OVMC:ED - Revision history

Mamccollough: /* Bilirubin Babies */

2025-06-05T20:53:37Z

Bilirubin Babies

← Older revision		Revision as of 20:53, 5 June 2025
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	****Phone number: 747-210-4039		****Phone number: 747-210-4039
	****Hours: 8:00AM – 12:00 NOON on Saturday and Sunday		****Hours: 8:00AM – 12:00 NOON on Saturday and Sunday
	Please go directly to the lab. You do no not an appointment or paperwork. Lab doors unlocked at 8am.		****Please go directly to the lab. You do no not an appointment or paperwork. Lab doors unlocked at 8am.
	**Order total and direct bilirubin labs STAT. Be sure to select nurse collect: NO and order for future visit: YES. Set the collection date and time to your anticipated date and time. Add the weekend pediatric inpatient attending as the “Attending Physician” in the bottom right of the lab order.		**Order total and direct bilirubin labs STAT. Be sure to select nurse collect: NO and order for future visit: YES. Set the collection date and time to your anticipated date and time. Add the weekend pediatric inpatient attending as the “Attending Physician” in the bottom right of the lab order.
	**Give a sign-out / warm handoff to the pediatric inpatient wards attending, including:		**Give a sign-out / warm handoff to the pediatric inpatient wards attending, including:

Mamccollough: /* Peds patients seen in ED */

2025-06-05T20:52:41Z

Peds patients seen in ED

@@ Line 1,552: / Line 1,552: @@
 *At 2am, ED residents will see pediatric patients until 10am the next day
 *DEM PROVIDERS SHOULD CALL PEDS EARLY for any pediatric patient that is likely to be admitted
 ===Child Maltreatment/Non-Accidental Trauma/Sexual Abuse===

Llovato: /* Links */

2025-05-15T03:54:49Z

Links

← Older revision		Revision as of 03:54, 15 May 2025
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	*[http://www.emcrc.com OVMC FirstNet Training Website]		*[http://www.emcrc.com OVMC FirstNet Training Website]

	*[https://lacounty-my.sharepoint.com/personal/llovato_dhs_lacounty_gov/~~_layouts~~/~~OneNote.aspx?id=%2Fpersonal%2Fllovato_dhs_lacounty_gov%2FDocuments%2FNew~~%20OVMC%20ED%20Wiki~~&wd=target%28Using~~%20this%20ED%20Wiki.one~~%7C83BE6688~~-6E7C-FC46-916B-15475B1A748E%~~2FAbo~~ NEW ED WIKI]		*[http://onenote:https://lacounty-my.sharepoint.com/personal/llovato_dhs_lacounty_gov/Documents/New%20OVMC%20ED%20Wiki/Using%20this%20ED%20Wiki.one#section-id={83BE6688-6E7C-FC46-916B-15475B1A748E}&ending%20this%20ED%20Wiki NEW ED WIKI]

	==OVMC Pages==		==OVMC Pages==

Llovato: /* Links */

2025-05-15T01:46:34Z

Links

← Older revision		Revision as of 01:46, 15 May 2025
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	*[http://www.emcrc.com OVMC FirstNet Training Website]		*[http://www.emcrc.com OVMC FirstNet Training Website]

	https://lacounty-my.sharepoint.com/personal/llovato_dhs_lacounty_gov/_layouts/OneNote.aspx?id=%2Fpersonal%2Fllovato_dhs_lacounty_gov%2FDocuments%2FNew%20OVMC%20ED%20Wiki&wd=target%28Using%20this%20ED%20Wiki.one%7C83BE6688-6E7C-FC46-916B-15475B1A748E%~~2FAbout%20this%20ED%20WIKI%7C6045718F-697E-1747-9EE8-E51AF09A264F%2F%29~~		*[https://lacounty-my.sharepoint.com/personal/llovato_dhs_lacounty_gov/_layouts/OneNote.aspx?id=%2Fpersonal%2Fllovato_dhs_lacounty_gov%2FDocuments%2FNew%20OVMC%20ED%20Wiki&wd=target%28Using%20this%20ED%20Wiki.one%7C83BE6688-6E7C-FC46-916B-15475B1A748E%2FAbo NEW ED WIKI]

	onenote:https://lacountymy.sharepoint.com/personal/llovato_dhs_lacounty_gov/Documents/New%20OVMC%20ED%20Wiki/Using%20this%20ED%20Wiki.one#About%20this%20ED%20WIKI&section-id={83BE6688-6E7C-FC46-916B-15475B1A748E}&page-id={6045718F-697E-1747-9EE8-E51AF09A264F}&end

	==OVMC Pages==		==OVMC Pages==

Llovato: /* Links */

2025-05-15T01:40:28Z

Links

← Older revision		Revision as of 01:40, 15 May 2025
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	*http://www.uclaemultrasound.org		*http://www.uclaemultrasound.org
	*[http://www.emcrc.com OVMC FirstNet Training Website]		*[http://www.emcrc.com OVMC FirstNet Training Website]

			https://lacounty-my.sharepoint.com/personal/llovato_dhs_lacounty_gov/_layouts/OneNote.aspx?id=%2Fpersonal%2Fllovato_dhs_lacounty_gov%2FDocuments%2FNew%20OVMC%20ED%20Wiki&wd=target%28Using%20this%20ED%20Wiki.one%7C83BE6688-6E7C-FC46-916B-15475B1A748E%2FAbout%20this%20ED%20WIKI%7C6045718F-697E-1747-9EE8-E51AF09A264F%2F%29

			onenote:https://lacountymy.sharepoint.com/personal/llovato_dhs_lacounty_gov/Documents/New%20OVMC%20ED%20Wiki/Using%20this%20ED%20Wiki.one#About%20this%20ED%20WIKI&section-id={83BE6688-6E7C-FC46-916B-15475B1A748E}&page-id={6045718F-697E-1747-9EE8-E51AF09A264F}&end

	==OVMC Pages==		==OVMC Pages==

Llovato: /* Pain Assessment Workflow */

2025-05-07T19:00:13Z

Pain Assessment Workflow

← Older revision		Revision as of 19:00, 7 May 2025
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	*This PAIN icon will automatically go away if the provider writes for a pain medication order.		*This PAIN icon will automatically go away if the provider writes for a pain medication order.
	*If an order for a pain medication is not appropriate, the provider can remove the ICON by manually cancelling the Request Pain Medications order. If pain medication is not appropriate, it should be documented in the chart by the provider.		*If an order for a pain medication is not appropriate, the provider can remove the ICON by manually cancelling the Request Pain Medications order. If pain medication is not appropriate, it should be documented in the chart by the provider.

			[https://lacounty.sharepoint.com/sites/dhs-orchid/ORCHID%20Training/Forms/AllItems.aspx?id=%2Fsites%2Fdhs%2Dorchid%2FORCHID%20Training%2FORCHID%20Course%20Materials%2FORCHID%20%20Job%20Aids%2FEmergency%20Department%20Pain%20Assessment%20Workflow%20Job%20Ai ED Pain Assessment Workflow Job Aid]

			[https://lacounty.sharepoint.com/sites/dhs-orchid/ORCHID%20Training/Forms/AllItems.aspx?id=%2Fsites%2Fdhs%2Dorchid%2FORCHID%20Training%2FORCHID%20Course%20Materials%2FORCHID%20%20Job%20Aids%2FED%20Pain%20Assessment%20%2D%20Provider%20Workflow%20Addendum%2E ED Pain Assessment - Brief Provider Job Aid]

	==Pediatrics==		==Pediatrics==

Llovato at 18:49, 7 May 2025

2025-05-07T18:49:40Z

← Older revision		Revision as of 18:49, 7 May 2025
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	*All other pediatric orthopedic cases should be referred to OVM Peds Ortho via the Message Pool. All of these cases will be reviewed by Dr. Farrell and he will determine if the case should stay here at OVMC or be referred to Peds Ortho at USC		*All other pediatric orthopedic cases should be referred to OVM Peds Ortho via the Message Pool. All of these cases will be reviewed by Dr. Farrell and he will determine if the case should stay here at OVMC or be referred to Peds Ortho at USC
	*If the case needs referral to USC Peds Ortho, the Ortho clinic here at OVMC will handle the referral to USC		*If the case needs referral to USC Peds Ortho, the Ortho clinic here at OVMC will handle the referral to USC

			==Pain Assessment Workflow==
			*If a nurse flags a patient as "pain level unacceptable, collaborate with provider" a purple ICON appears for the patient on the tracking board under the PAIN column.
			*This PAIN icon will automatically go away if the provider writes for a pain medication order.
			*If an order for a pain medication is not appropriate, the provider can remove the ICON by manually cancelling the Request Pain Medications order. If pain medication is not appropriate, it should be documented in the chart by the provider.

	==Pediatrics==		==Pediatrics==

Mamccollough: /* Olive View Mental Health Clinic */

2025-04-25T21:55:51Z

Olive View Mental Health Clinic

← Older revision		Revision as of 21:55, 25 April 2025
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	*patients will be tested for COVID as they are in a shared waiting space		*patients will be tested for COVID as they are in a shared waiting space
	*operated by LA County Dept of Mental Health		*operated by LA County Dept of Mental Health
	*located behind the hospital
	*818-485-0888		*818-485-0888
	*hours M-F 8am-7pm, Sat 9am-5:30pm, closed Sundays and holidays		*hours M-F 8am-7pm, Sat 9am-5:30pm, closed Sundays and holidays

Mamccollough: /* Mental Health Clinic */

2025-04-25T21:24:44Z

Mental Health Clinic

← Older revision		Revision as of 21:24, 25 April 2025
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	*If patient is placed into an ED bed and needs emergent psychiatry, order Consult to Psychiatry and call x74340 to speak to Psychiatry MD.		*If patient is placed into an ED bed and needs emergent psychiatry, order Consult to Psychiatry and call x74340 to speak to Psychiatry MD.

	===Mental Health Clinic===		===Olive View Mental Health Clinic===
	*~~Oliveview Mental Health Clinic~~		*located behind the hospital
	*~~NOT AN URGENT CARE;~~ ~~APPOINTMENTS ONLY~~		'''*As of April 2025, clinic now will see walk-in patients for medication refills during their business hours.'''
			*patients will be tested for COVID as they are in a shared waiting space
	*operated by LA County Dept of Mental Health		*operated by LA County Dept of Mental Health
	*located behind the hospital		*located behind the hospital

Mamccollough: /* Acute Stroke Protocol, Large Vessel Occlusion and TeleStroke iPad */

2025-04-23T18:37:15Z

Acute Stroke Protocol, Large Vessel Occlusion and TeleStroke iPad

← Older revision		Revision as of 18:37, 23 April 2025
Line 1,241:		Line 1,241:

	===Acute Stroke Protocol, Large Vessel Occlusion and TeleStroke iPad===		===Acute Stroke Protocol, Large Vessel Occlusion and TeleStroke iPad===
	*updated ~~May 2021~~		*updated April 2025
	*For suspected or presumed stroke with last time known to be at baseline ≤ 8 hrs before presentation		*For suspected or presumed stroke with last time known to be at baseline ≤ 8 hrs before presentation
	*Stroke Alert Background: Intent of this protocol is to create a rapid, collaborative care model for the acute stroke patient. The ED Attending or primary team attending (for non-ED patients) retains ultimate responsibility for the care of the patient and any decision-making regarding that care.		*Stroke Alert Background: Intent of this protocol is to create a rapid, collaborative care model for the acute stroke patient. The ED Attending or primary team attending (for non-ED patients) retains ultimate responsibility for the care of the patient and any decision-making regarding that care.
Line 1,262:		Line 1,262:
	*If patient meets criteria for thrombolytics or thrombectomy, the Neurology Resident will come evaluate the patient. The Stroke Fellow will assist by phone/telemedicine until the Resident (who may be off campus) arrives. SEE BELOW FOR TELE STROKE IPAD INSTRUCTIONS.		*If patient meets criteria for thrombolytics or thrombectomy, the Neurology Resident will come evaluate the patient. The Stroke Fellow will assist by phone/telemedicine until the Resident (who may be off campus) arrives. SEE BELOW FOR TELE STROKE IPAD INSTRUCTIONS.

	*'''IS THIS INFO HERE STILL TRUE???''' The Stroke Fellow will assist arranging for tPA or Transfer, if appropriate. In these cases, please assist by paging “tPA Case” or “Stroke Transfer,” to 818-226-4797 though www.amion.com. Texting these messages will mobilize the appropriate team.		*'''IS THIS INFO HERE STILL TRUE??? '''I took out a line that mentioned the LVO that us involving UM to contact Holy Cross since it's listed below and the workflow has now changed'''''' The Stroke Fellow will assist arranging for tPA or Transfer, if appropriate. In these cases, please assist by paging “tPA Case” or “Stroke Transfer,” to 818-226-4797 though www.amion.com. Texting these messages will mobilize the appropriate team.