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BUMC Basics.pdf - Anesthesia Home

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112<br />

OUTPATIENT CLINIC GUIDE<br />

THE PATIENT ENCOUNTER<br />

• Check-in and vitals are completed by the medical<br />

assistant (MA).<br />

• All charts are viewed via Baylor EMR. Go to “Clinic Visit<br />

History.”<br />

• Once you have completed your clinic visit, complete the<br />

following checklist:<br />

- Clinic Visit form, only middle and right column is<br />

required.<br />

- Universal Medication List at each visit with resident<br />

signature.<br />

- Lab Request form for same day, one week prior to<br />

next visit, or both.<br />

- Fill out any consult or imaging forms as needed.<br />

- Retrieve, record on log, and place med samples in<br />

bag with “Instructions” form placed inside and patient<br />

label placed on outside of bag.<br />

- Write all prescriptions with DPS and DEA # on each<br />

Rx<br />

- Return appointment/referral form.<br />

- Dictate Clinic Visit. Dictation “type” = ‘98’.<br />

- Find a nurse to “check-out” by reviewing each<br />

above item with RN. The nurse will then dispense<br />

meds, prescriptions, and papers to the patient.<br />

RESOURCES<br />

• The clinic chiefs (two residents) accept clinic patients bimonthly.<br />

<strong>BUMC</strong> then assigns them to category 1 through<br />

8, category 1 being least funded. There are various<br />

resources that can be offered to the patients based on<br />

these categories.<br />

• The patient’s category and insurance information are<br />

located on the face sheet.<br />

Referrals<br />

Specialties offered via Resident Clinic and open to all clinic<br />

patients:<br />

• Renal, Cards, Oncology, GI, OB-Gyn, General Surgery,

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