IMRESPDX

***IMPORTANT: Please Review the Following Orientation Documents and Recent Updates Document Prior to Starting Your VA Wards or Night Float Rotation***

• Recent VA Ward Updates _ 10.31.25

• ED Admissions: Triaging (+/- Declining)

• ED Admissions: Guidelines for ICU vs. Wards

• Wards Orientation (updated 10/7/25)

• Night Float Orientation (updated 10/7/25)

• Tech Troubleshooting Guide

• NEW PIV Exemption Process 9.1.25

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VA Wards Redesign: Started 10/11/2025

ONE PAGERS & How-To Guides

Admissions | Discharges | Transfers

• Admission Medication Reconciliation

• Discharge Process

• Discharge to CLC

• DDEMAPS Framework for Discharges

• Transfers: From PVAMC to non-VA Hospitals

• Transfers: Updated process for transferring between services at PVAMC

• Inpatient Observation Status

• UAP Instructions

Policies & Procedures

• Bloodborne pathogen exposure

• Bloodborne / Needlestick pathogen exposure

• Blood Product Transfusion Reaction (suspected/possible)

• Cleaning requests: How to Enter

• Downtime Procedure

• DKA: Subcutaneous Insulin Protocol (Wards-only)

• GM Code/RRT Team Responsibilities

• Imaging: Coordinating an after hour STAT MRI or Ultrasound

• Imaging: Urgent Imaging w/ Anesthesia

• Inclement Weather

• Massive Transfusion Protocol

• NEWS Score: RN Acuity Score

• Patient death guide

• Patient elopement guide

• RRTs

• STEMI Divert

• Suicide Risk Assessment Procedures

• Telemetry Alarm Parameter Adjustment Tips

• Wound Care Inpatient Consult Indications

Call Lists

• Inpatient & Outpatient Phone Numbers

• Cancer Care Navigation Team

• Heart Failure PACT

• VA Interpreter services

Treatment Guidelines

• COVID Inpatient Management Guide _ 1.2024

• COVID Isolation Guidelines 1.18.22

• Insulin: How to transition an Insulin drip to SC Insulin

• Foot Wounds: Podiatry & ID Algorithm

• High Sensitivity Troponin

• Hip fracture management tips

• Ketamine infusions for Pain on 9C/9D

• Paracentesis Tips

• Phenobarbital Protocol: For Wards

• Portland VA Antibiogram

• Sotalol Protocol

• Transfusion Reaction Cheat Sheet

• VA Antibiotic Guidelines (Common Conditions)

Medical Students

• EPA and WBA “how to” guide

• Documentation requirements in CPRS

CPRS

• CPRS Set Up Guide

• Auto d/c’d orders in CPRS: How to Recover

• Erroneous notes

• Joint Legacy Viewer (JLV) Guide

• LST (Life Sustaining Treatment) plans

• PIV Linking to Access & Verify Codes

• Signature Block & Signature Code: How to change

• Tickler Alerts

Other Tech

• BT Consult Guide

• Cleaning requests: How to Enter

• Dragon Dictation: How to request

• iMed Consent Guide

• JPSR: How to enter a patient safety report

• Microsoft TEAMS: Getting Access

• Microsoft TEAMS: How to contact Multi-D, pharmacy, SW

• Microsoft TEAMS: How to change status for noon conference

• Microsoft TEAMS: How to change preferred name and pronouns

• PACS (imaging) Guide

• PIV Badge Door Access Request

• Printers - How to add

• Remote Telemetry Guide

• Spok Mobile: How to Manage Paging Alerts

• VA dashboard/PowerBI

• Vocera: Receiving a page from it

• Vocera: How to reach a nurse

• Vocera: Finding your bedside RN’s name

Other Resources

• Lactation Rooms at the VA

• Trainee Harassment Resources