BUMC Basics.pdf - Anesthesia Home
BUMC Basics.pdf - Anesthesia Home
BUMC Basics.pdf - Anesthesia Home
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23<br />
OBTAINING A CONSULT AT BAYLOR<br />
Obtaining a consult at <strong>BUMC</strong> is different than at a county<br />
system. Rather than consulting a service, you consult a<br />
specific physician within a service, or whoever is taking call for<br />
that physician if it is after hours. Call consults as early in the<br />
day as possible. If you call a consult after 5pm, this implies that<br />
it is emergent.<br />
If you need a consult, first ensure the attending physician<br />
agrees and ask if they have anyone specifically they would like<br />
you to call. Also, review old records and if a physician has<br />
seen the patient previously from a service, re-consult the same<br />
physician or group if that person is not available. Then, refer to<br />
the above list for whom you would like to consult (May not be<br />
all inclusive, but is a start for who to call). When you call, be<br />
sure to have the patient’s name, room number, date of birth,<br />
and pertinent history, exam, and labs.<br />
There are a few ways to consult. The best is to call the<br />
physician’s office or answering service and ask who is taking<br />
new consults for that day/night. Then ask them to be paged<br />
with the information. You can also call the ER, who has a list<br />
for who is on call. If you do not hear back, and you feel it is<br />
appropriate, then page the physician directly. Some physicians<br />
prefer text messages with name and room number, and they<br />
will let you know that when you work with them.<br />
Here are a few specifics regarding particular<br />
consults:<br />
• GI: The hepatologists rotate call every 3 rd night listed<br />
above. Also, if you need an ERCP or EUS, physicians that<br />
do one or both are noted with an asterisk under the GI<br />
contacts. GI Bleeders often require an emergent GI<br />
consult. For more information, see GI section for obtaining<br />
a consult.<br />
• Neurology: There is someone on call M-F now for<br />
neurology. Call page operator to find out who is on call.<br />
• Psychiatry: To obtain a psych consult, you may either<br />
write an order for psych consult, or call the ER and ask<br />
who is on call for Psych and call the office or answering<br />
service to have them paged.<br />
• Pulmonary Critical Care: This consult is required if<br />
your patient is on the ventilator more than 48 hours.
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