Bethel Regional High School Clinic - Revision history

Lye-ChingW: /* Clinic Workflow */

2023-02-26T00:12:00Z

Clinic Workflow

@@ Line 22: / Line 22: @@
 *Pick up keys and med box
 **If med box was refilled: pick up from pharmacy
-**If med box was not refilled: pick up from closet of Clinic Team B storage room
+**If med box was not refilled: pick up from closet of Clinic Team B closet
 *Print and check VacTrAKs for scheduled patients
-'''Clinic day'''
+'''At clinic'''
-*Once arrived, let the BRHS front office staff Cindy know clinic is in-session (can reach at 2600, or visit in-person) and given them a list of students with their appointment time
+*Once arrived, let the BRHS front office staff Cindy know clinic is in-session (can reach at 2600, or visit in-person) and given her a list of students with their appointment time
 *Call the front office before each scheduled patient to let them know the clinic is ready for the pt.
 *When patients arrive, check in the patient. Can also TigerText Scheduling On-Call BRHS to ask them to check them in.
-**give them the list of students and their appointment times (remember that some students come from KLA so Stephanie and Kathleen won’t know all the students on the list)
+*If someone is a walk-in, TigerText Scheduling On-Call BRHS to ask them to make an appointment AND check the patient in.
-**collect any new walk-in requests
+*To enter vitals: Ad hoc (top toolbar) -> Pediatric ambulatory Care Intake -> fill in chief complaint and vitals -> enter Covid Screener -> hit green checkmark in top left corner
 *Parent is contacted for update as warranted
 '''Miscellaneous:'''

Lye-ChingW: /* Clinic Workflow */

2023-02-25T22:29:54Z

Clinic Workflow

← Older revision		Revision as of 22:29, 25 February 2023
Line 12:		Line 12:
	==Clinic Workflow==		==Clinic Workflow==

	''last updated 10/26/17''		''last updated 02/25/23''

	'''Ongoing'''		'''Ongoing'''
	*YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for each clinic day. Schedule can be checked under resource “LBRHS1” or “LBRHS2” for the relevant clinic day.		*YK scheduling takes calls from patients/parents requesting appointments and makes up to 8 appointments for each clinic day. Schedule can be checked under resource “LBRHS1” or “LBRHS2” for the relevant clinic day.
	If no one is scheduled, check with scheduling to make sure that there are spots open to schedule in.		If no one is scheduled, check with scheduling to make sure that there are spots open to schedule in.

	'''~~The day before~~ clinic'''		'''Before clinic'''
	*~~Med list is checked~~ and ~~any requests given to pharmacy – tackle~~ box ~~will be~~ refilled ~~and ready for~~ pick up at pharmacy ~~day of~~		*Pick up vaccine cool cube (from 2nd floor of admin building - across the street from hospital)
	*~~Updated RST and POC hCG test kits obtained~~ from ~~lab, if needed (QCs are good for one month, after which kits must be thrown away, apparently due to temperature regulation issues)~~		*Pick up keys and med box
	*VacTrAKs for scheduled patients are checked and – if PHNs will be present at clinic the next day – the list of immunizations due is emailed to them (mary.berliner@alaska.gov and evelina.achee@alaska.gov). If PHNs will not be present, plan to bring vaccines from clinic stock		**If med box was refilled: pick up from pharmacy
	*Outpatient nursing director (Carol Garrison or Dawn Hackney) contacted to determine whether nursing is available for clinic and, if so, who it will be		**If med box was not refilled: pick up from closet of Clinic Team B storage room
	*BRHS Secretary (Stephanie or Kathleen (“Little Girl”) @ 543-3957) contacted to remind them to make a PSA announcement re clinic AND send an email to parents		*Print and check VacTrAKs for scheduled patients

	'''Clinic day'''		'''Clinic day'''
	*~~Team meets at hospital at 8:30 AM to collect meds (~~the ~~med tackle box will be refilled and ready for pickup at pharmacy – do not forget to grab the LA bicillin from Delta~~ clinic ~~fridge if it~~ is ~~available), pick up vaccines~~ at ~~immunizations dept~~, ~~restock supplies as needed: RST/hCG kits, etc. then proceeds to clinic. The school~~ office ~~has a key~~ to the clinic ~~or there~~ is ~~one in~~ the ~~med box~~.		*Once arrived, let the BRHS front office staff Cindy know clinic is in-session (can reach at 2600, or visit in-person) and given them a list of students with their appointment time
	*~~Clinic is set up for~~ the ~~day~~		*Call the front office before each scheduled patient to let them know the clinic is ready for the pt.
	*IT connectivity is tested. ~~If able~~ to ~~connect~~ to ~~LKSD Guest network but unable to connect to VMWare/RAVEN, call YKHC technology. Lonnie is used to driving over to troubleshoot~~.		*When patients arrive, check in the patient. Can also TigerText Scheduling On-Call BRHS to ask them to check them in.
	*Team touches base with school office staff (Stephanie and Kathleen “Little Girl”) to
	**give them the list of students and their appointment times (remember that some students come from KLA so Stephanie and Kathleen won’t know all the students on the list)		**give them the list of students and their appointment times (remember that some students come from KLA so Stephanie and Kathleen won’t know all the students on the list)
	**collect any new walk-in requests		**collect any new walk-in requests

JenniferH at 12:06, 30 October 2020

2020-10-30T12:06:47Z

← Older revision		Revision as of 12:06, 30 October 2020
Line 62:		Line 62:
	*In setting that patient needs non-emergent, but urgent treatment at YKHC, call parent for transport. If parent is unavailable, call BRHS secretary Stephanie or Little Girl for transport in BRHS official vehicle.		*In setting that patient needs non-emergent, but urgent treatment at YKHC, call parent for transport. If parent is unavailable, call BRHS secretary Stephanie or Little Girl for transport in BRHS official vehicle.

	[[Category:outpatient]]		[[:Category:outpatient\|Outpatient Main Page]]

JenniferH at 17:47, 12 June 2019

2019-06-12T17:47:58Z

← Older revision		Revision as of 17:47, 12 June 2019
Line 61:		Line 61:
	*In case of medical emergency, dial 911		*In case of medical emergency, dial 911
	*In setting that patient needs non-emergent, but urgent treatment at YKHC, call parent for transport. If parent is unavailable, call BRHS secretary Stephanie or Little Girl for transport in BRHS official vehicle.		*In setting that patient needs non-emergent, but urgent treatment at YKHC, call parent for transport. If parent is unavailable, call BRHS secretary Stephanie or Little Girl for transport in BRHS official vehicle.

			[[Category:outpatient]]

JenniferH at 21:57, 1 November 2017

2017-11-01T21:57:29Z

← Older revision		Revision as of 21:57, 1 November 2017
Line 16:		Line 16:
	'''Ongoing'''		'''Ongoing'''
	*YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for each clinic day. Schedule can be checked under resource “LBRHS1” or “LBRHS2” for the relevant clinic day.		*YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for each clinic day. Schedule can be checked under resource “LBRHS1” or “LBRHS2” for the relevant clinic day.
			If no one is scheduled, check with scheduling to make sure that there are spots open to schedule in.

	'''The day before clinic'''		'''The day before clinic'''

Mfaubion: /* Forms and Resources */

2017-10-30T21:02:40Z

Forms and Resources

← Older revision		Revision as of 21:02, 30 October 2017
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	[[media:BRHS med list.pdf\|BRHS Medication List]]		[[media:BRHS med list.pdf\|BRHS Medication List]]

	[[media:BRHS supply list inventory tracking ~~Sheet~~.pdf\|BRHS Supply List Inventory Tracking Sheet]]		[[media:BRHS supply list inventory tracking sheet.pdf\|BRHS Supply List Inventory Tracking Sheet]]

	[[media:BRHS clinic consent.pdf\|BRHS Clinic Consent]]		[[media:BRHS clinic consent.pdf\|BRHS Clinic Consent]]

	[[media:BRHS vax consent.pdf\|BRHS Vaccination Consent Form]]		[[media:BRHS vax consent.pdf\|BRHS Vaccination Consent Form]]

	==Clinic Workflow==		==Clinic Workflow==

Mfaubion at 20:59, 30 October 2017

2017-10-30T20:59:08Z

← Older revision		Revision as of 20:59, 30 October 2017
Line 1:		Line 1:
			==Forms and Resources==
			All link to pdf files

			[[media:BRHS med list.pdf\|BRHS Medication List]]

			[[media:BRHS supply list inventory tracking Sheet.pdf\|BRHS Supply List Inventory Tracking Sheet]]

			[[media:BRHS clinic consent.pdf\|BRHS Clinic Consent]]

			[[media:BRHS vax consent.pdf\|BRHS Vaccination Consent Form]]
	==Clinic Workflow==		==Clinic Workflow==

Mfaubion: Created page with "==Clinic Workflow== ''last updated 10/26/17'' '''Ongoing''' *YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for eac..."

2017-10-28T00:02:51Z

Created page with "==Clinic Workflow== ''last updated 10/26/17'' '''Ongoing''' *YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for eac..."

New page

==Clinic Workflow==

''last updated 10/26/17''

'''Ongoing'''
*YK scheduling takes calls from patients/parents requesting appointments and makes up to 10 appointments for each clinic day. Schedule can be checked under resource “LBRHS1” or “LBRHS2” for the relevant clinic day.

'''The day before clinic'''
*Med list is checked and any requests given to pharmacy – tackle box will be refilled and ready for pick up at pharmacy day of
*Updated RST and POC hCG test kits obtained from lab, if needed (QCs are good for one month, after which kits must be thrown away, apparently due to temperature regulation issues)
*VacTrAKs for scheduled patients are checked and – if PHNs will be present at clinic the next day – the list of immunizations due is emailed to them (mary.berliner@alaska.gov and evelina.achee@alaska.gov). If PHNs will not be present, plan to bring vaccines from clinic stock
*Outpatient nursing director (Carol Garrison or Dawn Hackney) contacted to determine whether nursing is available for clinic and, if so, who it will be
*BRHS Secretary (Stephanie or Kathleen (“Little Girl”) @ 543-3957) contacted to remind them to make a PSA announcement re clinic AND send an email to parents

'''Clinic day'''
*Team meets at hospital at 8:30 AM to collect meds (the med tackle box will be refilled and ready for pickup at pharmacy – do not forget to grab the LA bicillin from Delta clinic fridge if it is available), pick up vaccines at immunizations dept, restock supplies as needed: RST/hCG kits, etc. then proceeds to clinic. The school office has a key to the clinic or there is one in the med box.
*Clinic is set up for the day
*IT connectivity is tested. If able to connect to LKSD Guest network but unable to connect to VMWare/RAVEN, call YKHC technology. Lonnie is used to driving over to troubleshoot.
*Team touches base with school office staff (Stephanie and Kathleen “Little Girl”) to
**give them the list of students and their appointment times (remember that some students come from KLA so Stephanie and Kathleen won’t know all the students on the list)
**collect any new walk-in requests
**arrange for consents to be emailed to the nurse on the team for the day (or to the provider if no nurse available) so they can be scanned into student charts
*Students arrive for appointments (KLA staff – phone numbers taped to printer in clinic – chauffeurs the students to and from KLA, so call to coordinate if needed; there are also cab vouchers in an envelope wrapped in a plastic bag in one of the kitchen cupboards if staff are unable to pick up a student from clinic in a reasonable amount of time)
**Nurse/provider confirms consent is on file for each student or parent is contacted by phone to provide verbal consent for the day.
**If scanned by the school staff and emailed to provider/nurse, consent can be directly uploaded to MMM. If a paper consent form is provided, this goes to Rosa McCabe at Registration at the end of the day to be scanned in.
*Nurse registers (and schedules, if no pre-existing appt) and triages each student. If no nurse available, call Vjollca (6442) at YKHC to schedule/register each student and provider triages student.
*Resident/provider sees each student and screens for immunizations due and public health services needed.
**Remember that every student must complete a PHQ-9, which must be entered into RAVEN.
**Order any labs as future orders; these can be activated back at YKHC so they can be printed to a label printer (until label printer is available at BRHS). Blood draw supplies are available in the PHN room along with a centrifuge.
**“Depart” and “Visit Summary” currently do not work for BRHS encounters. Patient education can be provided manually or off the internet (the printer does work).
*Student is directed to PHN if necessary and PHN present
*Student is given immunization consent and VIS’s to take home if immunizations due and parent cannot be reached by phone for verbal consent (PHN will do this if present)
*Follow-up care is coordinated as needed (referral to YK clinic or specialist)
*Parent is contacted for update as warranted

'''At end of day'''
*Clinic space is reorganized
*Med inventory is reviewed and note made of items to restock
*Supply list (kept in the white binder in one of the exam rooms) is reviewed and note made of items to restock
*QC-expired RST and hCG kits thrown away
*Dirty gowns and med box brought back to hospital
*Completed sports physical forms and paper consent forms brought back to hospital to be scanned into MMM. Sports physical forms are then placed in the med box to be returned to the school office on the next BRHS clinic day.
*Supplies are restocked and stored next to the med box at Mien’s desk
Follow-up care is completed

'''Miscellaneous:'''
*BRHS IT for WiFi connectivity help: Greg (4946). Office in LKSD admin building first floor.
*Please do not park in front of clinic as is kindly requested by BRHSC staffing for safety reasons
*In case of medical emergency, dial 911
*In setting that patient needs non-emergent, but urgent treatment at YKHC, call parent for transport. If parent is unavailable, call BRHS secretary Stephanie or Little Girl for transport in BRHS official vehicle.

← Older revision		Revision as of 21:02, 30 October 2017
Line 4:		Line 4:
	[[media:BRHS med list.pdf\|BRHS Medication List]]		[[media:BRHS med list.pdf\|BRHS Medication List]]

	[[media:BRHS supply list inventory tracking ~~Sheet~~.pdf\|BRHS Supply List Inventory Tracking Sheet]]		[[media:BRHS supply list inventory tracking sheet.pdf\|BRHS Supply List Inventory Tracking Sheet]]

	[[media:BRHS clinic consent.pdf\|BRHS Clinic Consent]]		[[media:BRHS clinic consent.pdf\|BRHS Clinic Consent]]

	[[media:BRHS vax consent.pdf\|BRHS Vaccination Consent Form]]		[[media:BRHS vax consent.pdf\|BRHS Vaccination Consent Form]]

	==Clinic Workflow==		==Clinic Workflow==