Harbor:Same/Next Day Specialty Clinic Follow up: Difference between revisions

Latest revision as of 23:44, 27 February 2025

ED Extension appointment
- OOP, MHLA, DHS can all do this
- Typically used for: Ophtho, ENT, Ortho Cast room, OMFS, L&D
Discuss with the specialist and get name of approving doctor
- Patient gets DISCHARGED to specialty clinic, unless needs to come back to ED for admission/OR
- Continuation of ED care to stabilize their presenting emergent medical condition.
- This allows consultants to evaluate and treat patients in their clinic as opposed to coming to the ED
Process/Troubleshooting:
- ED Care should be complete
- Get agreement from consultant
- Must be scheduled for next business day
  - Must be during normal clinic operating hours and clinic must be open (Cast room is open until 11 pm 7 days a week)
- Place the ED to Urgent Specialty discharge order - must state "ED Extension" in the comments
  - PAC will make a patient-centered appt while still in the ED
  - ED physician should note time and place for patient to follow-up on the ED discharge paperwork, and make sure patient takes paperwork with them to clinic

Authors:

@@ Line 1: / Line 1: @@
-*OOP, MHLA, DHS can all do this
+* '''ED Extension''' appointment
-*Typically used for: Ophtho, ENT, Ortho Cast room, OMFS, L&D
+** OOP, MHLA, DHS can all do this
-*Discuss with the specialist and get name of approving doctor
+** Typically used for: Ophtho, ENT, Ortho Cast room, OMFS, L&D
-**Patient gets DISCHARGED to specialty clinic, unless needs to come back to ED for admission/OR.
+* Discuss with the specialist and get name of approving doctor
+** '''Patient gets DISCHARGED to specialty clinic, unless needs to come back to ED for admission/OR'''
 ** Continuation of ED care to stabilize their presenting emergent medical condition.
 ** This allows consultants to evaluate and treat patients in their clinic as opposed to coming to the ED
 * Process/Troubleshooting:
-# Get agreement from consultant
+** ED Care should be complete
-# Must be seen in 24 hours or next business day (if weekend)
+** Get agreement from consultant
-# ED Care should be complete
+** Must be scheduled for next business day
-# Must be during normal clinic operating hours and clinic must be open (Cast room is open until 11 pm 7 days a week)
+*** Must be during normal clinic operating hours and clinic must be open (Cast room is open until 11 pm 7 days a week)
-# ED physician should note time and place for patient to follow-up on the ED discharge paperwork, and make sure patient takes paperwork with them to clinic
+** Place the ED to Urgent Specialty discharge order - '''must state "ED Extension" in the comments'''
-# ED Clerk schedules the visit as appropriate
+*** PAC will make a patient-centered appt while still in the ED
-# If any issues, consider attending involvement and/or contact DEM Admin on Duty via cell.
+*** ED physician should note time and place for patient to follow-up on the ED discharge paperwork, and make sure patient takes paperwork with them to clinic
 [[Category:Admin]]