UCIMC/GHEI

"Welcome to hell" -Sean Yuan

Signing Patients Up for Surgery

Routine outpatient surgeries

1. Open Clinic Encounter in Chart

2. Go to "Procedures- OR" tab

3. Select orders on the left side of that tab

4. Look up the correct surgical order set

   1. Oculoplastics use Dr. Tao

   2. Retina use Dr. Mehta

   3. Cornea/General  use Dr. Garg or Dr. Fox

5. Order set consists of the following two components

   1. Case request order --> edit as appropriate for the case (surgery, side, anaesthesia, etc)

   2. preop nursing orders (i.e. npo, place IV line, start preop drops)

6. Sign orders and give the chart to Ashley or Alex, the surgical coordinators, who will work on getting preop approval and surgery dates set up

7. Cases will basically always be done over at GHEI in our surgical center there

Inpatient/emergency department surgeries

1. Go to Manage Orders tab

2. Enter Case Request from Inpatient Admissions into the Orders section

3. Select patient class as Inpatient Admission

4. Enter in all the case information and specify in the scheduling box when you want the surgery to occur

5. Call the OR to get the case added to the surgery board. Note, the OR only accepts scheduling requests for non-urgent cases during weekdays and regular business hours. You can only schedule same-day urgent cases after hours or on the weekends.

Urgent surgeries

1. For urgent outpatient surgeries notify Ashley or Alex the surgery is an urgent add on. They will have you add in the note some fluff to get insurance emergency approval (e.g. patient requires urgent surgery for vision threatening condition that can result in disability if not promptly treated)

2. If it is truly an emergency surgery that can't wait for option 1 then  the other option is to have the patient go to the ED and perform the surgery under the ED visit encounter

E-Consent

• Videos and tipsheet: https://healthuci.sharepoint.com/sites/UCIEPIC/SitePages/eConsent-Videos.aspx