Call Shifts- Dictate all ER cases marked as "Verified" up to 15 minutes before the end of your shift
- Dictate all Inpatient cases marked as "Verified" up to 1 hour before the end of your shift (11 pm for all Eve rotations)
- Protocol inpatient studies through IDX (ED studies if confusing order or requested by Technologist)
- 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
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 HOURSMorningside Weekdays: 8am -11pm Weekends: 8am - 11pm Holidays: 8am - 4 pm
West Weekdays: 8am - 11pm (last case 10:10pm); 24h starting in March Weekends: 11am - 7pm Holidays: No Ultrasound Tech coverage
After 4pm, US techs perform ultrasounds requested from the ED. Morningside - West ED US ResponsibilitiesMORNINGSIDE: - 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 READSFor 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? See CALL OVERVIEW for appropriate action
COMMUNICATION(Chrome only)
CODE 23-4444 SECURITY 23-1000
IT HELPIT 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) ERM ER Main | 23-3335, 23-3336 | Charge RN | 36-1661 | Green | 23-2826 | Red | 23-1556 | Blue | 23-3458 | Fast Track (Eval Unit) | 23-3345
| Peds | 23-3636 | ER Attending | 23-2826
| Observation | 36-1226 (beeper #34568) | Resus Room/ Trauma Bay | 23-4067 |
MORNINGSIDE DESKS & TECHSRads Front Desk
| 23-4272 23-3425 | Supervisor/Head Tech & Fluoro | 23-4275 | Rads Fax Main | 212-523-3798 | ER X-Ray
| 23-2780 23-5933 | CT ER Tech | 23-2493 | CT Tech | 23-5383 | CT2 Tech | 23-4234 | CT Front Desk
| 23-5395 23-4230
| US/CT holding | 23-3425 | MR Tech | 23-3493 23-3485 | MR Front Desk
| 23-4280
| VIR Front Desk | 23-4446
| VIR Angio A | 23-4236 | VIR Angio B | 36-2374 | US Tech (Back room) | 36-1909
| US Tech (Front room) | 23-2413 | US Front Desk | 23-4244 23-5385 (scheduling) | Nuclear Front Desk | 23-3400
| Nuclear Tech | 23-3405 | Morningside File Room | 212-523-4227 | Morningside MR Tech ONCALL pager
| 35310 |
MORNINGSIDE READING ROOMSER Resident | 23-3799 23-4219 | ER Resident Pager
| 33214
|
|
| VIR Resident Pager | 31118 | | | Dr. Frager | 23-4222 |
|
| Dr. Bashist | 23-4224 | | | US Station | 23-4245 | | | Nuclear Reading Room
| 36-2513 | Dr. Depuey Office | 23-3398 | NM Resident | 23-3407 | Cardiac Imaging | 23-3407 | | | Dr. Rizvi | 23-4282 | Neuro Resident | 23-1641 | | | Resident Lounge, Clark 3 Phone on wall | 23-4679 36-2373 |
| | VIR resident station
| 23-4220 23-4221 | Mammo | 23-4271 |
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 pager | 34567
| IM Resident Lounge
| 23-4822
| Surgical resident
| 23-8075
| CT Surgery PA | 23-1620 | 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
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:
- 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- 4 pelvic probes will be put into room 1 at Morningside (across the ballroom) by Pam the late tech before she leaves
- Cleaning will be handled the same way as at BI (instructions below)
- 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.
- The code for the trophon room is 1+3 (press together), then 2
- 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: - Put on gloves
- Remove transducer cover
- Get red box and bag ready
- Wipe entire transducer with sterile wipe to remove all ultrasound gel
- Place transducer in red biohazard bag and then in red box
- Remove gloves and wash hands
- Take red box to trophon room
- 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.
| WEST ERW ER Main | (212) 523-6800 | Charge RN | 23-7739 | Green | 23-6943 23-6939 | Red | 23-6930 23-6998 23-6999 | Fast Track | 23-6765 | RETU (obs) | p36790 | Eval | 23-6551 | Resus Room | 23-6721 |
WEST DESKS & TECHSRads "Front" Desk
| 212-523-7191 (inpatient) 23-7051 (outpatient) | CT Fax | 212-523-7061 | CT Tech | 23-8961(inpatient/outpatient) | ER CT Tech | 23-6953 | CT supervisor | 23-7179 | ER XR Tech | 36-4664 | Clinic XR Tech/Fluoro | 23-7499 36-3382 | PET/CT Tech | 23-6735 | | | 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 Desk | 212-523-7257 | VIR nurse station | 36-3446 36-3447 | VIR Fax
| 212-523-8145
| Friedman's office | 23-7806 | | | US Front Desk | 212-523-7035 | US Fax | 212-523-8329 | US Tech | (212) 636-5295 | | | Nuclear Front Desk | 212-523-7171 | Nuclear Fax | 212-523-8890 | Nuclear Tech Room | 23-6366 36-5258 36-5861 |
|
| MAX 1 | 36-5858 | MAX 2 | 36-5859 | XCT | 36-5860 | MG | 36-5861 | Mobile | 36-5862 | Hot Lab | 23-8584 | Locker Room | 36-5258 | Injection Room | 36-5857 | | | West File Room | 212-523-7065 212-523-7059 | | | West resident room | 36-3479 |
WEST READING ROOMSRadiology Conference Room
| 23-7080 23-7879
| Call Resident Pager
| 35830
| VIR Resident Pager | 36481 | Nuclear Call Pager | 36722 | MSK Resident | 23-7042
| MRI / Kagen | 23-4712 | MRI Resident
| 23-7058 | Body CT Resident
| 23-6332 | BODY CT / MR ATTENDING | 23-8203 | Benitez / MSK Attending | 23-6315 | Body CT Attending / Bashist | 23-6147 | Lefton | 36-3360 | Neuro Residents | 36-3368 36-3363 | Delara | 36-3366 | Heller | 36-3364 | Kagetsu | 36-3362 | Meltzer | 36-3361 | NM Attending | 23-7056 | NM Resident | 23-7174 23-6083 23-8719 | US Reading Room
| 23-7088 | RH IR Reading Room | 36-3453 36-3706 | Chest / Cardiac
| 23-6143 23-8893 23-7057 | Radiology Lounge | 36-3479 |
WEST CONSULT PAGERSMedicine 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 |
ADMINISTRATIVEPaula 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 | Amy Strach | 23-2250 | Patty | 36-3430 | Dr. Amita Kamath | 23-6474
|
Brodsky (RAW)US | 23-8713
| MRI | 23-8951 23-8707
| MSK Station | 23-8926
| MSK Resident | 23-8749 | Mammo Attending | 23-8934 | Mammo Resident | 23-8955 |
MSC Breast Imaging Reading station | 212-367-1721 |
|
 Updating...
Ċ RadRez Administrator, Jun 9, 2020, 3:38 PM
Ċ Cherisse Wada, Nov 19, 2019, 3:06 PM
ĉ Cherisse Wada, Nov 20, 2019, 11:32 AM
Ċ Cherisse Wada, Jul 24, 2019, 4:55 AM
Ċ RadRez Administrator, Sep 20, 2015, 7:34 PM
Ĉ RadRez Administrator, Nov 22, 2016, 2:12 PM
ĉ RadRez Administrator, Nov 21, 2018, 2:25 PM
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