EHCED Policies and Procedures
Admission of Patients from ED to RICU and CCU
In cases where the patient requires a unit bed but none is immediately available, the case will be called into the Bed Board as an RICU or CCU admission but will be assigned to the medical team next up for an admission.
BedBoard Admit Policy Addendum
Since the implementation of Teletracking, all admissions are communicated to Bed Board using the HMED – Teletracking interface. In the event of a system downtime we will revert to calling.
Clinical Laboratories Panic Values
Table of Chemistry and Hematology Panic Values.
All patients who are at risk for elopement and require medical and/or nursing care will be identified as early as possible and the appropriate precautions implemented.
Guidelines to expedite patient flow through the Emergency Department.
Emergency Department / Intensive Care admissions guidelines.
Neurology Admission of Non-Traumatic Brain Hemorrhages
All patients arriving to the Emergency Department suspected of having or found to have a spontaneous intraparenchymal brain hemorrhage if possible be initially evaluated by Neurology.
Official New York State Prescription Paper
The Official New York State serialized prescription paper will be ordered and issued by the Pharmacy Department. The paper will be safeguarded against loss, theft or unauthorized use. It will be stored in locked printers, cabinets or rooms throughout the facility. All prescriptions for controlled and noncontrolled substances generated at Elmhurst Hospital must be printed on this paper.
Orders for HIV Testing by Non-Providers
To identify HIV infection in patients seen in the Emergency Department, ambulatory care clinics, and in inpatients at Elmhurst Hospital Center, thereby promoting early medical intervention and care and reducing the progression of HIV to AIDS.
It is the policy of the Telecommunications Department to give first and immediate attention to all calls received for a Stroke Team on the stat page line 1911.
Transfers between Medical and Psychiatric Emergency
Please adhere to the following guidelines for patients being transferred between the Medical and Psychiatric Emergency Rooms.
Transfers to the Inpatient Service
This policy applies to all patients going to the medical service including Telemetry and CCA. It does not apply to ICU patients.
Interventional Radiology Procedures
Their non-trauma services
Only Attendings may call in admits
Any non-icu patient may be sent to the floor without the team seeing
them first, if ED attending assesses patient for stability.
Describes patients who may go to STICU
Fast Track policies
Death In ED
describes procedures for patients who die in ED
Only attendings or senior residents may write for narcotics without
an attending cosigning.
How to transfer to Bellevue
call 47676 for notification to the radiologist of contrast scans
attending must be present for the 1st dose of lytics
Who goes to WHC and who goes to GYN.
Policy for hyperem patients
Call neurology for everything but SAH and trauma
Policies for psych patients
All consults done within 30 minutes, unless the consult is scrubbed
Key points during a disaster.
policies on testing ETOH for the POLICE
how to get 24-hour HIV tests after needlestick (instructions
for the test)
Dr. Lieber’s memo regarding patient readmissions
Memo from Dr. Moshirpur stating ED attending can admit to any
service.
Memo from Chris Constantino stating the minimum requirements for
attending documentation
Memo discussing the radiology line and how to notify rads of a
contrast study
Who is on facial call is determined by the time the patient was
registered in the ED, not by the time of consult; all services take
call from 7am to 6:59am the following day
You need two T+H speciemns unless it is an emergency, in which case you’ll need
to sign a waiver
Who is here when.
Old ICU Admit Policy from years ago
If you want your scan done within an hour, unfortunately you have to send a
resident
after their inservice, they will be able to push pretty much everything except
paralytics
This is the new, revised list of panic values
you need to call dept of health or tox to get code
Pediatric Trauma Disposition
A surgical attending should be at the
bedside for all of these patients
Admission of Patients from ED to RICU and CCU
In cases where the patient requires a unit bed but none is immediately available, the case will be called into the Bed Board as an RICU or CCU admission but will be assigned to the medical team next up for an admission.
BedBoard Admit Policy Addendum
Since the implementation of Teletracking, all admissions are communicated to Bed Board using the HMED – Teletracking interface. In the event of a system downtime we will revert to calling.
Clinical Laboratories Panic Values
Table of Chemistry and Hematology Panic Values.
All patients who are at risk for elopement and require medical and/or nursing care will be identified as early as possible and the appropriate precautions implemented.
Guidelines to expedite patient flow through the Emergency Department.
Emergency Department / Intensive Care admissions guidelines.
Neurology Admission of Non-Traumatic Brain Hemorrhages
All patients arriving to the Emergency Department suspected of having or found to have a spontaneous intraparenchymal brain hemorrhage if possible be initially evaluated by Neurology.
Official New York State Prescription Paper
The Official New York State serialized prescription paper will be ordered and issued by the Pharmacy Department. The paper will be safeguarded against loss, theft or unauthorized use. It will be stored in locked printers, cabinets or rooms throughout the facility. All prescriptions for controlled and noncontrolled substances generated at Elmhurst Hospital must be printed on this paper.
Orders for HIV Testing by Non-Providers
To identify HIV infection in patients seen in the Emergency Department, ambulatory care clinics, and in inpatients at Elmhurst Hospital Center, thereby promoting early medical intervention and care and reducing the progression of HIV to AIDS.
It is the policy of the Telecommunications Department to give first and immediate attention to all calls received for a Stroke Team on the stat page line 1911.
Transfers between Medical and Psychiatric Emergency
Please adhere to the following guidelines for patients being transferred between the Medical and Psychiatric Emergency Rooms.
Transfers to the Inpatient Service
This policy applies to all patients going to the medical service including Telemetry and CCA. It does not apply to ICU patients.
Interventional Radiology Procedures
Their non-trauma services
ED can admit to any bed, Residents cannot protest admissions. All disagreements
should be handled attending to attending
Regarding CCA Downgrades Letter
from Lieber, they must check with ED Attending first
ID Clinic Who
to send to the ID Clinic
Peds Trauma Policy (Old)
Original
Neuro Spont Bleeds Letter
CIN ProtocolElmhurst CT scanning while awaiting creatinine or if Cr is high