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Useful Information for the on Call Residents
Useful Information for the on Call Residents
Overview
Overview
Call Shifts
Weekday: 7:00 AM - 5:00 PM and 5:00 PM - 7:00 AM
Weekends: Fri 5:00 PM - Sun 7:00 AM and Sun 7:00 AM to Mon 7:00 AM
If you get an early morning consult (6:30-7:00 a.m.), gauge how long it will take you, the goal is to be less than an hour late to clinic, if you need assistance, please communicate with the inpatient consult resident
If you had a rough night, get some sleep and aim to join clinic at 10:00am, please communicate with the senior at clinic that you will be late
Staffing
Staff with the senior on call first
If determined necessary by the senior, staff with the fellow on call for the specific specialty listed
Follow Up
ED Consult (not being admitted):
verify the patient's best call back number
open "ambulator orders" and place RTC orders
email "GRP-Follow up" with the patient's full name, MRN, insurance type (private or academic), clinic type (e.g. retina or specific provider), follow up inteval
Inpatient (or ED being admitted):
verify the patient's best call back number
open "doc/orders" and place RTC orders
add patient to shared "inpatient consult"
Other
Avoid bringing patients over to PAV after hours unless you need additional testing (e.g. OCT, optos), patients cannot be left alone at PAV
If you notice ED Annex is missing supplies, try to restock it or let the consult resident know so they can communicate with Deborah Soto
Always leave the clinic and annex the way you found it (e.g. clean off probes, turn off machines)
ED Transport Contact Info
ED Transport Contact Info
Transport patient FROM the ED: 456-5888 (714-456-5888 on cell)
If no response from first number or patient not moved: 456-5980 (714-456-5980 on cell)
Transport patient BACK to the ED
From ED Annex: 456-5594
From PAV2 Clinic: 456-5888
Important Phone Numbers
Important Phone Numbers
To reach any UCI extension from your cell phone: 714-456-Extension
UCI Message Center: 714-569-1599
Douglas Hospital Lobby: 714-456-7606
Microbiology Lab: 714-456-5439
IV Room 714-456-5981
Inpatient pharmacy: 714-456-6117
Outpatient pharmacy: 714-456-5681
Main OR Scheduling (day time): 714-456-5850
Main OR Front Desk (after hours): 714-456-5261
Preop OR (day time): 714-456-5095
Irvine Medical Center Specific Details
Irvine Medical Center Specific Details
Pages come through EPIC message
Corneal cultures plates in ed room at GHEI
How to order Compounded Medications at IMC
Call Irvine inpatient pharmacy at 657-579-2500 and ask if they have stafff available to make the compounded medication since their availability varies
If IMC has the staff to make the medication, they will deliver the medication to ED or inpatient bedside.
If they do not, then Orange pharmacy will have to make it and can courier the medication.
How to do various things on call
How to do various things on call
Corneal Culture kit: Call Microbiology Lab: 714-456-5439, ask for an "eye kit" to be tubed to Tube station #313 in ED Annex
Fortified antibiotics for ulcers in the ED: Type "fortified" into the order tab and order Vanc and Ceftaz (most commonly)
Fortified antibiotics for ulcers in clinic: Type "fortified" into the order tab, order Vanc and Ceftaz and send it to Yorba Linda specialty pharmacy .
Natamycin for fungal ulcer: send the order to UCI pharmacy. Other pharmacies will not have this medication
Amniotic membrane graft or Prokera for SJS or burn patients: Type "Tissue request" into the orders tab-> select the necessary item and number of items--> print the order requisition--> walk this piece of paper to the 3rd floor Blood Bank--> they will give you the items (takes 15min) inside of a giant box filled with dry ice. These items will last 24 hours within the box. Email Marlen and Deborah Soto the MRN and which items you ended up using along with their serial numbers AND indicate which eye each serial number was used for.
Intravitreal or subconjunctival medications (eg for endophthalmitis): Type "intravitreal" into the order tab, order the necessary antibiotics (usually Vanc and Ceftaz)--> call the IV Room 714-456-5981 --> will take at least 30 minutes or more --> pick it up from inpatient pharmacy which is on the 1st floor of douglas hospital near ED Annex
After-hours appointment (e.g. weekend/ holiday post op or corneal check): Instruct the patient to come to douglas hospital lobby atrium at a predetermined time and tell the front desk attendant to page the on call ophthalmologist (tell them to google maps "DH cafeteria")
ED/ Inpatient surgery process
ED/ Inpatient surgery process
Follow below steps to add Michael Han (MH) "Order Set"
Inpatients
It is advised to join the fellow/ attending while inpatient for all surgeries however consults are still the priority
Under "orders" click "new" > add the appropriate MH "Order Set"
Must specify "UCI OR MAIN", "Inpatient Surgery", the TDOS and change the surgeon name and procedure as appropriate
Call Main OR Scheduling (M-F 8-5p only) for future surgery dates
Call OR Front Desk (all hours) for same day add-on surgeries or after-hours future surgery dates
Notify primary team, order NPO at MN and check meds for anti-coag
Day of surgery, mark patient and put in H&P Note
ED (Outpatient)
Open "doc/orders" > Follow the same instructions as above
Obtain Consent:
Open the procedures tab and toggle to Consents OR toggle to the "rarely used" option and click Consents
Generate a consent, make sure all fields are filled out, then sign it with the attending/ fellow and the patient. You do not all need to sign it at the same time because you can re-open this page after you sign your name. You may reopen this page under the Consents tab on Haiku and have the patient/attending sign at bedside.
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