INDEX
Consults
ED Consult Policy
The expectation for ED consults is that they have evaluated the patient within 1 hour and that disposition and or recommendations have been given within 2 hours.
Electronic Consult Orders
Step 1. When paging a consult, order the "UED Consult to _______" order.
These orders start with "UED" and are different than inpatient consults.
They are available on the ED Quick Orders page.
Step 2. Right-click and complete the "UED Consult to _______" order when the consulting service has given final recommendations or bed request information.
Vocera & Consult Orders
At present, the following ED consult orders generate automated vocera “pages” to the following services: Neurology, Acute Care Surgery, Gen Surg Highlands
Upper Extremity Injuries
Spine Call
Currently, neurosurgery residents are on-call during the first half of the month (1-15) and orthopedic residents are on-call during the second half of the month (16-31). However, please see the guidelines below for additional nuances.
Dialysis Access Clots
The following guidelines are for patients that have an occluded/thrombosed AV graft or fistula who have no other issues and just need the procedure done:
If the graft/fistula has NEVER been successfully used (fresh surgery):
Call Renal Transplant Surgery for de-clot.
If the graft/fistula HAS been successfully used for dialysis:
Call Interventional Radiology for de-clot.
Who to Page First (by Service)
Page the RESIDENT for...
Acute Care Surgery
Cardiovascular Surgery
Face
GI Surgery
Hand
Liver Transplant Surgery
Neurology/Stroke
OB/GYN
Ophthalmology
Renal Transplant Surgery
Spine
Page the FELLOW for...
Cardiology (CCU)
GI Medicine
Heme/Onc
Pulmonary (MICU)
Renal
Renal Transplant Medicine
Page the ATTENDING for...
CHF/Heart Failure Team
DEM Faculty Practice
Palliative Care
Trauma/Burn
KEYWORDS: consults, dialysis access, donation, extremity injuries, paging