LBVA

Important Information for Long Beach VA

Make sure you log into your VA accounts once a month to keep your remote access and CPRS access available
- If you get locked out email teodoro.sahilan@va.gov or call the National Help Desk 855-673-4357 if needed urgently
VA Remote access link: citrixaccess.va.gov/vpn/index_citrix_splash.html
XEROviewer link
- vhalonpaceiweb.v22.med.va.gov/
OMNI cell access: need to complete TMS module on OMNI access and need Liz to print out some paperwork for you. Liz can also show you which TMS module to do. Then print TMS certificate, bring paperwork from Liz, and go to outpatient pharmacy on 1st floor next to ED before 4pm and set up fingerprinting. Access expires after 30 days
Log all procedures and imaging and order intravitreal clinic meds when completing the encounter
All imaging needs a consult order (usually techs do this for us but if you want extra imaging afterwards need to place order yourself)
Place intravitreal injection orders in the orders tab when doing an injection
Please take the extra 5 seconds to add the OCTmac table to the note for anyone starting intravitreal injections
Visual fields need a separate clinic visit order

How to Import into CPRS

IMED Consent
Order preoperative testing (CXR, EKG, CMP, CBC)
1. Orders > SDS/SDA Order Sets > SDS Ophthalmology Order Set > select what you need
Place surgery orders
1. Cataract Surgeries: Orders > SDS/SDA Order Sets > REQUEST FOR CATARACT SURGERY (OUTPT)
2. Non-Cataract Surgeries Orders > SDS/SDA Order Sets > CONSULTS > Request for Surgery Outpt order set
3. Make sure you CC Amy Delfin on the surgery orders
Give patient passport to surgery and have them complete anesthesia E-screen with techs before leaving clinic
Notify PGY-4s and Amy Delfin in Microsoft Teams

Rhopressa, Izervay, and preservative free glaucoma drops all need prior authorizations

Consults > New Consult > Pharmacy > Prior Auth Drug Request (Outpatient)

Make sure you document prior treatment failure/intolerance
Make sure you document compliance with prior treatments
Clearly state why these medications are indicated and that the patient is at risk for vision loss/disability without treatment escalation

Usually we're referring to WLA for Neuro-ophtho. Occasionally patients will need community care for uveitis or cornea specialties.

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