Call Shifts

CALL OVERVIEW <----- for additional information on HOURS.
  1. Dictate all ER cases marked as "Verified" up to 15 minutes before the end of your shift 
  2. Dictate all Inpatient cases marked as "Verified" up to 1 hour before the end of your shift (11 pm for all Eve rotations)
  3. Protocol inpatient studies through IDX (ED studies if confusing order or requested by Technologist)
  4. Perform/dictate all US ordered 30 minutes before the end of your shift. 
  5. DO NOT call for an ultrasound after your shift, if you are not the one performing it

US 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 Morningside after midnight must be accompanied by a chaperone.
  • M 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

US TECH HOURS

Morningside
Weekdays: 8am -11pm
Weekends: Will email with updates

West
Weekdays: 8am - 11pm (last case 10:10pm)
Weekends: 11am - 7pm

After 4pm, US techs perform ultrasounds requested from the ED.

Morningside - West ED US Responsibilities

MORNINGSIDE:
  • DVT (upper & lower extremities)
  • Gallbladder
  • Pelvic (Abdominal & Transvaginal)
  • Scrotum 
  • Peds --intussusception and appendicitis
  • Organ Harvesting: 
    • US abdominal survey for organ harvesting (note: portal vein flow); these are time sensitive
WEST:
  • DVT (upper & lower extremities)
  • Gallbladder
  • Scrotum 
  • Peds --intussusception and appendicitis
  • NO Pelvic Ultrasound
  • 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

If requested to perform ultrasound outside of what's delineated, contact & discuss with supervising radiologist.

If requested to perform ultrasound, always have a chaperone.



CALLING IN READS

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




IT HELP

IT HELP TICKET

GENERAL HELP DESK 
23-6486

RIS HOTLINE
212-844-5353

IT ON CALL 
(Nights 6 pm - 7 am / All weekend)
Primary: 646-477-9798 
Secondary: 917-572-7670


MASS CASUALTY INCIDENT (MCI)

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






MORNINGSIDE (M) ER

M ER Main23-3335, 23-3336
Charge RN36-1661
Green23-2826
Red 23-1556
Blue 23-3458
Fast Track (Eval Unit)23-3345
Peds23-3636
ER Attending23-2826
Observation36-1226 (beeper #34568)
Resus Room/
Trauma Bay
23-4067

MORNINGSIDE DESKS & TECHS

Rads Front Desk
23-4272
23-3425
Supervisor/Head Tech & Fluoro23-4275
Rads Fax Main212-523-3798
ER X-Ray
23-2780
23-5933
CT ER Tech23-2493
CT Tech23-5383
CT2 Tech23-4234
CT Front Desk
23-5395
23-4230

US/CT holding23-3425
MR Tech23-3493
23-3485
MR Front Desk
23-4280
VIR Front Desk23-4446
VIR Angio A23-4236
VIR Angio B36-2374
US Tech (Back room)36-1909

US Tech (Front room)

23-2413
US Front Desk 23-4244
23-5385 (scheduling)
Nuclear Front Desk23-3400
Nuclear Tech23-3405
Morningside File Room212-523-4227
Morningside MR Tech
ONCALL pager

35310

MORNINGSIDE READING ROOMS

ER Resident23-3799
23-4219
ER Resident Pager
33214


VIR Resident Pager31118
  
Dr. Frager23-4222 


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

 
VIR resident station

23-4220
23-4221
Mammo23-4271

  



MORNINGSIDE CONSULT CONTACT

Medicine MC (Med consult)
32288
Medicine AC (ICU screener)
31336
OB-GYN 31884
ER Surgery Consult 36320
Orthopedics consult
38000
M Tech on Call 34241
MR Tech on Call  35310 SL
32194 West
Anesthesia Bedboard 
Anesthesia Pager
Dr. Thomas Office
Dr. Thomas Pager
614481
38667
23-3962
23-4122
Non-teach IM pager34567
IM Resident Lounge
23-4822
Surgical resident
23-8075
CT Surgery PA23-1620
CCU
23-4475

1090 AMSTERDAM CONSULT CONTACT

 Lead MRI Tech (Juliet)23-4855
 Receptionist (Maritza)
23-1784

MS URGENT CARE

  • 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
    • 5030 Broadway (Inwood); 212-604-6550
    • AFTER HOURS: Dr. Joseph Feldman, 347-920-7090 (cell)
  • Let radiology supervisor know the patient disposition

MSM TRAUMA ACTIVATIONS (3/16/2020)

  • The CT technologist will call the resident or attending radiologist to alert them that a super stat study has been performed
  • If the radiology resident receives the phone call, please review and let the attending radiologist know as soon as you are done reviewing so that the attending can sign it off

MRI TECH ON-CALL


What are EMERGENT INDICATIONS for MRI Tech ON-CALL?

MORNINGSIDE MRI TECH ON-CALL: 
  • Call MRI Tech ON-CALL with your cell phone (sometimes hospital phones show up as spam) based on this SCHEDULE.
  • If no answer, leave a voicemail and send a text that you're trying to reach a MRI Tech ON-CALL.
  • If no response after two attempts and waiting 15 MINUTES after each attempt, CALL MRI tech supervisor Carlos Rodriguez Jr's CELL PHONE
  • Non-HOLIDAYS: 11 pm - 7 am technologist is ON CALL (8 am - 11 pm Technologist is ON SITE)
  • HOLIDAYS: 4pm - 7am Technologist is ON CALL (8 am - 4 pm Technologist is ON SITE)

WEST MRI TECH ON-CALL
  • West MR Tech ON CALL pager 32194 
  • Call # listed through paging
  • If no response after two attempts and waiting 15 MINUTES after each attempt, CALL 
  • 11 pm - 7 am ON CALL technologist
  • 7 am - 11 pm Technologist is ON SITE


If US room 2 is locked overnight, call Security at 23-1000 to have it unlocked

MSM 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:
    1. Severe undifferentiated pelvic pain
    2. Pregnancy of unknown location
    3. Bleeding in the first trimester
    4. 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.


MSM PELVIC US ALGORITHM


TV US PROBES & TROPHON

  1. 4 pelvic probes will be put into room 1 at Morningside (across the ballroom) by Pam the late tech before she leaves 
  2. Cleaning will be handled the same way as at BI (instructions below)
  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 Morningside)


After using trophon transducer with the probe cover:

  1. Put on gloves
  2. Remove transducer cover
  3. Get red box and bag ready
  4. Wipe entire transducer with sterile wipe to remove all ultrasound gel
  5. Place transducer in red biohazard bag and then in red box
  6. Remove gloves and wash hands
  7. Take red box to trophon room
  8. Place red box on counter

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. 

Morningside Trophon room


WEST ER

W 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
Resus Room23-6721

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
PET/CT Tech23-6735
  
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 room36-3479

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
NM Attending 23-7056
NM Resident23-7174
23-6083
23-8719
US Reading Room
23-7088
RH IR Reading Room36-3453
36-3706
Chest / Cardiac


23-6143
23-8893
23-7057
Radiology Lounge36-3479





WEST CONSULT PAGERS

Medicine MC (medicine)
 38149
Medicine AC (admit)
 37777
Medicine Non-teaching 36789
Medicine PA 36272
OB-GYN Pager 33463
OB resident room 23-6319
L&D Triage 36-3644
ER Surgery Consult 35334
Surgery (Blue team) 38842
Neurosurgery Pager 34026
NSICU 36-3116 
MSW Neuro Resident Pager 39990 
Orthopedics Consult Pager
Orthopedics In-pt
 38001
 38008
RH IR Tech on Call 38154
RH MICU resident lounge 36-5571
RH Security desk  23-7512 

ADMINISTRATIVE

Paula Green

 36-3377 // Fax: (212) 523-6019

Keith Maynard 36-3379
Maritza Velez 23-3384
Marija Lakovic 23-7049
Vielka  23-7043
Carlos (Morningside) 23-4281
Patty  36-3430
Dr. Amita Kamath 23-6474

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

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