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

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* “‘’’ED Extension’’’” appointment
* '''ED Extension''' appointment
* OOP, MHLA, DHS can all do this
** OOP, MHLA, DHS can all do this
* Typically used for: Ophtho, ENT, Ortho Cast room, OMFS, L&D
** Typically used for: Ophtho, ENT, Ortho Cast room, OMFS, L&D
* Discuss with the specialist and get name of approving doctor
* 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'''
** '''Patient gets DISCHARGED to specialty clinic, unless needs to come back to ED for admission/OR'''
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** This allows consultants to evaluate and treat patients in their clinic as opposed to coming to the ED  
** This allows consultants to evaluate and treat patients in their clinic as opposed to coming to the ED  
* Process/Troubleshooting:   
* 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 Clerk schedules the visit as appropriate
** Place the ED to Urgent Specialty discharge order - '''must state "ED Extension" in the comments'''
## If it is for a patient going directly up to clinic and there are no available appointments, the clerks CANNOT overbook
*** PAC will make a patient-centered appt while still in the ED
## Ask the '''ED Registration supervisor to overbook''' /place in the PAC ED Scheduling Queue
*** 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
# 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
 
# If any issues, consider attending involvement and/or contact DEM Admin on Duty via cell.


[[Category:Admin]]
[[Category:Admin]]

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
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