Kaiser WLA

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to page: 2500 BBBB CCCC#

lab	4992	micro/ua	4617	blood bank	4619
heme	4612	chem	4614	Example	Example
rad md/ROD	4607	ED rad tech	b1053	ED rad	7215
ED CT	7537/4112	MRI	27575159	US	4366/1174
Nuc	2741	IR	4605/4381	telerad	3729338/81379338
cards clinic	2463	ETT cards	3290	Echo	4189
ENT clinic	3777/2375	ENT sched	5505	FC	3804
CSW	4176/3506	GI	2228/2366/3965	CCC	2288
eye	1163/2676	RT	b1106	hospice	4012
dispatch	8556634600	ETAP	5626583117	renal	p1131
1st pharm	2141	24hr pharm	4403	culver add med	3109154515
sunset add med	3237838206	CORP	83425340	surg clinic	2171
OB	1071	Gyn	1072	L&D	x3471
MOD	1001/3121 4p-10	POD	1232	GI	1184
SOD	1260 8a-10	SOD	1261 10p-8a	SOD	x2615
sunset	83630111	lovenox	p2196x2597	OR	2347/3361
ATC	2475	PICC	b1214	pallit med	3233516383
Assn RN	1436	Charge RN	1445	Example	Example
Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example

Urology

Painless Hematuria
- CT urogram: In ED if active painless bleeding AND only if pt has gross hematuria, sig drop Hct, or anemic from bleeding. - if not active bleeding -> outpatient CT urogram & outpt urology referral

1. Our standard foley catheters are 16 F coudet catheters
2. If the patient has a prior stricture, surgery, TURP then do not keep attempting to place a larger catheter. This will just cause trauma and bleeding. Call urology
3. In the case of BPH a LARGER catheter may pass more easily
4. In gross hematuria, please use a 20 F three way catheter for irrigation. The hand irrigation portion is the most effective way of getting the clots out.
5. For ruling out kidney stones, a CT KUB is the study of choice
6. For painless gross hematuria, please order a CT urogram. A noncontrast study and contrast study will be performed.
7. Uric acid stones cannot be seen on a KUB but can be seen on a CT
8. Urology really does want the stone for analysis. Keep giving the urine strainers to the discharged patients
9. Tamulosin is the preferred agent for helping the patient pass stones. If they are already on hytrin then just keep them on it.
10. If a patient is post op, please do NOT have the RN's automatically place a foley in triage. This may be contraindicated after certain surgeries
11. Please order urine cultures when diagnosing recurrent UTI's. Many times it is not a UTI and the culture helps them when seeing the patient in clinic.
12. Please DO NOT tell patients to go to urology clinic without an appointment. Send a referral or direct book the patient. Later the same day or the next day may be too soon. For example, a kidney stone patient should be seen in 2-3 days to allow time for the stone to pass. They won't change management if seen later the same day or the next day.