From Dr. Betty Chang: Peripheral Norepi, RAPID Outpatient MRI, and FYI’s

1) Peripheral norepinephrine approved by Medical Board :  GO LIVE, March 8th. Please refer to handout from Dr. Chang’s email.

Max 72 hr.  Max dose 15mcg/min. Use at 20G or larger.  Have another IV access as back-up.  Use the 4mg/250ml concentration. 

2) We have collaborated with Radiology and Neurology to arrange outpatient MRI on ED patients who do not need emergent MRI.  They usually get a MRI appt within one week’s time and sometimes in a day or two. 

Get Neurology consult involved.  They will identify patients who meet criteria.  Unfortunately, at this time, patients will need to have insurance. Neurology will arrange outpatient Neuro follow up.  

ED will consult CM/SW and Navigators – CM/SW will confirm pt info, address the MRI appointment with Call Center,  Call Center to work on pre-authorization, and navigators (Gabriela Reda & Luisa Santos, the navigator supervisors) to work on follow up with PMD.

3) Patient with ESRD on Dialysis, who missed dialysis. We hope to mitigate any issues that caused the patients to come to ED for missed dialysis.  PLEASE get SW/CM involved upon patient arrival.  You can easily find them via group secure chat “CUIMC ED SW& Care Mgr Consult”

4) Watch out for FYI’s! 

Please note that there is a little flag that shows up by patient’s name that acts as an alert for clinical staff. It often contains very important information that is relevant from prior visits (ie. staff safety, violence, etc.)