Harbor:Receiving phone calls

Abnormal Lab Callbacks

1. Search for patient in Orchid to see if still in ED, discharged, or admitted
2. If admitted, tell the tech/rads that they need to call the admitting doctor by calling up to the floor
3. Check out what was done for the patients in Provider Notes
4. If pt was sent home and you feel they need to be recontacted look up pt contact info - go to Demographics tab in Orchid. If you cannot get a hold of patient, can fill out "telegram" form (on Harbor Intranet --> Departments --> Emergency Department ) and then give it to the clerk.

Outside clinics, MLK, Hubert-Humphrey transfers

1. We generally don't refuse any transfers
2. However, if the pt is unstable, they should call 911 and go to the nearest hospital
3. Inform the charge nurse that there is someone coming and if they need to be monitored
4. You generally cannot triage MLK/HH transfers back out to triage...but if we are severely overcrowded (as above) it's acceptable if the attdg is ok with it

Harbor Clinic patients

1. Again, generally cannot refuse patients
2. if they are being admitted, and are otherwise stable (do not need monitor) then they should bypass the ED and go through pt flow coordinator
3. When Urgent care closes, pt gets sent to the ED
4. Again FYI the charge nurse about all incoming patients
5. You generally cannot triage transfers from Harbor clinics back out to triage...but if we are severely overcrowded (as above) it's acceptable if the attdg is ok with it. Use the .edambutriage template.

MAC transfer requests

1. Often for "higher level of care"
2. Make sure you run the patient by the specialist and admitting team, e.g. multi-trauma pt who needs NSG intervention needs to be accepted by neurosurgery AND trauma
3. Good trick: tell MAC to call consultant directly, can then bypass the ED if they have a bed.