Download UCLA Rotation Orientation Packet

UCLA Rotation Computer Orientation
Packet
Sign-Out System for UCLA Consult Rotation
http://www.medres.med.ucla.edu/
-Click on Inpatient Sign Out
-Username is p followed by pager number i.e. p12345
-Password is same as PCIMS/Cview.
-If you have patients on your sign out already they will pop up. Otherwise click on
“select user” to chose your name and add patients, or choose prior fellows name to
transfer his/her patients to your list.
-Add patients by clicking “add patient”
-Can edit patient info, delete, or transfer patient info to another users list by clicking on
“edit” “transfer” or “d/c” next to patient’s name.
-Geri fellow names are listed under “Residents”
-must be signed on to VPN to access from home.
-to print out sign out click on “print PDF” then print from PDF view
Computer Systems: Overview
All computer systems are web based except for Essentris. Web based systems can be
accessed at the following site: http://www.mednet.ucla.edu/
Username is p followed by pager number: i.e. p12345.
For computer help desk call 794-4357 (or 4-4357 from UCLA phone)
Essentris: Patient vitals, some labs, in’s and out’s, some nursing notes, pt/ot notes, social
work notes, d/c planner notes. You can only access Essentris from clinical sites i.e. RR,
NPH, SMH.
Results Reporting (PCIMS): Old computer medical record systems give access to patient
notes, labs, radiology reports and X ray images. Will likely be phased out this year.
CView: Newer computer system that gives access to patient notes, labs, radiology reports
and X ray images. CView has more extensive sorting capabilities than PCIMS with
regards to documents/labs. Also can access radiology images, EKG images, and other
website systems including sign-out, outlook, and CDS. Can also see physician schedules.
Clinical Document System (CDS): Old dictation system. To edit dictated notes and
create new notes. Fellows will be transitioned off CDS and onto Clindocs (see below).
ClinDoc: Will be new dictation/notes system. For training video go to bottom of page on
following website:
http://www.mednet.ucla.edu/cViewTraining/
Essentris
Click on Unit to find patients name.
Click once on patients name to select patient.
Go to Flowsheets at top of screen and select choice to see vitals, in’s and out’s, and labs.
PCA data can also be found in vitals section.
Go to Summary Screens at the top of the screen to choose from different summary
screens (CT surgery and CCU are best) to see vitals, I/O, and some labs all on one screen.
There is also a labs summary screen. NPH summary screen is useful for NPI patients.
Go to Notes at the top of the screen to look for nursing notes, PT/OT notes, MSW notes,
D/C planner notes, and speech pathology notes. To see all notes you must click on the
button at the top that has a white rectangle with a blue star, otherwise you will only see
the notes for that day.
To go to new patient on that same unit can click on patients name at top left corner and
scroll through patients on that unit. To find a patient on a different unit either click the
green house symbol to go back to main screen, or click unit under “unit name” next to
patient name in left corner.
Results Reporting (PCIMS)
Find Patients: Search by patient name, MR number or unit number.
Once in patient file can search new patient by clicking “Search Patient” and will bring
you back to main screen.
Contact information: click grey box on patients face sheet (first screen)
Lab results: click on “Lab Results”. Will only bring up last 72 hours unless you select
“All Results” first. Use blue links on left to select specific lab groups only or click on
“Results Summary” for a list of specific lab tests.
Documents click on “Documents”. Again use blue links on left to select specific
document types, i.e. all radiology, pathology etc.
Radiology Images: To view X rays/CTs/MRIs and other images click on “PACS”
“Encounters” will allow you to look at prior admission dates and clinic dates.
EKGs: “EKG Reports” will bring up prior EKGs and let you view them.
Paging: “Paging” will give you a direct link to pager system
Medications: Use “Meds Profile” to see current list of medications.
CView
Training Videos are located on the home screen at the bottom. They can also be located
at the following website:
http://www.mednet.ucla.edu/cViewTraining/
Set up home screen. Scroll down to bottom of home screen and click “configure”. Here
you can choose what items you want to appear on your home screen and how you want
them to appear. Add new windolets by clicking either Split Horizontally or Split
Vertically.
Patient Lists: To add patients to lists, first search for patient by name, unit, or MR #.
Click on box to the left of patients name, then scroll to bottom and click on box that says
“Add checked results to worklist” and choose which worklist you want to add it to (can
organize patients in different worklists by color or choose My Patients for master list.
You can also add a patient to a worklist when in the patients chart by clicking on the flag
in the top middle of screen, and choosing list. Patients can be on multiple lists.
Preferences: Click on preferences button on left side of screen. Most important here is
to look for button that says “Document Tree Limited History Period”. Here you select
how far back you want documents loaded when you look up patients. The longer you
choose, the longer it will take to load each patient. By default, only 72 hours of
documents and labs are visible in the Document Tree.
If you are in a patients chart and want to view all documents or select a different time
range, click on the icon in the left upper corner that will say “From date 0000 to time.”
Here you can select “show all documents”, or select another time range.
EKGs: Access EKGs at WW or SM by clicking on EKG sign on top right of screen
(there is one for Westwood-WW and one for Santa Monica –SM). To view reads of
EKGs look in document tree on left of screen. Echocardiograms can be found here as
well.
Radiology Images: Access radiology studies images by clicking on CXR symbol in
upper right of screen.
Medications: Click on red/white pill in upper right hand corner.
Labs: View by clicking on “Laboratory Reports” in document tree on left. Can search by
lab type, 72 hr summary, 24 hr summary, or can search for individual labs by clicking
“search labs”. When looking up individual labs under the “search labs” function key,
make sure to select the time period you would like to search.
Applications: Applications bar on left of screen will connect you to CDS, Sign-out
system, paging, and outlook email.
Physician schedules: Click on Schedules tab on left. Then click on “Clinic Schedule by
Physician” and enter physician ID (i.e. p12345) and date you want to see schedule.
CDS (Clinical Document System)
Any new dictated documents will appear on initial screen.
Click on document to edit, box will appear below.
Double click on text to edit text. Once done editing, double click again to get access to
area where you can save and sign.
To access signed documents click on “Other Documents” in upper left corner. Then
select “Advanced” under Window Version. This allows you to change to select signed
documents and search either by pager number, patient MRN, document number or date of
service. Once you are in an old note that you want to copy to a new note click on “New”
button on bottom of screen, this will open a new document with all of the text from the
old signed document cut and pasted. You will have to click on the red box to change the
date and then can edit the text of the document to reflect the days note.
Once done editing document you can click “save” button to save your document for later,
or you can click the button that says “sign and send for addendum”. If you click “sign
and send for addendum” a box will appear for you to search for the name of your
attending and the document will be forwarded for addendum.
UCLA Pagers
From a hospital phone dial 231 to access the automatic pager system
From outside dial 1-800-BEEP-231
To sign-out your pager:
“Please enter the pager number” * + your pager number (i.e.*12345)
#, 1, 1, 1 then the covering pager number
To cancel your pager sign-out:
* + pager number
#, 1, 2
Smart Web
Online system to change pager status, coverage, view old pages. Also can change pager
status by calling page operator at x66766.
Go to mednet home page. Click on “Paging” button. Then login to Smart Web by
clicking on Login in upper right corner. Where it says Pager ID put just the numbers
without the p. May need to have password set by calling x66766 and speaking to
manager. Once logged in go to “Personal Profile” tab (upper left corner). Here you can
change status of pager and view archived messages.
UCLA Dictations
From hospital phone, dial #30 to access dictation system
From outside dial 1-310-794-2001
Pager number, #
Location code, #
Work Type, #
Patient MRN, #
To mark STAT, press * after you hear the beep
To pause, press 1; to resume, press 2; to rewind press 3
Location Codes:
1= RRUCLAMC
2= NPH
3= SM
Work Types (for RR and SM)
1= Discharge Summary
11= Addendum to discharge summary
3= Inpatient Procedure Note
33= Outpatient Procedure Note
4= Inpatient Consultation
44= Outpatient Consultation
5= Inpatient H and P
55= Outpatient H and P
6= Test Results
7= Inpatient Progress Note
77= Outpatient Progress Note
8= Letter
9= Transfer Summary
10= Death Summary
Work Types (for NPH)
12 Inpatient History and Physical
14 Inpatient Consultation
16 Inpatient Note
20 Correspondence
Web Resources
UCLA Links: www.mednet.ucla.edu (like to all UCLA web based computer systems,
pubmed, MD consult, UpToDate, Micromedex, Pain Management website and graduate
medical education website, paging, directory, email)
UCLA Medicine house staff website (with link to UCLA sign-out)
www.medres.med.ucla.edu
GeroNet: Health and Aging resources. Has information about geriatrics fellowship,
educational and clinical resources.
www.geronet.ucla.edu
Remote access: Allows you to connect to UCLA web based computer systems when off
campus without VPN: https://secureweb1.mednet.ucla.edu/
Username – ad/ followed by your email prefix- usually first initial and last name
Password – your email password
Server – medusers
Dr. Yang’s website: www.dryang.org
Has links to all of the UCLA websites. Clean up tool on home page will allow you to
copy either labs or meds and paste into text box to make them look appropriate for notes.
To clean up meds select text from patients med list on either PCIMS or CView, copy and
paste into dryang.org, then click “meds no dates” to clean up list. Once cleaned up can
cut and paste directly into the note in CDS. Same goes for labs.
Training Videos for CView and ClinDoc: http://www.mednet.ucla.edu/cViewTraining/
W W
P H O N E
R E F E R E N C E
RRUCLAMC Wards
To Call a Code in RRUCLAMC ........................................ #36
Bed Control ..................................................................... x56922
Transfer center ................................................................ x49805
Emergency Room................................................. x78400/78407
Observation Unit ............................................................. x79523
4-MICU small nurse stn/main nurse stn ............ x77437/x77424
4-South Psych ................................................................. x77430
5-East Clerk/main nurse stn ............................... x77515/x77511
6-East “J-Med” Clerk/main nurse stn ................ x77610/x77611
6-ICU Neuro sm nurse stn/lrg nurse stn ............ x77641/x77656
6-North Clerk/main nurse stn............................. x77660/x77661
6-West Clerk ................................................................... x77630
7-ICU CT surg sm nurse stn/lrg nurse stn ......... x77741/x77727
7-East Clerk/main nurse stn ............................... x77710/x77711
7-East small nurse stn south corner ................................ x77784
7-East small nurse stn north corner ................................. x77713
7-East Hoteling office (“Post-call work rm”) ................. x79537
7-East 7134 Large Rounding room ................................. x77789
7-East 7132 Small Roundng room .................................. x77787
7-East/West Hall Medicine Library ................................ x79655
7-West Clerk/main nurse station ........................ x77730/x77799
7-North COU/CCU ............................................ x77271/x77765
8-ICU Liver Tx sm nurse stn/lrg nurse stn ........ x77841/x77840
8-West Clerk ................................................................... x77830
Dialysis 8th floor............................................................. x77820
OR Front Desk ................................................................ x78800
OR Scheduling ................................................................ x78846
PACU .............................................................................. x79850
PTU ................................................................................. x79800
Medicine Services’ Virtual Pagers
Chiefs’ Pager ................................................................... #91010
Medicine Float ................................................................ #91903
A Medicine Resident....................................................... #91895
B Medicine Resident ....................................................... #91914
C Medicine Resident ....................................................... #91920
D Medicine Resident....................................................... #93370
E Medicine Resident ....................................................... #93380
J-Medicine On-call.......................................................... #90050
Observation/Overflow Resident...................................... #96450
Geriatrics Resident .......................................................... #91907
Hospitalist Resident ........................................................ #90016
CCU On-Call Resident ................................................... #90080
CCU On-call Intern ......................................................... #90089
MICU On-Call Resident ................................................. #90090
MICU On-Call Intern ...................................................... #90040
Internal Medicine Consult Service Resident................... #91200
Renal Consult .................................................................. #96110
Renal Transplant ............................................................. #96220
Endocrine Consult ........................................................... #95876
Infectious Disease Consult .............................................. #98771
Transplant ID consult ...................................................... #93424
GI Consult .............................................................. Call Page Op
Pulmonary Consult................................................. Call Page Op
Ethics Consult (page “ETHIC”)...................................... #38442
Palliative Care Consult .......................................... Call Page Op
Other Services’ Virtual Pagers
L-Surgery Consult ........................................................... #95550
Neurosurgery Consult ..................................................... #94320
Pain Service Consult ....................................................... #93600
Psychiatry Consult ...... x50173 (8-5 M-F); #95722 (after hours)
Geri-Psychiatry ...................................................... Call Page Op
Diabetic Teaching ........................................................... #91331
Ophthalmology Consult .................................................. x53090
Anesthesia Team Captain................................ #93851/x78714
Radiology/Other Procedures
ER Radiology Resident On-Call ........................ #93580/x78426
Inpatient Radiology Resident On-Call (5pm-8am) ......... #97612
Radiology-General ............................................. x78703/x78700
Film Library .................................................................... x78731
X-ray Tech Area ............................................................. x78703
Chest Reading Room ......................................... x78705/x78706
GI/GU Reading Room ....................................... x78737/x78738
EEG Tech/Reading Room.................................. x79543/x79464
Echo-scheduling .............................................................. x78037
Echo/Dobutamine Echo results ....................................... x78042
U/S-reading room............................................................ x79796
U/S-scheduling ................................................................ x79781
CT-scheduling ................................................................. x78786
MRI-scheduling .............................................................. x78745
EKG-reading ................................................................... x78040
Interventional radiology-scheduling .................. x78749/x78754
Pulmonary function tests........... x57887/x78744 (reading room)
Neuroradiology ............................................................... x78729
Nuclear Medicine
Scheduling....................................................................... x41005
Fax................................................................................... x70227
General Nuc Med ............................................................ x31425
PET/CT and SPECT/CT ................................................. x31388
Imaging Library .............................................................. x31420
Reading Room ................................................................ x31436
RRUCLA Inpatient Pharmacies
2nd Floor Inpatient Pharmacy .......................................... x77221
4th Floor Inpatient Pharmacy........................................... x77421
6th Floor Inpatient Pharmacy........................................... x77621
7th Floor Inpatient Pharmacy........................................... x77721
UCLA Outpatient Pharmacies
B-level Outpatient Pharmacy .......................................... x78524
A-Level Pharmacy, CHS ................................................ x64242
1st Floor Pharmacy, 200 Med Plaza ................................ x41174
4th Floor Pharmacy, 200 Med Plaza ................................ x47456
RRUCLA Laboratories
Inpatient (Main) .............................................................. x78100
Lab add-on ..................................................................... x49591
Urinalysis ........................................................................ x78132
Chemistry ........................................................................ x78141
Hematology ..................................................................... x78130
Coagulation ..................................................................... x78134
Surgical Pathology .......................................................... x58947
Microbiology................................................................... x42758
Virology .......................................................................... x42767
Bacteriology .................................................................... x42757
Outpatient Laboratory, 200 Med Plaza 1st Floor x41298, fax 41571
Blood and Platelet Center ............................................... x50888
Additional Staff
Admissions...................................................................... x78010
Care Coordination ........................................................... x79700
Durable medical equipment ............John Henry (310) 901-4950
UCLA Home Health ....................................................... x41400
Interpreter Services ............................................ x78001/x79110
Medical Records ............................................................. x78044
PICC line nurse ............................................................... #92788
Paula Stoessel, Resident Mental Health and counseling x68976
Rehab/Physical Therapy ................................................. x55650
Prosthetics and Orthotics ................................................ x41323
Respiratory Therapy........................................................ x78900
Social Work .................................................................... x79760
Spiritual Care .................................................................. x78190
TB Compliance Office .................................................... #94168
USEFUL PHONE/PAGER NUMBERS
UCLA Page Operator—direct line for staff .................... x66766
UCLA Page Operator—number for patients to use310-825-6301
UCLA prefixes ................................794-, 206-, 267-, 825-, 319Chief Residents’ Office
Leeah Durkee, Assistant to Chief Residents ................... x56549
Chief Residents Office .................................................... x56549
Chiefs’ Fax ...................................................................... x73592
Chiefs’ Pager ................................................................... #91010
Graduate Medical Education Office
Amie McCormick, Housestaff Coordinator .................... x58307
Internal Medicine Suite
Front Desk ....................................................................... x58038
Patient Appointment Line ..................... x66232/x64083/x61814
Patient Check-Out ........................................................... x49191
Tony Michaelis, IMS Clinic Manager ............................ x49822
IMS Fax# ........................................................................ x46565
Sheri Dines, Patient Service Representativex49801 (doctor line)/ fax 63551
WW Anticoagulation Management Service . x44054/fax 46565
Miscellaneous
Emergencies—Police/Fire .................................................. x911
Security ........................................................................... x77100
Transport ......................................................................... x79484
Computer HELP desk ..................................................... x44357
Needlestick Hotline ............................................ (800) 925-4698
West LA VA ...................................................... (310) 478-3711
Harbor/UCLA .................................................... (310) 222-2345
Oliveview Medical Center ................................. (818) 364-1555
S M H
P H O N E
R E F E R E N C E
Santa Monica Hospital
Prefix .....................................................................310-319-xxxx
General Information Line ................................................. 94000
PTU 3 Pavillion................................................................. 94825
SICU (4 Tower 400-407) .................................................. 94680
MICU (4 Tower 417-422) ................................................. 94202
CCU (4 Tower 423-430) ................................................... 94750
3 South ......................................................... fax 94127 93201
3 North ......................................................... fax 93313 93252
4 Pavillion .................................................... fax 94965 94800
4 Southwest .................................................. fax 92702 95442
5 Pavillion .................................................... fax 94698 94635
6 South ......................................................... fax 94570 94187
6 North ......................................................... fax 94122 94185
8 South ......................................................... fax 94154 94150
8 North ......................................................... fax 95498 92722
Admissions........................................................................ 94770
Angio................................................................................. 94602
Blood bank ........................................................................ 94511
CT scan ............................................................................. 91287
Dialysis ............................................................ 1-888-200-1032
Discharge planning ........................................................... 94640
Diabetic teaching .............................................................. 95191
Echo Tech ......................................................................... 94815
ER ..................................................................................... 94870
Film Library ...................................................................... 92993
Home Health ................................................ fax 65398 62770
Infection control ................................................................ 94454
Lab ............................................................... fax 94101 94508
Les Kelly Clinic (1920 Colorado)..................................... 94700
Medical records ................................................................. 94850
MRI Tech/outpt appointments .......................................... 94034
Nuclear Medicine Tech ..................................................... 92244
Pharmacy ..................................................... fax 46074 94872
PICC line nurse .......................................................... pgr#90102
Pulmonary Function Lab................................................... 94444
Radiology ............................................................... 93489/92094
Respiratory Therapy.................................... pgr#94368 94446
Surgery Resident on-call ................................................. #90070
Vitas Hospice .................................................... 1-800-757-4242
Skirball Hospice……………………………….1-818-774-3040
Roze Room Hospice…………………………...1-323-938-1155