CALL OVERVIEW <----- for additional information.

*IF reading a Body MR, ADD THE ADDENDUM!

• 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    (activated through GME)

  • Out of state not covered

  • COVERAGE DETAILS

DO NOT call for an ultrasound after your shift, if you are not the one performing it

• Code for BI reading room door: 345

Beth Israel

BI US Tech Schedule  (link)

• Chiefs will email if there are any updates.

KH (will call reads to you)

Weekdays: 8am -12am

If resident performing US (not US tech), then:

• Troubleshooting: Click here

• Only testicular US required!!! 

  • +US Pelvic (ovarian torsion only).

  • Otherwise, discuss urgency/need of other indications with Attending on Call

    • Emergent Breast US (click here)

Any US expected to arrive at BI after 11:00 PM must be accompanied by a chaperone.

• (Nonurgent) Epic chat for BI inpatients (not KH):
  "Team [#]" 

• TEXT PAGE  (Chrome only)

• To contact inpatient teams, look for or ask for team # and use Epic chat if you can (fastest)

  • BI/KH Inpatient FLOOR #s

• PAGERS / OPERATOR / CODES FAQs

• PHONE FORWARDING

Special note re: IV contrast

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 tech, written in comments section of the order, or note documented in emstat.

3. No informed consent is required.

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. ER Charge nurse (only as a last resort if a provider is not available in timely fashion)

3. Is there a significant change for patient dispo following final attending review?

   • ED charge nurse or Callback PA should be called *Get the NAME and role, and put this in the report addendum.

     1. CALLBACK HOTLINE: 212-420-2896

   • If it is not urgent, then an email can be sent to the following FOUR email addresses (all cc'd): 

     1. BIEDfollowup@mountsinai.org 

     2. Chiefs: mswchiefs@mountsinai.org

     3. Dr. Corey Eber

     4. Alexandra Garcia (Alexandra.Garcia@mountsinai.org). Alexandra will be tracking the callbacks for QI, so make sure Alexandra and Dr. Eber are included!

• 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) 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) 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:
    516-308-7740 or 516-342-7075

• If no one picks up, please leave a voicemail with a callback number and your name (DO NOT convey/leave any patient info on voicemail)

• IMAGECAST

• IDX Instructions

• DOWNTIME INSTRUCTIONS
  
  

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

• Systems Access Request

TRANSVAGINAL (TV) US PROBES & TROPHON

1. Clean pelvic probes will be left for the overnight resident to use.

2. Cleaning will be handled as below

3. The trophon machine is the same at both sites, and can be used if there are more ultrasounds requested than clean probes during evening / night hours.

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. Write patient info (Name, MRN, ACC, Date , Time) on a piece of paper or use the printed patient order form and place either one into the red biohazard bag with wiped probe for proper idenficiation

7. Remove gloves and wash hands

8. Take red box to trophon room

9. 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 trophon 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.