## General Tips Published 12/1/2025 On this page: - How to Review Telemetry from Anywhere - How to Communicate with TTE Team Re: Priority TTEs and Timing - Interpreter Services - Where to Work on Each Campus **How to Review Telemetry from Anywhere** - West Campus - Website: philipswebviewwest.bidmc.harvard.edu - Username: KM9WEB - Password: KM9WEB - East Campus - Website: philipswebviewEAST.bidmc.harvard.edu - Username: -- - Password: -- _**We do not have the East Campus log-in info. If you find it, let us know!**_ --- **How to Communicate with TTE Team Re: Priority TTEs and Timing** - **Please use Secure Chat to** _**'BIDMC inpatient echo lab'**_ **to reach out an inquire after a pending echo (TTE) and to outline your priority needs** (for those studies needed for discharge, or if there are truly urgent clinical indications).  The echo team does find it valuable in their triage to understand if an echo is truly holding up a discharge or if it is truly needed urgently for clinical grounds, as they often have many pending requests in queue. - Please **DO NOT**: change your echo order to STAT simply in an effort to get a non-stat study done earlier.  Doing this resets the order date and can paradoxically put your request lower in the existing queue.  _If you have a truly STAT need for echo (TTE) then you should order it STAT but also communicate your needs directly and immediately to the ECHO team._  - Please note also that outpatient echo can be arranged soon after DC in coordination with the ECHO team if you feel the need to have one completed soon, but that will not change inpatient management.   --- **Interpreter Services** Created by Dr. Varun Iyengar and Dr. Julius Yang ![.](https://bilh.sharepoint.com/_api/v2.1/sites/bilh.sharepoint.com,d6853de2-2b2a-458b-8cfa-0d962c76fbb5,d2c30087-bbb0-4ed4-93ca-6de0c5518ce6/lists/7f200086-7a92-4ec1-ab39-7622452819a5/items/1df22e10-b59e-495f-ad44-949d27e75292/driveItem/thumbnails/0/c1600x99999/content?prefer=noRedirect,extendCacheMaxAge&clientType=modernWebPart) --- **Where to Work on Each Campus** West Campus - On the respective floors - W/Span 2 office (badge access) - Farr 601 - The Shed by the ED East Campus - On the respective floors - Gryzmish 431 (badge access) - Yamins Dept of Medicine office* on the 1st floor (badge access) *Additional Things to Note When Working In the Yamins Office - The space is intended for faculty work and meetings. - In this shared environment, try to keep conversations inside spaces with doors closed, so noise does not travel. - If white boards are used, erase them when the meeting is over. - Bikes and other equipment may not be stored in Yamins 100.  They must be stored outdoors. - Label food in the fridge with a date and name. - Make sure to clean the sink out after dumping food. ## General Tips Published 12/1/2025 On this page: - How to Review Telemetry from Anywhere - How to Communicate with TTE Team Re: Priority TTEs and Timing - Interpreter Services - Where to Work on Each Campus **How to Review Telemetry from Anywhere** - West Campus - Website: philipswebviewwest.bidmc.harvard.edu - Username: KM9WEB - Password: KM9WEB - East Campus - Website: philipswebviewEAST.bidmc.harvard.edu - Username: -- - Password: -- _**We do not have the East Campus log-in info. If you find it, let us know!**_ --- **How to Communicate with TTE Team Re: Priority TTEs and Timing** - **Please use Secure Chat to** _**'BIDMC inpatient echo lab'**_ **to reach out an inquire after a pending echo (TTE) and to outline your priority needs** (for those studies needed for discharge, or if there are truly urgent clinical indications).  The echo team does find it valuable in their triage to understand if an echo is truly holding up a discharge or if it is truly needed urgently for clinical grounds, as they often have many pending requests in queue. - Please **DO NOT**: change your echo order to STAT simply in an effort to get a non-stat study done earlier.  Doing this resets the order date and can paradoxically put your request lower in the existing queue.  _If you have a truly STAT need for echo (TTE) then you should order it STAT but also communicate your needs directly and immediately to the ECHO team._  - Please note also that outpatient echo can be arranged soon after DC in coordination with the ECHO team if you feel the need to have one completed soon, but that will not change inpatient management.   --- **Interpreter Services** Created by Dr. Varun Iyengar and Dr. Julius Yang ![.](https://bilh.sharepoint.com/_api/v2.1/sites/bilh.sharepoint.com,d6853de2-2b2a-458b-8cfa-0d962c76fbb5,d2c30087-bbb0-4ed4-93ca-6de0c5518ce6/lists/7f200086-7a92-4ec1-ab39-7622452819a5/items/1df22e10-b59e-495f-ad44-949d27e75292/driveItem/thumbnails/0/c1600x99999/content?prefer=noRedirect,extendCacheMaxAge&clientType=modernWebPart) --- **Where to Work on Each Campus** West Campus - On the respective floors - W/Span 2 office (badge access) - Farr 601 - The Shed by the ED East Campus - On the respective floors - Gryzmish 431 (badge access) - Yamins Dept of Medicine office* on the 1st floor (badge access) *Additional Things to Note When Working In the Yamins Office - The space is intended for faculty work and meetings. - In this shared environment, try to keep conversations inside spaces with doors closed, so noise does not travel. - If white boards are used, erase them when the meeting is over. - Bikes and other equipment may not be stored in Yamins 100.  They must be stored outdoors. - Label food in the fridge with a date and name. - Make sure to clean the sink out after dumping food. ## Forms **Reporting a Death** ![.](https://bilh.sharepoint.com/_api/v2.1/sites/bilh.sharepoint.com,d6853de2-2b2a-458b-8cfa-0d962c76fbb5,d2c30087-bbb0-4ed4-93ca-6de0c5518ce6/lists/7f200086-7a92-4ec1-ab39-7622452819a5/items/6edb43c4-3fac-4ab8-9fbf-5791e9f31c67/driveItem/thumbnails/0/c1600x99999/content?prefer=noRedirect,extendCacheMaxAge&clientType=modernWebPart) ## Names of Non-IM Services/Teams Published 7/9/2025 **Surgical Services:** - **Colorectal surgery:** IBD, colon cancer, rectal cancer, polyps, rectal prolapse, anorectal - **Monaco:** Liver, kidney, and pancreas transplant patients prior to surgery or on waiting list, proximal biliary disease, liver mass/cancer, dialysis access - **McDermott:** Pancreatic mass/cancer, duodenal mass/cancer, distal biliary disease, gastric cancer, primary peritoneal carcinomatosis, general surgical oncology not otherwise specified - **Blackburn:** Bariatric surgery, minimally invasive surgeries,  benign stomach, diaphragmatic hernias, reflux, enteral access on East campus not amenable to IR or GI, muscle or lymph node biopsies on West Campus - **Acute care surgery:** Emergency general surgery and trauma surgery (does NOT do lymph node biopsies, muscle biopsies, enteral access on East campus) - **Silen/breast:** Thyroid, parathyroid, and adrenal surgery, breast surgery, soft tissue tumors, sarcomas, lymph node biopsies and muscle biopsies on East campus - **Thoracic:** Lung, esophageal, and mediastinal surgery, hiatal hernias - **Logerfo:** Vascular surgery - **Goldwyn:** Plastic surgery - **MIGS:** Minimally invasive gynecologic surgery ![Image within Circle](https://media.akamai.odsp.cdn.office.net/eastus1-mediap.svc.ms/transform/thumbnail?provider=url&inputFormat=jpg&docid=https%3A%2F%2Fcdn.hubblecontent.osi.office.net%2Fm365content%2Fpublish%2F067d87de-662c-4c0d-bc1a-66d9f8bde1c5%2F493216361.jpg&w=400) **Non-surgical Services:** - **OMED**: Solid oncology with an outpatient oncologist at BIDMC (other oncology patients are admitted to the HMED service) - **BMT**: Liquid oncology - **GIFTS**: Gerontology - **Epstein Trey:** Both transplant hepatology and transplant kidney medicine, occasionally general hepatology - **Zoll**: Cardiology _**Zoll A**_: Atrius cardiology (PCP is in the Atrius system) _**Zoll B:**_ General cardiology, non-Atrius PCP   _**Zoll C and D:**_ Advanced heart failure _**CNP Service**_: Cardiac NP service, with structural cardiology and electrophysiology patients, some general cardiology overflow - **FICU**: East campus ICU (Fernard ICU)—mixed medical and surgical ICU - **Joselin**: Diabetes team - **OPAT**: Outpatient IV antibiotic team - **MASCOT**: Vascular medicine and PEs ## Risk Management Published 10/2/2024 **Labs Pending at Discharge** __ At the time of hospital discharge, a patient under your care may have labs/some results pending. It is important that you arrange plans to follow up these labs and results as you are responsible for notifying the patient and continuity providers of any important findings. I recommend keeping patients under a personal Epic list with notes to yourself of what to follow up on – and only removing the patient from the list once you have ‘checked every box’  **Incidental Findings** __ With regularity, you will receive pts from others (hospitalist colleagues or ICU teams or ED etc) where not all of the information (labs/results/reports/etc) available has been fully vetted and communicated to you in sign out.  Please always go back and quickly review all results and reports from the current hospitalization. Even if the pt has been in the ICU for a number of days, this can be done quickly as there are usually no more than a handful of radiograph reads. The reason to do this is to make sure there are no abnormal findings that people have forgotten to sign out to you. It is easy for folks to forget to sign out things like incidental pulm or adrenal or thyroid nodules, espec when they are not related to the primary reason the pt is in the hospital. But if you are the discharging physician, you are responsible for making sure that the pt and continuity providers are notified and these get followed up as appropriate.  If you are the physician who actually ordered the radiograph and the incidental finding comes back while you remain responsible for the pt, please always inform the pt that day and then write a note in Epic and forward to the PCP, that simply states the finding, the fact that you told the pt and you asked the pt to f/u with pcp for outpt w/u. Please do it immediately the day you learn of the result because it is on your mind and otherwise you might forget to sign it out to your colleagues. Please still do it on that day even if you expect to be on service for a while longer and you will be the MD discharging the pt and writing the dc letter, because incidental findings are easy for the pcp to overlook in the long dc summaries or dc letters. The note just about the abnormal finding makes it easier for the pcp to learn of this result.  Please take these steps because it is quality care but it is also safer from a medical-legal perspective.  **Missing Patient** __ On occasion, you are notified or you discover that your hospitalized patient is missing. It is important that you take steps to locate the patient and document your actions. Please notify the BIDMC security and please try to contact the patient via their listed telephone number. Please document these actions.  There is a policy on the BIDMC portal that you should reference in this instance (Policy CP-46)  **What to do if you are concerned about a case?**  __ If you have a less than ideal interaction with a patient and/or their family, we recommend that you be proactive and contact patient relations at 617 632-0364, and that you contact Caleb Hale or Joe Li as well to discuss with further questions or concerns.   **Documentation** __ It is always better to document than not. Always document any clinical encounter, in person or on the telephone. Please avoid clinical communication on electronic mail outside the BIDMC firewall. Any documentation is potentially discoverable, so always use professional language and factual presentation (avoid non-clinically based judgement)  **Use of the Adverse Event Management System (STARS Reports)** __ High-reliability organizations learn from their errors, events, and near misses.  BIDMC encourages all medical providers to notify their own department, as well as the Department of Healthcare Quality about these events, so that cases can be reviewed, tracked, and trended, toward the overall goal of improved patient safety.  Some simple definitions:  **Adverse Event**       An injury resulting from a medical intervention.  **Near miss**       An error which does not reach the patient or cause harm.  **Medical Error**       The failure of a planned action to be completed as intended (error of execution) or the use of a wrong plan to achieve an aim (error of planning).  Cases that represent adverse events, near misses, or medical error, should be submitted using the Adverse Event Reporting System through the BIDMC Portal (search under Adverse Event Reporting) – this system is known as the STARS system. ![](blob:https://bilh.sharepoint.com/88f00554-e8c6-4122-aa94-de7603eb5310)