Call Shifts

CALL OVERVIEW <----- for additional information on HOURS.
  • Protocol inpatient studies through IDX (ED studies if confusing order).
  • Prioritized reading by "study time".
  • Follow up on studies in “Arrived” status for more than 1 hour. 
  • Weekday shifts: Eve dictates all verified studies up to 11 pm. NF dictates all studies verified after 11 pm.
  • Weekend shifts: Dictate all studies VERIFIED 15 minutes before the end of your shift.
  • Perform/dictate all US ordered 30 minutes before the end of your shift. DO NOT call for an ultrasound after your shift, if you are not the one performing it.

Ultrasound trouble shooting
  • MRN/Accession not showing up on ultrasound query? The order is likely scheduled for the next day. Click HERE
  • Any ultrasound expected to arrive at West after 11:00 PM or at SL after midnight must be accompanied by a chaperone.  
  • SL US
    • Worklist--> query--> click exam
    • Vasc probe=  9L
    • Button to right of circle is to click
    • P2 single shot
    • P4 cine
    • Images send automatically 
  • W US
    • Worklist--> query--> click exam
    • Vasc probe=  9L
    • Correct automated settings- scrotal is under small parts
    • Cine- freeze, unfreeze, scan, p1 to capture= last few seconds of images
    • Single image- freeze, p1
    • To send exam: click End exam--> permanent store-->end current patient
      • If it doesn’t work, press F4 on keyboard “bc it could be in the spooler” (box comes up)...Click Resend
Additional US responsibilities NOS:
  • Organ Harvesting - US abdominal survey for organ harvesting (note: portal vein flow); these are time sensitive
  • Post-op DVT (MSW only) post op Doppler US from the ortho department at MSW please prioritize and let the weekend US technologist Aida know (between hours of 11am and 7pm). The team will call you at 23-7058 to schedule.
  • Emergent Breast US

CALLING IN READS

For acute or crucial findings, you may share the report with the following providers: 
  • Ordering provider, responding clinician (e.g. resident, NP, PA) 
  • Green Team Attending (if unable to reach ordering provider)
  • ER Charge nurse (only as a last resort if a provider is not available in timely fashion)
  • Is there a significant change for patient dispo following final attending review? then please see CALL OVERVIEW for appropriate action.

MS URGENT CARE (TBA)

  • Contact appropriate specialty attending and notify patient is en route
  • Review study ASAP as it is completed and notify subspecialty attending
  • If there is a delay in attending review, the most senior resident available can call in the preliminary results
  • Dictate preliminary report and contact MS Urgent Care provider with positive and negative results
  • Contact information:
    • Call provider directly via cell phone (contacts attached below), or
    • 638 Columbus Avenue (at 91st Street); 212-828-3250, or
    • 5030 Broadway (Inwood); 212-604-6550
  • Let radiology supervisor know the patient disposition.

SL ER

SL ER Main23-3336
Charge RN36-1661
Green36-1665
Red 23-1556
Blue 36-1875
Eval23-3345
23-1798
PEDS23-3636
ER Attending23-2826
Observation36-1226
p34568
 

SL DESKS & TECHS

Rads Front Desk

23-4272
23-4275 (Supervisor/Head Tech & Fluoro)
23-3425
Rads Fax Main212-523-3798
ER X-Ray
23-2780
23-5933
ER US Tech (Pam)
23-2779 
CT ER Tech23-2493
CT Tech23-5383
CT2 Tech23-4234
CT Front Desk

US/CT holding
23-5395
23-4230
23-3425
MR Tech23-3493
23-3485
MR Front Desk
23-4280
VIR Front Desk23-4446
VIR Angio A23-4236
VIR Angio B36-2374
US Tech36-1909
US Front Desk 23-4244
23-5385 (scheduling)
Nuclear Front Desk23-3400
Nuclear Tech23-3405
SL File Room212-523-4227
SL MR Tech
ONCALL pager

35310

SL READING ROOMS

ER Resident23-3799
23-4219
ER Resident Pager
33214


VIR Resident Pager31118
  
Frager23-4222 


Bashist23-4224
  
US Station23-4245
  
Nuclear Reading Room
36-2513
Dr. Depuey Office23-3398
NM Resident23-3407
Cardiac Imaging23-3407
  
Rizvi23-4282
Neuro Resident23-1641
  
Resident Lounge, Clark 3
Phone on wall
23-4679
36-2373
Conference Room, Clark 5
23-3389

 
VIR resident station

23-4220
23-4221
Mammo23-4271





SL CONSULT CONTACT

Medicine MC (Med consult)
3-2288
Medicine AC (ICU screener)
3-1336
OB-GYN 3-1884
ER Surgery Consult 3-6320
Orthopedics consult
3-8000
SL Tech on Call 3-4241
MR Tech on Call  3-5310 SL
3-2194 West
Anesthesia Bedboard 
Anesthesia Pager
Dr. Thomas Office
Dr. Thomas Pager
614481
38667
23-3962
23-4122
Non-teach IM pager3-4567
IM Resident Lounge
23-4822
Surgical resident
23-8075
CT Surgery PA23-1620
CCU
23-4475

Brodsky (RAW)

US23-8713
MRI23-8951
23-8707
MSK Station23-8926
MSK Resident23-8749
Mammo Attending23-8934
Mammo Resident23-8955


MSC Breast Imaging

 Reading station 212-367-1721

MRI tech on call


ST LUKE'S WEEKEND: 
MR Tech ON CALL pager 35310 (cell call # listed through paging website); If no response within 15 MINUTES call tech supervisor Carlos Rodriguez Jr – cell #
  • 11 pm - 7 am ON CALL technologist
  • 7 am - 4 pm Technologist is ON SITE
  • 4 pm - 11 pm ON CALL technologist

WEST WEEKEND: 
West MR Tech ON CALL pager 32194 (call # listed through paging); If no response within 15 MINUTES, call tech supervisor Patty Robberstad – cell # 
  • 11 pm - 7 am ON CALL technologist
  • 7 am - 4 pm Technologist is ON SITE
  • 4 pm - 11 pm Technologist is ON SITE

MSSL Pelvic US Algorithm

PURPOSE:

Outline indications for utilization of available radiology resources to obtain emergency ultrasound

POLICY:

Emergency Department ultrasonography coverage for patients presenting with OB/GYN emergencies requiring ultrasound will be covered by ultrasound technologists during scheduled hours and by the radiology resident on call for identified emergency indications during hours without a designated ultrasound technologist on site.

PROCEDURE:

  • Radiology is staffed by ultrasound technologists during the following hours:
    • Monday-Friday 8a – 7pm (last scan 6pm)
    • Saturday and Sunday  11a – 7p (last scan 6pm)
  • Ultrasounds may be ordered for gynecologic emergencies and will be interpreted by radiologist on duty or on call through normal EPIC order process and reading procedure.
  • During hours when an ultrasound technologist is not in house, radiology residents will scan these patients.
  • Requested exams through EPIC will also need a direct call to the radiology resident.
  • However, if an issue arises from a request to do a scan by a radiology resident that cannot be easily resolved between the provider who ordered the scan and the radiology resident, then a discussion should be escalated to the attendings of the respective services (ED, Radiology, and/or Ob/Gyn) currently involved in the care.  If the clinical case warrants, the escalated discussion can include attendings from all three services (ED, Ob/Gyn and Radiology).  
  • All sonograms performed by the radiology resident will be read by the radiology attending on duty or on call through normal EPIC order process and reading procedure.
  • Indications for emergency ultrasound include but not limited to the evaluation and work up of:
  • Severe undifferentiated pelvic pain
  • Pregnancy of unknown location
  • Bleeding in the first trimester
  • Severe abnormal uterine bleeding

This is to add in the diagnostic work up of possible gynecologic emergent diagnoses such as ectopic pregnancy, ovarian torsion, tubo –ovarian abscess, etc.

NOTE: Emergency Medicine and Ob/Gyn have discretion to discuss additional emergent indications for Ob/Gyn sonography. The studies should be discussed by the Emergency Medicine attending, Ob/Gyn Attending, and the Radiology attending to discuss feasibility and expected yield.
  • If the radiology resident is not available for conducting the study emergently due to other emergencies and duties or if the radiology resident is not qualified to perform the ultrasound examination, the Emergency Medicine attending and GYN attending will determine the next steps in the care of this patient.
    • The Emergency Medicine Attending will be the lead in the triage of the need of the ultrasound in relation to other emergent radiologic procedures that are needed in the ED.
    • When patient transfer is required, Emergency Medicine and GYN will coordinate transport through MSHS transfer service.

 

QUALITY ASSURANCE:

All Ob/Gyn ultrasounds performed by the Radiology resident during hours ultrasound technologist is not available will be reviewed by MSHS telemedicine, Radiology, Ob/Gyn, and Emergency Medicine for compliance with policy for indications.


TV US PROBES & TROPHON

  1. 4 pelvic probes will be put into room 5 at SL (the room left open for ultrasounds) by Pam the late tech before she leaves 
  2. Cleaning will be handled the same way as at BI, dirty probes should be wiped and placed into a red biohazard bag, along with the patients written MRN on paper.  The bag should then placed in the trophon room.  
  3. The trophon machine is the same at BI, and can be used if there are more than 4 pelvic ultrasounds are requested during evening hours.
  4. The code for the trophon room is 1+3 (press together), then 2
  5. If the resident on call is too busy with reading cross sectional studies, the pelvic cases may be delayed and thus you can suggest to the ED that they may need to transfer the patient to a different facility or wait for a next day ultrasound by the sonographer, at their discretion 


Further details regarding the cleaning procedure at BI (similiar procedure should be used at SL)


After using trophon probe with the plastic covering

  1. remove plastic covering
  2. wipe probe with sterile wipe to remove all ultrasound gel
  3. place probe in red biohazard bag
  4. place patient MRN written on paper into the same biohazard bag
  5. move probe to room with trophon machine 

In the event that you have more than 4 pelvic ultrasounds overnight, you will need to clean the probes prior to the 5th exam. Turn the machine on prior to your 4th pelvic study in order to warm the machine up, otherwise you will have to wait once you return plus the time it takes to clean the probe. Do not use a used/dirty probe on a patient. It is not hygienic and unethical. 


WEST ER

RH ER Main(212) 523-6800
Charge RN23-7739
Green23-6943
23-6939
Red 23-6930
23-6998
23-6999
Fast Track23-6765
RETU (obs)p36790
Eval23-6551

WEST DESKS & TECHS

Rads "Front" Desk

212-523-7191 (inpatient) 
23-7051 (outpatient) 
CT Fax212-523-7061
CT Tech23-8961(inpatient/outpatient)
ER CT Tech23-6953
CT supervisor23-7179
ER XR Tech36-4664
Clinic XR Tech/Fluoro23-7499
36-3382

MRI 1 (tech)23-8420  
MRI 2 (New MR)36-3372 
MRI 3T 5th floor  36-3869 
MR Front Desk
36-3343 
MR Fax 212-523-8322
MSW MR ONCALL Tech pager 32194
  
VIR Front Desk212-523-7257   
VIR nurse station36-3446
36-3447
VIR Fax
212-523-8145
Friedman's office23-7806
  
US Front Desk212-523-7035
US Fax212-523-8329
US Tech(212) 636-5295
  
Nuclear Front Desk212-523-7171
Nuclear Fax212-523-8890
Nuclear Tech Room23-6366
36-5258
36-5861


MAX 136-5858
MAX 236-5859
XCT

36-5860

MG36-5861
Mobile36-5862
Hot Lab23-8584
Locker Room36-5258
Injection Room36-5857
  
West File Room212-523-7065
212-523-7059
  
West resident room23-7059 

WEST READING ROOMS

Radiology Conference Room

23-7080
23-7879
Call Resident Pager
35830
VIR Resident Pager36481
Nuclear Call Pager36722
MSK resident23-7042
MRI/Kagen23-4712
MRI Resident
23-7058
Body CT resident
23-6332 
BODY CT / MR ATTENDING23-8203
Benitez / MSK Attending23-6315
Body CT Attending / Bashist23-6147
Lefton36-3360
Neuro Residents36-3368
36-3363
Delara36-3366
Heller36-3364
Kagetsu36-3362
Meltzer36-3361
PET/CT / Mircheva 23-7056
Nuclear Resident23-7174
23-6083
23-8719
US Reading Room
23-7088
RH IR Reading Room36-3453
36-3706
Chest/CTA/Cardiac23-8893
23-7057
Chest23-6143
Radiology Lounge36-3479


WEST CONSULT PAGERS

Medicine MC (medicine)
 38149
Medicine AC (admit)
 37777
Medicine Non-teaching 36789
Medicine PA 36272
OB-GYN 33463
 23-6319 (OB resident room)
 36-3644 (L&D Triage)
ER Surgery Consult 35334
Neurosurgery Pager 34026
 36-3116 NSICU
Orthopedics cons
Orthopedics In-pt
 38001
 38008
RH IR Tech on Call 38154
RH MICU resident lounge 36-5571
RH Security desk  23-7512 

Administrative

Keith Maynard 36-3379
Maritza Velez 23-3384
Marija Lakovic 23-7049
Sandra Ligon 23-7043
Carlos SL 23-4281
Patty 36-3430
Dr. Amita Kamath 23-6474

COMMUNICATION

IDX

http://webserver.ad.chpnet.org/imagecast/default.asp

IT HELP

IT HELP TICKET

HELPDESK    212-523-6486
RIS HOTLINE 212-844-5353
IT On Call 646-477-9798
IT Manager Back Up 917-572-7670

Charles: 363315
Geo:       363314
Bish:       237083
Bish IT 914-297-8592


OTHER

MPG STAT LINK
914-831-4300

CITY MD CONTACT
212-933-1907

BI CALL ROOM
212-420-2540
212-420-4488 (after MN)
 
BI Conference Room
212-420-1973


Mass Casualty Incident

residents should be at their PACS stations and that the team can call our residents for reports (nk 11/2018)









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