Call Shifts

See CALL ROTATIONS under ROTATIONS tab for HOURS/details
  • On non-weekday BI EVE, you are responsible for: 
    • All diagnostic exams "Marked as Verified" 15 minutes before your NF/weekend shift time ends
    • Ultrasounds ordered 30 minutes before your shift time ends
    • For example, on BI Weekend shift you are responsible for studies up to 6:45 pm
  • Uber pool 9p-5a
    • Out of state not covered
    • Submit reimbursements to Maritza pending an Uber account

INTRODUCTION

Please refer to documents at bottom of page for specific  BI/KH study related policies.

MS AMION CALL SCHEDULE: mssm
KH AMION CALL SCHEDULE: BrooklynAMION

US TECH HOURS

Beth Israel

Mondays & Tuesday: 17 hour coverage (12 am to 7 am is uncovered)
Wednesday - Friday: 24 hour coverage
Weekends: 8 am - 6 pm

BI ED US Responsibilities

BETH ISRAEL:
  • DVT (upper & lower extremities)
  • Gallbladder
  • Pelvic (Abdominal & Transvaginal)
  • Scrotum 
  • Peds --intussusception and appendicitis
If requested to perform ultrasound outside of what's delineated, contact & discuss with supervising radiologist.

If requested to perform ultrasound, always have a chaperone.


BI ON-CALL SCHEDULES


Managing Overnight MRI:


Please make sure to have the ED fill out the MRI safety sheet before calling MRI tech. 





BI-SPECIFIC CALL POLICIES

REQUIRED STUDIES TO READ

See 'BI - On Call Responsibilities' below

Sites/Locations Covered: 
  • BI (Petrie)
  • KH (BI Brooklyn)
  • KD (Kingsway Diagnostic): 
    • CT and MR from KD do not need to be read unless the office calls for something urgent and they need a final attending read
  • CityMD: 
    • These come up on list as BI or (rarely) PACC outpatients 
    • Must be read (must confirm even a negative study with an on-call ATTENDING as patients are sent home afterwards)
    • Refer to "CityMD" under "Other Outpatient" TO THE RIGHT OF THIS PAGE -->
  • PUC (PACC/DUS Urgent care)
  • NYEE (NY Eye & Ear): 
    • CT and MR transfers for NYEE patients
    • Pease notify neuro attending AS EARLY AS POSSIBLE to notify them that one is happening 
    • These need to be read, and a neurorad attending needs to finalize so inform them ASAP when transfer begins; decision needs to be made -- those who need to be treated in Petrie ED and those going back via the transfer service:
  • SV (Stuyvesent Town Urgent Care): 
    • Some of these are ortho and are not reportable. Some are regular cases that we do read - these come over in red to distinguish them from ortho cases (i.e. Dr. Arnouk). 
  • NYRA (34th Street): 
    • Occasional STAT read at the end of the day for which they will call the reading room. 
EMERGENCY ULTRASOUNDS

TURN OFF THE MACHINE AFTER STUDIES!

CLEANING PROBES: 
  1. Wipe all US probes to remove gel residue after use. 
  2. Wipe transvaginal probe to remove gel residue, and place the probe inside the same clear plastic bag with the MRN, so the techs can register  the correct information in the trophon log book while disinfecting the dirty probes the next morning. 
  3. Probes may need to be cleaned by resident if there is a high volume of TV US in one night.

PERFORM ON CALL EXAMS IN THE ED, EXCEPT:
  • If two exams will be performed at once (one in the ED and one upstairs), the charge nurse and ordering MD/PA should be in agreement
  • If the ED US machine is broken, inform the charge nurse so everyone is aware that ultrasounds will be performed upstairs the rest of the night
  • For any ultrasound related issues overnight, please e-mail the chiefs and Andrea at Lediana.Alzate-nehme@mountsinai.org

ED CALLBACKS, FOR D/C'ed PATIENTS:


ED charge nurse or Callback PA should be called
*Get the NAME and role, and put this in the report addendum.
  1. If it is not urgent, then an email can be sent to the following email addresses: BIEDfollowup@mountsinai.org 
  2. Chiefs: mswchiefs@mountsinai.org
  3. Dr. Zeifer
  4. Shari Fernandez (Shari.Fernandez@mountsinai.org). Shari will be tracking the callbacks for QI, so make sure Shari and Dr. Zeifer are included!

ED BREAST ULTRASOUND (click here for instructions)

LOCKED BOX INSTRUCTIONS

BI EMERGENCY

Blue Pod
(ED Main)
212-420-2840
Orange Pod20-2850
Purple Pod (Peds)20-2860
Green Pod20-2899
Emergency CT 20-3505
Emergency XRAY44-7661
Operating Room20-2970
CHARGE NURSE
(if you cannot find MD)
61-4307
ED Callback 20-2896 


BI TECHS

Radiology Front Desk

Fax
20-2540
20-4488
212-420-4530
ED/Overnight CT
ED/Overnight XR/US
20-3505 
44-7661
Inpatient CT20-4584
Inpatient XRAY/Fluoro38-6191
(internal)
Inpatient MR20-2563
Inpatient US20-2411
Inpatient NM20-2498
BC Tech CT212-367-1882

BI READING ROOMS

Body CT RR/ ON-CALLResidents Back Line: 20-2819

8A-4P FORWARDED TO 442540                                    4P-8A FORWARDED TO 445740

All Phones:445740
Neuro20-2561
Nucs20-3916
20-2284
IR20-2509
Plain film / Fluoroscopy20-5650 
Peds


M/T 44-8853 or 44-8899
WThF 212-241-6053 (MSH Peds) 
Ultrasound20-2411
MSK (PACC)


44-8864
44-8862
44-8855
Library 20-2539

BI FLOORS

Surgery Consult Pager - 14400
Urology Pager - 10703

MEDICINE RESIDENT BACKROOMS
3D (team 14)20-3080
9D (team 17)44-1459
7S (team 11, 12)44-5890
20-2348
8S (team 5, 6)20-2134
9S (team 1, 2)32-4658

Internal Medicine Resident Pagers
 Team 1 (9 Silver) 13000
 Team 2 (9 Silver) 13300
 Team 5 (8 Silver) 15000
 Team 6 (8 Silver) 15500
 Team 11 (7 Silver) 16000
 Team 12 (7 Silver) 16600
 Team 14 (Float) 18000
 Team 17 (Float) 19900

LINSKY (generally 20-290x)
10L - RETU/Obs20-2910
1L - PACU20-2901

SILVER (generally 20-295x)
1S - Surd Stepdown20-2492
3S - SICU20-2953
7S - Sug20-2957
8S - Med/Card20-2958
9S - Med20-2959
10S - Surg20-2950

DAZIAN
3D - VIP UNIT20-3010
5D 20-2910
7D - MICU20-2937
9D - MEDICINE20-4448
10D - MED/SURG20-2938
10D - CARDIAC (CPCU)20-4646
10D - HEAD & NECK20-4648

Additional phone numbers, including medicine team pagers and nurse manager numbers can be found on the MSBI Contact List Updated document below.

NYRA Contacts

NM Resident (NYRA)212-252-6156
NM Attending (NYRA)212-252-6070
NM Technologist212-252-6177 
CT Tech    212-252-6012
BC DEXA212-367-1882
PH DEXA212-844-8885
KH DEXA718-951-2934
NYRA DEXA212-252-6052
MSH NM212-241-5366


ED & IP NUCLEAR MEDICINE

Any MSBI ED or IP NM exam that MUST be performed will be done at West, either via a one-way transfer or round-trip if feasible. 
  • Gather clinical information from requesting physician
  • Review case with NM Attending & discuss NM study indication
  • Once approved by NM Attending, contact Raj Head NM Tech at West (ext. 23-6366) during business hours or West NM Tech on-call & give patient information and requested NM study
  • Coordinate roundtrip or inpatient transfer between Beth Israel & West. 
  • Refer to MSBI-to-MSW Nuclear Medicine PDF for step-by-step instructions
During COVID Era, ventilation is temporarily not being performed in V/Q scans. It is important to check the most recent Chest X-Ray for any abnormalities. If there are chest abnormalities, perfusion study will provide limited information. Be sure to notify NM attending of any chest abnormalities on the most recent Chest X-Ray when discussing the case.


NYEE Workflow After hours

Workflow
  1. The CT/MRI techs will notify either the neuroradiology attending or the overnight attending that a NYEE patient is getting scanned. 
  2. The techs may contact the resident first, and then the resident should let the attending know. 
  3. The tech will hold the patient in radiology until radiology contacts NYEEI. Tech/Front Desk should have NYEEI ordering physician phone number.
  4. NYEEI then decides where the patient goes (home, admit, transfer).
Patient will be in radiology dept. until the final report is done and radiology attending or resident speaks to NYEE.

 





KH IMPORTANT

KH Emergency718-951-2901
Main Hospital operator
24-7531
KH Radiology Secretary
51-2930
KH Reading Room51-2762
KH XR51-3014
KH CT51-2932
51-2756
51-5604
KH US51-2982
51-2933
KH NM51-2934
KH IR51-2970
House MD Lounge51-2955
KH ICU    51-2707
        
        KD (Kingsway) secretary: 718-758-1500

PACC (DUS) IMPORTANT

Main PACC/DUS
    (for scheduling)
212-844-8880
   hit "1", then option "3"
Fax212-844-8851
MRI #1 (new)212-870-9022
MRI #2 (old)44-8872
MSK Reading Room



Chest Reading Room




Back workroom

44-8864 (Irish)
44-8895 (Resident)
44-8853 (Libes)

44-8878 (try this 1st)
44-8899 (try this 2nd)
44-8879
44-8839

70-8983 (212-8*)
PACC/DUS CT tech44-8898
44-8850
PACC/DUS XRAY tech44-8885
PACC/DUS US tech44-6197
DUS Urgent Care44-6000
646-988-0968


for callbacks, MD-to-MD line:
646-259-5089
 DUS File Room 44 -8834

OTHER OUTPATIENT

Additional info at bottom of page.

BI Cancer Center (Downtown Chelsea) 
  • CT Tech: 212-367-1882
  • File Room:
    • 212-367-1895
    • 212-367-1858

ODA 
  • X-Ray: 718-260-4600 x1226

CityMD: 
  • You need to call in ALL reads (positive STAT reads are priority), and document who you spoke to!!!
  • Confirm with CityMD provider (NP/PA/MD) the following 2 things:
    1. (1) That they (CityMD) will directly call the patient (the patient is sitting in BI radiology waiting room until they receive this call)
      • Remind patient to keep their phone on/confirm it is their cell phone on file with CityMD, not a home phone! 
    2. (2) That CityMD will tell the patient their result AND Most important = DISPO by CityMD ... WHERE THE PATIENT SHOULD GO NEXT, i.e. home or ED.
  • How to call:
    • Call the CityMD Ordering provider (scanned on the documentation in PACS) 
      • Tip: If BI secretary is available (usually early EVE shift), you may ask the BI secretary to get CityMD on the line for you. 
    • If CityMD Ordering Provider unavailable, call the CityMD After-care line. 
      • CityMD After-care direct line516-308-7740
  • If no one picks up, please leave a voicemail with a callback number

NYEE (New York Eye & Ear):
  • Radiology 212-979-4397
  • Dr Khorsandi 212-979-4400
  • Main number 212-979-4000
  • Clinician pager number: 12020

ADMINISTRATIVE

Radiology Front Desk20-2540
20-4488
Graham20-4409
Andrea (Leidiana)20-5665 (BI)
44-8825 (PACC)
Radiology Scheduling 44-8880  
File Room (Stacy F.) 20-3884
Conference Room20-1970 
On-call IT (8a-5p)44-5353
PM - IT CALL #1(646) 477-9798
PM - IT Backup(917) 572-7670

IT HELP

IT HELP TICKET


See additional info below for UV PACS.

IV CONTRAST & LABS

Per Dr. Zeifer (8/7/2019): 
  1. In the BI ED, the need for labs can be waived by the radiology attending or the ED provider.
  2. Can be verbal to techwritten in comments section of the order, or note documented in emstat.
  3. No informed consent is required.








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