What's New

Added 60 weekly GPC Clinical Corner newsletters from RVMC Clinical Operations as clickable cards on the Algorithms page. Each card opens its full PDF preview inline — no separate page, no download required. Topics span everything from Coccydynia, Sunburn, and Insect Bites to Latent TB, Pertussis, Long COVID, UTI management, Sinusitis antibiotics, Cluster headache, Red eye red flags, Beers criteria, Wildfire smoke, and many more. All searchable from the global home search bar.

The Algorithms page used to be a flat 43-card grid. It's now grouped into 17 organ-system sections with full-width dividers: Cardiovascular, Pulmonary, Hematology, Neurology, HEENT, GI, GU/Renal, MSK, Skin/Soft Tissue, Infectious Disease, OB/Women's Health, Pediatrics, Psychiatry, Pharm/Tox, Geriatrics, Procedural/Imaging, and Public Health. Same cards, same content — just easier to scan. The new Urgent Care entries slot into the matching organ-system groups so related content sits together.

A new 🔧 wrench toggle in the top-right of the requests page unlocks fulfiller actions on every open request. ✓ Done now takes an optional completion note (e.g. "ordered new dopplers, expected 5/15") and posts it as a comment when marking the request resolved. Cannot Complete requires a reason, which posts as a comment and closes the request. Both notes show up under the request immediately so submitters can see what actually happened.

A small 🗑 icon appears next to the timestamp on any comment you wrote — click it, confirm, and the comment is removed. Works for regular comments, ✓ Done completion notes, and ⚠️ Cannot Complete reasons. You only see the 🗑 on comments authored from your browser, so nobody can delete someone else's note.

Previously, anyone visiting the page could click the Open / In Progress / Resolved badge and silently cycle the status. Now the badge is only clickable when fulfiller mode is unlocked; everyone else sees it as a plain label.

New-request EmailJS notifications now follow the submitted location instead of blasting all four addresses on every request. OMC requests go to Russel, Kim, and Michael. FMC requests go to David, Kim, and Michael. Unknown or missing location falls back to the full list as a safety net.

The home search bar's URL sanitizer only accepted .html URLs, so 14 results — Kaiser docs, the Issue Reporting Form, the Postpartum HTN algorithm, and others — were silently rewritten to index.html when clicked. Expanded the allowlist to cover .pdf, .docx, .pptx, .xlsx, and external https:// URLs. Office files now open through the Office Online viewer so they preview as a webpage instead of triggering a raw download.

The announcement section now supports files larger than the previous 1 MB Firestore cap. Big files (PDFs, Word docs, etc.) live in docs/announcements/ and surface as always-visible attachments at the top of the page. Used this to add the new ED Radiology — Epic Downtime document as a one-click reference for everyone.

The dropdown menu introduced in the previous toolbar refresh wasn't visible because .sitenav-inner had overflow:hidden, which cut off any element rendered below the nav. Added overflow:visible override on .sitenav and .sitenav-inner so the dropdown renders properly. The horizontal-scroll behavior is unchanged — it lives on .nav-links itself, which still clips its own content as before.

Moved 📋 Requests out of the ⋯ More dropdown and back into the always-visible primary nav so submitting a request is one click from anywhere. The home page "Submit Service Request" Core Tools card already gives a second prominent entry point.

The sitenav had grown to 14 items and overflowed the right edge of the viewport on most screens, forcing horizontal scrolling to reach What's New and Index. The 7 highest-frequency pages now stay in the primary row (Home · Algorithms · Agreements · Protocols · Directory · Links · Index), and a single ⋯ More ▾ dropdown holds the rest (Documentation, Decision Support, Resuscitation, Neuro Hub, Requests, What's New). Pages reachable from the dropdown light up the More button so you always know where you are. ⌘K omnisearch still works from anywhere.

A new Site Index page (linked from the rightmost slot of every page's nav) auto-builds a hierarchical tree from the omnisearch index. Each top-level row is a page (Algorithms, Service Agreements, Hospital Protocols, etc.), each sub-row is the existing group label, and each leaf is a deep-link to the exact card. Live filter (or press / from anywhere on the page) — typing matches across titles AND all keyword text, expands the matched parents, and highlights the matched substring. Expand/collapse state is persisted per section in localStorage. No manual maintenance — every new card you add to search-index.js shows up here automatically.

Transcribed the STEMI binder pages (Receiving Centers list — St. Bernadine's / Loma Linda / San Antonio Community — and the 1/23/12 STEMI protocol) into a fully searchable, inline panel on Hospital Protocols. Includes the call-in order with phone/fax/cath-lab numbers, the clerk workflow (fax EKG → confirm → physician hand-off → 911 with the AMR script), the <30-min door-in/door-out goals, allowed pre-transport meds and paramedic-scope drips (ASA, nitropaste, heparin bolus, dopamine/lidocaine/procainamide drips), and the Fontana vs. Ontario RN-transport rules. Linked from the sitewide search.

Transcribed the BEFAST badge card and the Code 24 process summary into an inline panel. Lays out the BEFAST screen (Balance, Eyes, Face, Arms/Legs, Speech, Time), the two pathways (LSN 0–6 h or wake-up → call Code Stroke; LSN 6–24 h with NIHSS ≥ 6 → page TeleNeurologist 323-699-4444, activate Code 24, order CODE24 CTH + CTA, escalate to Code Stroke if intracranial occlusion), and the full 7-step Code 24 workflow through ETAP transfer to a CSC. Reminder to use the .EDHelp SmartPhrase included.

Added a workflow card under ED Operations & Workflows describing how to handle non-emergent middle-of-the-night IR cases that can be done the next day: ED physician places the order and leaves a voicemail for the IR charge RN with the patient's name and MR#. IR charge RN extensions: Fontana #24044, Ontario #45210. Searchable site-wide via the global search bar.

Microsoft refuses to iframe their SSO page, so the previous hard-loaded NEDOCS embeds showed a "can't open this page" error until you'd separately signed into SharePoint. Each NEDOCS card now starts as a clean placeholder with a 2-step flow: (1) click Sign in to SharePoint ↗ (opens SP in a new tab), (2) click Load preview. sessionStorage remembers the choice so subsequent home-page loads in the same browser session skip the gate and just show the live worksheet inline.

Both NEDOCS — Fontana and NEDOCS — Ontario SharePoint Excel files now render inline on the home page via SharePoint's action=embedview. When you're signed in on the KP network the live spreadsheet shows directly under "ED Operations". Off-network / unauthenticated users see SharePoint's own sign-in prompt inside the iframe; if their CSP blocks the embed entirely, an "Open full ↗" button next to each title is the guaranteed backup.

The home page Core Tools grid is now a clean 3×2 layout focused on the things ED staff actually start their day with: Service Agreements, Algorithms, Hospital Protocols, Phone Directory, Service Requests, and Links. Removed Dotphrases, Calculators, Neuro Hub, and What's New from the home grid — those pages remain reachable from the sitenav and search.

Added a dedicated section linking to live NEDOCS worksheets (Fontana & Ontario, SharePoint Excel) and all four trackboards (FMC Main, OMC Main, FMC Flex, OMC Flex, Google Sheets). NEDOCS cards are rendered larger to mirror the live-data nature; trackboards in a 4-up row.

Trimmed Vasopressors and RSI from the Tier 2 grid, Peds Fever from Tier 3, and the three rule-out dotphrase pins (PE, ACS, SAH) from Quick Access. Pulled Service Agreements up to Tier 2 and added Hospital Protocols + What's New cards so the layout still reads as a complete grid. The standalone Vasopressors / RSI / Peds Fever pages are unchanged and still reachable from the nav and search.

Added a single shared analytics.js with a one-line beacon-token slot, plus a <script src="analytics.js"> loader before </body> on all 21 routed pages. Cookie-less, no consent banner, no PII. Once the token is set, the dashboard reports unique visitors, page views, top paths, referrers, and device/country breakdowns. Leave the token blank to disable analytics with zero side effects.

Added Trackboards (FMC Main, OMC Main, FMC Flex, OMC Flex), NEDOCS worksheets (Fontana, Ontario), Imaging & Radiology (Telerad, MUSE ECG repository, PACS iSite), and Communications & Directory (SCAL On-Call, Vocera Web). Every link card now has a stable anchor and a brief flash highlight when arriving via a search-bar deep-link.

Added 19 type:'link' entries to the omnisearch index — one per card on the Quick Links page — so typing "fmc flex", "vocera", "muse", "telerad", "scal", "nedocs fontana", etc. lands directly on the right card. Bumped search-index.js?v=2 → v=3 across all 20 pages to bust browser caches.

The afib content is a clinical decision guideline (rate control, cardioversion timing, CHA₂DS₂-VASc, discharge criteria), not really a department-to-department service agreement, so it now lives next to the other cardiology cards on the Algorithms page. Search now lands directly on the new card.

The single-image upload on the home-page announcement banner is now a multi-image slideshow with chevron prev/next, dot indicators, "n / total" counter, and 5-second auto-advance (pauses on hover and when the tab is hidden). Each image is canvas-downscaled to ≤800px JPEG before storing as a base64 dataURL on the existing Firestore announcement doc. Capacity ≈ 5 typical photos before hitting the 1 MiB doc limit; over-budget uploads are rejected with a friendly summary.

Banner now breaks out of the page's centered container and uses up to ~1400px wide so multi-line urgent posts don't wrap awkwardly. Textarea grew from 94px to 320px tall with larger text. Image upload / remove buttons are now subtle dashed-border chips, hidden entirely when locked so viewers never see admin controls.

The Firestore snapshot listener was overwriting the textarea value on every echo of the user's own debounced save — which resets the cursor to the end. The listener now compares first and skips the no-op assignment; if the remote text genuinely differs while focused, it preserves selectionStart / selectionEnd. Also bumped the input debounce 300ms → 800ms so saves don't fire mid-sentence.

Quick Links and Roadmap pages were missing the changelog nav entry — now consistent across the whole site.

Triaged ~14 months of KP email for official workflow/policy content worth mirroring on the site. Added plain-text cards for the items that came as email threads (no attached doc) and skipped transient ops/HR noise.

FMC policy: viable-pregnancy patients needing L&D monitoring must NOT be discharged from the ED first. L&D clerk calls the ED once the patient arrives so the trackboard can be cleared and L&D can create the new encounter. OMC is mirroring. Source: Kim / Schwartzwald, Mar 19–20, 2026.

IV Versed IS within scope for ED RNs. Only contingent workers (travelers/registry) are restricted from procedural sedation because they're not comp'd for it. Kills a recurring floor-level misunderstanding. Source: Schwartzwald, Feb 19, 2026.

OMC switched from fluorescein strips to Altafluor-Benox ophthalmic drops (refrigerated, single-use). Providers must order the drops — not the strips — so RNs can pull from Pyxis. FMC mirroring. Source: Chris Sanine, Mar 19, 2026.

New HealthConnect-to-PACS workflow for viewing fundus camera images: Chart Review → Eye tab → select the Fundus Photography test → click "View images and PDF report" → PACS opens. Source: Sonya Sandhu, Mar 23, 2026.

Added two new entries on the Quick Links page covering the new gen-AI clinical-decision-support tool inside KP HealthConnect and the new Endpoints login method.

Brand-new page organizing clinical protocols, ED operations, transfer processes, policies, and NEDOCS tools in one place. Every document is embedded inline (Office Online for DOCX/PPTX, direct iframe for PDFs) with a searchable sidebar list — no downloads required.

Added new algorithms including Acute Intracranial Hemorrhage, Alcohol Withdrawal, Bell's Palsy, CHF, Diverticulitis, Gout, Hyponatremia, Pediatric Fever/UTI, Pneumonia, and more. Eighteen existing algorithm cards now have their source guideline PDF embedded directly in the card.

Hour-by-hour point-assignment tables for standard and Mod Pod shifts, transcribed from the FMC PSG reference images into fully themed, searchable HTML tables on Hospital Protocols.

Two new Hospital Protocols panels: Medical Wean / End-of-Life Management (palliative guidance) and Dementia with Behavioral Disturbance ED Workflow (geriatric behavioral).

The latest PLOS workflow update document now sits at the top of the Non-Member Transfer panel with a "🆕 Latest" badge so the most current guidance is seen first.

Expanded Service Agreements with additional panels and fully indexed search. All agreement docs are now hosted locally — no VPN or login required.

The sitewide search pill now appears inline in the navigation on every page — Service Agreements, Hospital Protocols, Directory, Feedback, and Changelog all previously had the search index missing. Every document on the site is now searchable from any page.

Searching "gout" now jumps directly to the gout card with its embedded PDF open. Service Agreements and Hospital Protocols auto-activate the matching panel from the URL hash on page load and on hashchange.

With the new Hospital Protocols link bringing the nav to 12 items, the right-side links were getting cut off on many viewport widths. Tightened link spacing, moved the search pill inline as a flex sibling, and removed the hard width cap so every nav link is visible.

The ED Non-Member Workflow (SBC Physician Reference) and the ED Non-Member Process Physician One Pager are now embedded directly in the agreement panel — viewable inline without leaving the page.

New service agreement covering the April 13 go-live pilot for managed care non-member transfers. Includes all key protocol rules (Secure Chat alerts, 1-hour health plan response rule, 2–3 hour transfer window) with an embedded PDF and full search support.

PDF-based agreements were previously invisible to the search index. Fixed the filter so all agreement types (DOCX and PDF) appear in results. Clicking a result now deep-links directly to the correct agreement panel.

The search index contained 31 agreements — many from the old data pipeline with no corresponding page content. Pruned to the 7 that actually exist on the site so search results no longer surface dead links.

A new code-protected fulfiller mode lets the person handling requests mark items Done in one tap or post a "Cannot Complete" reason with an automatic comment. The fulfiller toggle sits next to the admin lock and persists for the session.

Global search now uses word-start multi-token matching — typing "pulm embo" finds "Pulmonary Embolism", "afib flutter" finds the AFib protocol. Each word in your query is matched independently against the start of any word in the title or tags.

Dot phrases were cluttering global search results. They're now scoped to the Documentation page only — the main search bar focuses on clinical tools, agreements, algorithms, and pages.

A bug in the URL sanitizer was rewriting external https:// links (like SharePoint and Google Drive) to index.html. Fixed so links in search results always go to the right destination.

Deleting a service request was leaving an active Firestore listener running in the background. The listener is now properly stopped before deletion to prevent memory leaks and unexpected behavior.

Votes, comments, and new service requests now update instantly for all users. The dot phrase vote counts animate with a green pulse when another user votes. New requests appear at the top of the board the moment they're submitted.

Michael Schwartzwald added to the service request email notification list so new submissions reach the full review team.

New OB/GYN algorithm card with entry criteria callout, plain-English summary, and inline embedded PDF — consistent with other algorithm pages.

The DVT protocol was relocated from Service Agreements to Algorithms where it fits better clinically. Now available as a full algorithm card with a locally hosted PDF embed — no VPN or login required.

Complete redesign with a sticky two-column layout: searchable sidebar list on the left, full agreement detail + embedded PDF on the right. PDFs for PLOS and DVT are now hosted locally so they work without KP network access.

The homepage was rebuilt with a tiered card hierarchy — two large hero cards (Dotphrases, Calculators), a clinical 4-up grid, and a secondary resources grid. Color-coded left borders help quickly identify tool categories.

The Service Requests page was already built but unreachable — it's now linked in the navigation bar on every page and indexed in the global search. Submit dot phrase requests, report issues, and track their status.

The feedback form was silently failing after Formspree deprecated its email endpoint. Replaced with EmailJS using the same service already configured for service requests — all submissions now deliver reliably.

The Urology service agreement was rebuilt with a clear 4-tier clinical decision layout: (1) Urgent/Emergent Urology call, (2) Hospital Medicine admit without overnight Urology call, (3) Outpatient Urology referral, (4) PCP follow-up. SharePoint link also added.

A new Reporting section on the Links page provides a direct link to the Microsoft Forms issue reporting tool covering on-call consultant delays, critical radiology delays, staff behavior concerns, and other ED issues.