Category:Consults - Revision history

LiamG at 21:25, 5 August 2025

2025-08-05T21:25:46Z

← Older revision		Revision as of 21:25, 5 August 2025
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	Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).		Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).

	Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See [[~~media~~:~~Use_of_Consultants~~.pdf\|Consultations YKHC Clinical Guideline]] -be quick and concise with both your YK as well as external consults.		Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See [[Media:Use of Consultants.pdf\|Consultations YKHC Clinical Guideline]] -be quick and concise with both your YK as well as external consults.

	==Internal (Bethel) Consult Services==		==Internal (Bethel) Consult Services==
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	Dr. Roll is one of our local HIV experts. Contact her with any questions about HIV. If she is not available, you can contact Alaska State Epidemiology Section on HIV, Tel: 907-269-8000 Fax: 907-563-0453.		Dr. Roll is one of our local HIV experts. Contact her with any questions about HIV. If she is not available, you can contact Alaska State Epidemiology Section on HIV, Tel: 907-269-8000 Fax: 907-563-0453.

	* [[~~media~~:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)		* [[Media:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)

	===Internal Medicine===		===Internal Medicine===
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	==External Consult Services==		==External Consult Services==
	*[[media:Pediatric-Specialty-Table.pdf\|Pediatric Specialty Table]] (links to pdf)
	===ANMC Specialty Services===		===ANMC Specialty Services===
	*[http://anmc.org/files/ANMC-speciality-clinic-services.pdf ANMC Specialty Clinic Services]		*[http://anmc.org/files/ANMC-speciality-clinic-services.pdf ANMC Specialty Clinic Services]
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	Phone number for providers to call to get a consultation on a HIV-related issue. This can be done for post-exposure prophylaxis or for patient related questions if the ANMC infectious disease physician isn't available.		Phone number for providers to call to get a consultation on a HIV-related issue. This can be done for post-exposure prophylaxis or for patient related questions if the ANMC infectious disease physician isn't available.

	* [[~~media~~:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)		* [[Media:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)

	===MEDCON Seattle===		===MEDCON Seattle===

JenniferH at 15:48, 6 January 2021

2021-01-06T15:48:07Z

← Older revision		Revision as of 15:48, 6 January 2021
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	YK has a number of on-site (internal) consultants and a network of outside Bethel (external) consultants. Within the hospital, we have pediatricians; high risk OB physicians (either an OB/GYN specialist or family medicine physician with extra OB training); emergency room physicians; dentists; optometrists; TB officers (providers who have received extra training in TB),as well as lactation, HIV and wound care consultants. YKHC consultants can be accessed through [[Tiger Connect]] by their assigned roles.		YK has a number of on-site (internal) consultants and a network of outside Bethel (external) consultants. Within the hospital, we have pediatricians; high risk OB physicians (either an OB/GYN specialist or family medicine physician with extra OB training); emergency room physicians; dentists; optometrists; TB officers (providers who have received extra training in TB),as well as lactation, HIV and wound care consultants. YKHC consultants can be accessed through [[Tiger Connect]] by their assigned roles.

	Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect.. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).		Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).

	Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See [[media:Use_of_Consultants.pdf\|Consultations YKHC Clinical Guideline]] -be quick and concise with both your YK as well as external consults.		Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See [[media:Use_of_Consultants.pdf\|Consultations YKHC Clinical Guideline]] -be quick and concise with both your YK as well as external consults.

JenniferH at 16:44, 18 December 2020

2020-12-18T16:44:52Z

← Older revision		Revision as of 16:44, 18 December 2020
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	Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect.. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).		Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect.. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).

	Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See Consultations YKHC Clinical Guideline -be quick and concise with both your YK as well as external consults.		Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See [[media:Use_of_Consultants.pdf\|Consultations YKHC Clinical Guideline]] -be quick and concise with both your YK as well as external consults.

	==Internal (Bethel) Consult Services==		==Internal (Bethel) Consult Services==

JenniferH at 16:43, 18 December 2020

2020-12-18T16:43:17Z

← Older revision		Revision as of 16:43, 18 December 2020
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	'''Introduction'''		'''Introduction'''

	YK has ~~several~~ on-~~campus~~ (internal) consultants and a network of outside Bethel (external) consultants. Within the hospital, we have ~~a pediatrician (in house) on call 24/7~~; high risk OB ~~provider who is~~ either an OB/~~gyn~~ specialist or family medicine physician with extra OB training ~~on call 24/7~~; emergency room physicians ~~available 24/7~~; ~~dentist on call 24/7~~; ~~optometrist on call 24/7 and~~ TB officers (providers who have received extra training in TB), lactation, HIV and wound care consultants. ~~All other consultants are accessed through a network of providers, hospitals, and services outside YK. Our YK~~ consultants can be accessed through [[Tiger Connect]] by their assigned roles.		YK has a number of on-site (internal) consultants and a network of outside Bethel (external) consultants. Within the hospital, we have pediatricians; high risk OB physicians (either an OB/GYN specialist or family medicine physician with extra OB training); emergency room physicians; dentists; optometrists; TB officers (providers who have received extra training in TB),as well as lactation, HIV and wound care consultants. YKHC consultants can be accessed through [[Tiger Connect]] by their assigned roles.

	ANMC is our Native referral hospital located in Anchorage~~, Alaska~~. ~~They have~~ multiple adult specialists and ~~many~~ pediatric specialists that can be accessed through their system. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).		Consultants outside YKHC can be accessed through a network of native and private providers and hospitals. Alaska Native Medical Center (ANMC) is our Native referral hospital located in Anchorage. ANMC has multiple adult specialists and some pediatric specialists that can be accessed through their system using phone or Tiger Connect.. For non-beneficiary (or non-native) patients and any specialists not available through ANMC, we contact Providence or use specialty phone lists posted in departments of the hospital. Occasionally, we are required to call specialists outside Alaska such as pediatric rheumatology or pediatric neurosurgery. These specialists can be reached at Seattle Children's Hospital or through a second opinion hotline (MEDCON).

			Before you contact a consultant, take the time to organize your patient presentation and develop a clear and concise request of the specialist. Use SBAR communication including letting consultants know who you are and where you are calling from. A consult call should take no longer than 5-10 minutes. See Consultations YKHC Clinical Guideline -be quick and concise with both your YK as well as external consults.

	==Internal (Bethel) Consult Services==		==Internal (Bethel) Consult Services==

JenniferH: /* ANMC Specialty Services */

2020-12-14T20:32:01Z

ANMC Specialty Services

← Older revision		Revision as of 20:32, 14 December 2020
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	*'''Adults''' - IM, Surgery, ER, GI, Infectious Disease, Urology, Neurology, Heme-Onc, Pulmonology/Intensive Care, Cardiology, Rheumatology, Renal Nurse Practitioner for chronic renal failure, Podiatry, Endocrinology		*'''Adults''' - IM, Surgery, ER, GI, Infectious Disease, Urology, Neurology, Heme-Onc, Pulmonology/Intensive Care, Cardiology, Rheumatology, Renal Nurse Practitioner for chronic renal failure, Podiatry, Endocrinology
	*'''Adults and Peds''' - Ortho, ENT, Allergy&Immunology		*'''Adults and Peds''' - Ortho, ENT, Allergy&Immunology
	*'''[[Pediatric Specialty Services\|Peds]]''' - Peds Surgery, Peds Urology, Peds Endocrinology		*'''[[Specialty Referrals#Pediatric Specialty Services\|Peds]]''' - Peds Surgery, Peds Urology, Peds Endocrinology

	===Providence Specialists===		===Providence Specialists===

JenniferH: /* Pediatrics */

2020-12-14T20:30:49Z

Pediatrics

← Older revision		Revision as of 20:30, 14 December 2020
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	If you have an emergency issue, please put that in the text page. Make sure there is a contact number for the provider to call back. The on call physician should call back to confirm they received the page, even if they are on the way.		If you have an emergency issue, please put that in the text page. Make sure there is a contact number for the provider to call back. The on call physician should call back to confirm they received the page, even if they are on the way.
	If you do not hear back within 3-5 minutes about an emergency page or in 15 to 20 minutes about a routine page, please page again OR call the on call physician’s cell number that is listed on the medical staff contact list or one of the "Peds cell" numbers listed on the '''~~[[media:~~Peds Reference Phone Numbers~~.pdf\|Peds Reference Phone Numbers]]~~''' List.		If you do not hear back within 3-5 minutes about an emergency page or in 15 to 20 minutes about a routine page, please page again OR call the on call physician’s cell number that is listed on the medical staff contact list or one of the "Peds cell" numbers listed on the '''Peds Reference Phone Numbers''' List saved in the Peds folder.

	For any toxic-appearing or critically ill children, activate a ~~Repid~~ Response or call a Code Blue as appropriate. Please discuss with the Emergency Room doctor for urgent transfer from clinic to the ER and notify the on call pediatrician. Do not wait for the on call pediatrician to return your text.		For any toxic-appearing or critically ill children, activate a Rapid Response or call a Code Blue as appropriate. Please discuss with the Emergency Room doctor for urgent transfer from clinic to the ER and notify the on call pediatrician. Do not wait for the on call pediatrician to return your text.

	===TB===		===TB===

JenniferH: /* Optometry */

2020-11-21T10:48:32Z

Optometry

← Older revision		Revision as of 10:48, 21 November 2020
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	===Optometry===		===Optometry===
	There is an optometrist available 24/7 for consultation and help managing a complex or concerning eye patient. They can be reached through TigerConnect by messaging the "Optometry On Call" Role. The ER also has a list of optometrists and their cell numbers.		There is an optometrist available 24/7 for consultation and help managing a complex or concerning eye patient. They can be reached through TigerConnect by messaging the "Optometry On Call" Role. The ER also has a list of optometrists and their cell numbers for emergency eye concerns after hours, weekends, or holidays.

	===Pediatrics===		===Pediatrics===

JenniferH: /* Optometry */

2020-10-28T11:50:46Z

Optometry

← Older revision		Revision as of 11:50, 28 October 2020
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	* [[media:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)		* [[media:YK HIV-STD Update 6-25-19.pdf\|HIV-STD Update 2019]] (PowerPoint Presentation)

			===Internal Medicine===
			You can Contact ANMC and ask to speak to the IM consulting physician if you are in need of this service.

	===Optometry===		===Optometry===

JenniferH: /* Wound Care */

2020-10-28T11:49:41Z

Wound Care

← Older revision		Revision as of 11:49, 28 October 2020
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	===Wound Care===		===Wound Care===
	Currently, physical therapy manages Wound Care at YKHC. Basic abscesses etc., can be sent to Nurse Only Specialty Clinic for repacking, but any concerning wounds need to involve physical therapy. PT should be contacted and ~~provided~~ pictures (with tape measure) in Multi-Media if possible. Marking the area of a wound is advised and very helpful for ongoing monitoring.		Currently, physical therapy manages Wound Care at YKHC. Basic abscesses etc., can be sent to '''Nurse Only Specialty Clinic''' for repacking, but any concerning wounds need to involve physical therapy. PT should be contacted and pictures (with tape measure) should be uploaded to Multi- Media Manager in Power Chart if possible. Marking the area of a wound also advised and very helpful for ongoing monitoring.

	==External Consult Services==		==External Consult Services==

JenniferH: /* HIV */

2020-10-28T11:49:03Z

HIV

← Older revision		Revision as of 11:49, 28 October 2020
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	===HIV===		===HIV===
	Contact our Community Case Manager to report and coordinate care of any newly diagnosed cases. The case manager can also assist with mandatory reporting to Public Health at 543-2110.		Contact our Community Case Manager to report and coordinate care of any newly diagnosed cases. The case manager can also assist with mandatory reporting to Public Health 543-2110.

	Dr. Roll is one of our local HIV experts. Contact her with any questions about HIV. If she is not available, you can contact Alaska State Epidemiology Section on HIV, Tel: 907-269-8000 Fax: 907-563-0453.		Dr. Roll is one of our local HIV experts. Contact her with any questions about HIV. If she is not available, you can contact Alaska State Epidemiology Section on HIV, Tel: 907-269-8000 Fax: 907-563-0453.