ED Pathways & Documents

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ED Policies

After Hours MRI Neuroimaging
Policy – Adolescent Consent
Policy – Post-Mortem Care
Age Guidelines – Conditions for Admission
Code Airway Team Activation
ED/PICU Admissions
ED Sedation Checklist
ED RAC (ED boarding)
Provider Only Discharge
Submitting Patient Safety Reports (PSR)
Weight-Based Antibiotics Dosing Chart

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Discharge Supplements & Handouts

Useful DC Handouts and Information:
Standardized Discharge Instructions | EPIC Instructions
Constipation
COVID-19
“Help Me Grow-Alabama”

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Consults

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Interpretation Services

Spanish Interpreter Contact Information

Instructions For Dialing Interpreters

• Sometimes nurses will have already done this and will make note of it in the comments section for the corresponding patient.
• Obtain interpreter number for documentation.
• Explain the objective of the call to the interpreter.
• Speak directly to the Limited English Proficient speaker in the first person.
• Upon completion of call, hang up, and time will be automatically recorded.

Documentation Tip Sheet

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Radiology

• VRAD
  • Off-site radiology company.
  • They are available after-hours as needed.
  • VRAD will only read requested XR, emergent US, and emergent MRI.
    • To request VRAD, call 83140 (XR tech) and request VRAD.
    • Give patient information and specific studies to be read.
    • Imaging result will pop up on main tracking board where they do when our radiologists publish reports.
    • Reads are to be expected within 15-30 minutes from request.
  • Our pediatric radiologist will over-read reports the following morning.

• Ultrasound
  • Routine ultrasounds readily available Mon-Fri from 6-7AM to 5PM.As of July 6th, in-house Radiologist will be available until 10PM for reads. US techs in-house until 5PM. After 5PM, page them directly on SmartWeb. Starting August 10th, US techs are in house until 11PM and available for all US studies.
  • After 9:30PM, only high risk US can be ordered. Page on-call US techs. These include:
    • Testicular/ovarian torsion
    • Deep Venous Thrombosis (DVT)
    • Intussusception
    • Page on-call US tech on Smart-Web with specific US being requested.
  • After 9:30PM, studies are automatically sent to VRAD for immediate preliminary reads.
    • Only high risk US studies
    • All VRAD reads will be over-read by our Radiologist in the AM.

• X-rays
  • As of August 10th, all ED XR are read by our Pediatric Radiologists Mon-Fri until 11PM.
  • VRAD will only read requested XR
  • Our pediatric radiologist will over-read reports the following morning.

• Computed Tomography
  • CTs are read by our Radiologist Mon-Fri until 5PM
    • After 5PM, there is a preliminary read completed by Radiology Resident
    • Radiologist will sign off on resident CT prelim reads until 11PM.

• Uploading outside hospital images to our system
  • You can have images from outside hospitals uploaded to our system if imaging disk is delivered with the patient.
    • You will have to fill out request that can be found in desk drawers by the charge nurse desk (nurses are really good about getting disks and taking them to get uploaded).
    • In case nurses haven’t done so, fill out the required fields and take to “Imaging Records” office. Ask one of us to show you where the office is located.
  • If imaging disks are not available or the disks do not contain imaging, you can call the PACS assistants at 83102 Mon-Fri from 6AM to 10PM to have the images uploaded from the “cloud.” During after hours, you can call the CT tech and have them page the PACS administrator on call.

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