Harbor:Same/Next Day Specialty Clinic Follow up

• 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:

1. Get agreement from consultant
2. Must be seen in 24 hours or next business day (if weekend/holiday)
3. ED Care should be complete
4. Must be during normal clinic operating hours and clinic must be open (Cast room is open until 11 pm 7 days a week)
5. ED Clerk schedules the visit as appropriate
   1. If it is for a patient going directly up to clinic and there are no available appointments, the clerks CANNOT overbook
   2. Ask the ED Registration supervisor to overbook /place in the PAC ED Scheduling Queue
6. 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
7. If any issues, consider attending involvement and/or contact DEM Admin on Duty via cell.