Clinic Workflow - Revision history

JenniferH: /* Case Management */

2020-10-28T09:10:10Z

Case Management

← Older revision		Revision as of 09:10, 28 October 2020
Line 18:		Line 18:

	==[[Case Management]]==		==[[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.		Each team room has a case manager. There are also Pediatric, Women’s Health, and Surgical case managers. 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==

JenniferH: /* Nursing Screening */

2020-10-28T09:09:46Z

Nursing Screening

← Older revision		Revision as of 09:09, 28 October 2020
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	==Nursing Screening==		==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.		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.

			==Team Rooms==
			The Outpatient Clinic has three team rooms, designated as Team Room 1, Team Room 2, and Team Room 3. Providers, case managers, schedulers, and pharmacists have cubicles in each team room.

	==[[Case Management]]==		==[[Case Management]]==

JenniferH: /* Nursing Screening */

2020-10-28T09:09:19Z

Nursing Screening

← Older revision		Revision as of 09:09, 28 October 2020
Line 12:		Line 12:

	==Nursing Screening==		==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.		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]]==		==[[Case Management]]==

JenniferH: /* Patient Clinic Flow */

2020-10-28T09:09:00Z

Patient Clinic Flow

← Older revision		Revision as of 09:09, 28 October 2020
Line 9:		Line 9:

	==Patient Clinic Flow==		==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.		Patients arrive at the hospital and check in with a registration clerk. After checking in, their status in the ambulatory schedule in PowerChart is changed alerting nursing staff of arrival. Nurses will screen patients and either escort the patient back to waiting area or put the patient in a room and inform the provider.

	==Nursing Screening==		==Nursing Screening==

JenniferH: /* Nursing */

2020-10-28T09:08:39Z

Nursing

← Older revision		Revision as of 09:08, 28 October 2020
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	==Nursing==		==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~~.		Providers will normally have a nurse to assist with visits. Nurses are allowed to independently perform certain tasks: give acetaminophen or ibuprofen for fevers, administer influenza vaccines, administer nebulizer treatments, and contact '''Access to Collaborative Treatment''' or '''ACT''' (outpatient behavioral health service). They will propose orders, administer medications ordered by providers, assist with procedures, set up rooms, etc. The nursing staff also draws blood for labs ordered in the clinic. Providers should meet with nurses before and after shifts to review patients, plan for future labs, and provide feedback.

	==Patient Clinic Flow==		==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.		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.

JenniferH: /* Scheduling */

2020-10-28T09:07:55Z

Scheduling

← Older revision		Revision as of 09:07, 28 October 2020
Line 3:		Line 3:

	==Scheduling==		==Scheduling==
	Providers will have extended appointment times during orientation ~~and when~~ working a full schedule, ~~will have 14 x~~ 30 minute appointments/day with 2 overbooks. ~~1 hour is designated~~ for ~~1st Pre-natal visits~~. Clinics are closed for all Federal Holidays (~~does not impact PTO~~).		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==

JenniferH: /* Hours */

2020-10-28T09:07:32Z

Hours

← Older revision		Revision as of 09:07, 28 October 2020
Line 1:		Line 1:
	==Hours==		==Hours==
	Most providers ~~are expected to~~ work Monday through Friday, 8-9 hour days, ~~~8am-5pm with an hour for lunch. If nursing staffing allows, and with permission~~ from ~~supervisor, some providers may work 4 x10 hour days~~. Providers are ~~expected to complete all clinical work by day’s end. Providers are given three ½~~ days~~/month~~ for administrative duties, ~~additional if doing~~ village ~~trips~~.		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==		==Scheduling==
	Providers will have extended appointment times during orientation and when working a full schedule, will have 14 x 30 minute appointments/day with 2 overbooks. 1 hour is designated for 1st Pre-natal visits. Clinics are closed for all Federal Holidays (does not impact PTO).		Providers will have extended appointment times during orientation and when working a full schedule, will have 14 x 30 minute appointments/day with 2 overbooks. 1 hour is designated for 1st Pre-natal visits. Clinics are closed for all Federal Holidays (does not impact PTO).

JenniferH: /* Patient Travel */

2020-10-28T09:07:06Z

Patient Travel

← Older revision		Revision as of 09:07, 28 October 2020
Line 16:		Line 16:

	==Patient Travel==		==Patient Travel==
	~~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.		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.

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

JenniferH at 16:58, 12 June 2019

2019-06-12T16:58:16Z

← Older revision		Revision as of 16:58, 12 June 2019
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	~~==Clinic Workflow==~~		==Hours==
	===Hours===
	Most providers are expected to work Monday through Friday, 8-9 hour days, ~8am-5pm with an hour for lunch. If nursing staffing allows, and with permission from supervisor, some providers may work 4 x10 hour days. Providers are expected to complete all clinical work by day’s end. Providers are given three ½ days/month for administrative duties, additional if doing village trips.		Most providers are expected to work Monday through Friday, 8-9 hour days, ~8am-5pm with an hour for lunch. If nursing staffing allows, and with permission from supervisor, some providers may work 4 x10 hour days. Providers are expected to complete all clinical work by day’s end. Providers are given three ½ days/month for administrative duties, additional if doing village trips.
	===Scheduling===		==Scheduling==
	Providers will have extended appointment times during orientation and when working a full schedule, will have 14 x 30 minute appointments/day with 2 overbooks. 1 hour is designated for 1st Pre-natal visits. Clinics are closed for all Federal Holidays (does not impact PTO).		Providers will have extended appointment times during orientation and when working a full schedule, will have 14 x 30 minute appointments/day with 2 overbooks. 1 hour is designated for 1st Pre-natal visits. Clinics are closed for all Federal Holidays (does not impact PTO).

	===Nursing===		==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.		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===		==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.		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 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.		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]]===		==[[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.		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==
	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.		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.

	[[Category:Outpatient]]		[[Category:Outpatient]]

JenniferH: Created page with "==Clinic Workflow== ===Hours=== Most providers are expected to work Monday through Friday, 8-9 hour days, ~8am-5pm with an hour for lunch. If nursing staffing allows, and wit..."

2019-06-12T16:53:40Z

Created page with "==Clinic Workflow== ===Hours=== Most providers are expected to work Monday through Friday, 8-9 hour days, ~8am-5pm with an hour for lunch. If nursing staffing allows, and wit..."

New page

==Clinic Workflow==
===Hours===
Most providers are expected to work Monday through Friday, 8-9 hour days, ~8am-5pm with an hour for lunch. If nursing staffing allows, and with permission from supervisor, some providers may work 4 x10 hour days. Providers are expected to complete all clinical work by day’s end. Providers are given three ½ days/month for administrative duties, additional if doing village trips.
===Scheduling===
Providers will have extended appointment times during orientation and when working a full schedule, will have 14 x 30 minute appointments/day with 2 overbooks. 1 hour is designated for 1st Pre-natal visits. Clinics are closed for all Federal Holidays (does not impact PTO).

===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===
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.

[[Category:Outpatient]]