utility” button on the FirstNet toolbar to copy it from Ross F. if using it for the first time.
    • order the procedure needed
      • IR central venous catheter tunneled
      • Tunneled catheter exchange
      • Nephrostomy placement
      • IR exchange of nephrostomy catheter
      • IR loopogram (for clotted HD access)
    • The request will be processed at the beginning of the following business day.
    • 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.
    • 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 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.