Harbor:ED follow-up options

ED Follow-Up

1. Primary Care Follow Up Options
2. Breast Clinic
3. Coumadin Clinic
4. Expedited Workup Clinic
5. GI Referrals
6. Neurology Referrals
7. Rheum Clinic
8. Surgery Referrals
9. Urology Referrals

Specialty Clinics We Can Book Into

• Trauma
• Ortho (have a form)
• Derm
• Ophtho (same day appointments)
  • Discharge the patient from the ED to ophtho clinic, unless you feel they have ongoing medical issues that require them coming back to ED
  • If they require admission, can be admitted from there or sent back to ED
• GYN UC (often all booked so have to call)
• Cardiology
• Family Medicine Sports Clinic (Fridays)—only SPORTS related injuries

NEVER REFER TO PAIN CLINIC!

Scheduling Outpt Studies

• Stress Testing
  • Form in Affinity
    • Fill out and print to heart station
    • Patient Charting
    • Click Chart Assessment Tab
    • Click RECORD
    • Click on Exercise Treadmill
    • Complete form entirely
    • SAVE AS FINAL
    • Print to HEART
    • Clerk makes appointment and PUTS order in computer
    • Can only schedule treadmills on an urgent basis (<72 hrs); if you want a MIBI or stress ECHO can use same process but it will be a mail-out

• US or MRI
  • In general: DON’T DO IT!
  • Never do it for DVT: US bounces all of these back
  • In select cases in which a specific follow-up clinic requests a test, you can order it via Affitnity, similar to above, with the following caveat:
    • DO NOT PUT YOUR NAME OR ER AS THE ORDERING PHYSICIAN OR DEPARTMENT. PERIOD

• Outpt Labs
  • Okay in certain circumstances
  • ONLY if patient will have a follow-up appointment in one of our clinics within 1-2 days of the lab draw!
  • How to do it?
    • Get lab draw slip from clerk
    • Clerk can order the outpatient labs that you want
    • Recommend you don’t do this unless you talked to somebody who is willing to have their name go on the lab slip and follow-up the results