Clinic Workflow: Difference between revisions
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==Scheduling== | ==Scheduling== | ||
Providers will have extended appointment times during orientation | Providers will have extended appointment times during orientation. When working a full schedule, there are fourteen 30-minute appointments per day with two overbooks. Certain patient visits (i.e. first prenatal exams) are scheduled for 60 minutes. Clinics are closed for all Federal Holidays (these are paid holidays). | ||
==Nursing== | ==Nursing== |
Revision as of 09:07, 28 October 2020
Hours
Most outpatient providers work Monday through Friday, 8 to 9 hour days, usually from 0800 – 1700. Providers are allotted half days for administrative duties throughout the month, with full days scheduled after a village trip.
Scheduling
Providers will have extended appointment times during orientation. When working a full schedule, there are fourteen 30-minute appointments per day with two overbooks. Certain patient visits (i.e. first prenatal exams) are scheduled for 60 minutes. Clinics are closed for all Federal Holidays (these are paid holidays).
Nursing
Providers will normally have a 1:1 nurse to assist with visits. Nurses may, contact Access to Collaborative Treatment or ACT (formerly IMPACT), give acetaminophen or ibuprofen for fevers, administer influenza vaccines, and nebulizers independently. They will propose orders, administer medications ordered by providers, assist with procedures, set up rooms, etc. Providers should meet with nurses before and after shifts to review patients, plan for future labs, provide feedback, etc.
Patient Clinic Flow
Patients arrive at YK and first go to registration to check in. This will change their status in the ambulatory schedule in PowerChart, alerting nursing staff of arrival. Nurses will screen patients and either escort the patient back to waiting area, or ‘rooms’ the patient and informs the provider.
Nursing Screening
Nursing staff will check vitals, update social history, assess falls risk, screen for depression and infection, and address immunization needs. Nursing will advise providers if something is abnormal or needs attention.
Case Management
Each village has a case manager in Bethel. The case managers work with different patient groups. If you have a complicated patient who needs several appointments set up, or medical equipment, including e.g., ensure, home health services, etc., you should contact the case manager to assist you in caring for the patient.
Patient Travel
Patient travel is often challenging due to weather. There may be days when no planes (and therefore patients) arrive in the am and all arrive in the afternoon. When this happens, Bethel patients may be called to come in if possible. Because folks travel far in many cases and often at substantial inconvenience and expense, providers need to do whatever they are able whenever patients are here in Bethel.