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:
- 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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