BUMC Basics.pdf - Anesthesia Home

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• Social work: Circle Social Work on "Return Visit" sheet,
and write a summary of what you need.
HOW TO ADMIT A PATIENT DIRECTLY
FROM CLINIC
1. Discuss with attending before admitting.
2. Call admitting resident and present the patient. If you are
on wards, you will assume care of the patient the following
morning.
3. Inform charge RN and request bed type.
4. Send patient to admitting desk.
5. Fill out H&P and write brief admit orders for team.
6. Dictate clinic note.
URGENT CARE VISIT
• If you need to see your patient on a non-clinic day for an
urgent problem, contact the clinic to obtain an
appointment.
• For any patient emergency, advise them to go to the ER
or call EMS immediately.
WELL-WOMAN EXAM
Once patient is gowned, have RN/MA bring tray for Pap smear
and stay for breast exam.
SIGNING DOCUMENTS
• Labs/Imaging/Pathology results = Initial/Date each page
and place folder in “Medical Records” pile at RN’s station.
• No-shows = select action to be taken (eg re-schedule,
call patient, discharge from clinic with attending’s consent)
and place chart on counter across from Carolyn’s
(scheduler) desk.
• Phone messages and social work documents = After
returning call and documenting your encounter, place
chart in black tray behind resident’s area.