Outpatient RMT Work Flow
From Guide to YKHC Medical Practices
Outpatient Staffing
For Non – Emergent Outpatient RMT our minimum goal for current COVID staffing is to have:
- One person doing AM RMT – from 9:30am-1pm
- Two persons doing PM RMT from 1-6 pm.
The Clinic providers on site will start RMT at 1 pm and continue until it is done – between 5-6 pm.
(Long distance providers are still a part of the Outpatient Care team, but current RMT numbers have not warranted utilizing them again at this time.)
RMT Work Environment
Providers doing RMT should be doing it in a secure location – either in their home or in a secured work environment.
RMT Duties
- Process the RMTs as described below.
- Call / Tiger Text Health Aides with any patients about whom they have questions during the RMT process.
- If they find an emergency RMT that may need medevac – they immediately call the Kusko or Yukon North Wing provider and do a verbal transfer as well as forwarding the case to Emergency/NW RMT.
- Process message center labs and results. Forwards positive STI results to Claire Lewis (Community Health case manager) for follow up and calls and sends letters to patients as needed.
- Processes med refills requests and follows up on labs prior to refilling them.
- When done with the Kusko or Yukon Proxy box – looks at all other RMT and helps until all are done.
RMT WorkFlow
- Health Aide in village sees patients – Registers / examines and creates a RMT Document and Village Powerplan that is signed – not initiated.
- Sends it to Kusko or Yukon or Eye or Dental or CPP Proxy Boxes through Message Center in RAVEN.
- RMT providers start at the bottom of the list/ the oldest RMTs first / refresh before taking an RMT/ and open a RMT.
- After reading the RMT they then go to the Powerplan and review the plan for the patient and orders selected. If you had extra orders – please select the appropriate medication dose per weight and then save it by selecting the Plan for Later button. It will sit in a pending state then until the health aide opens it and prepares the medication.
- Then the RMT provider will go back to the RMT and add an addendum.
- For consistency, the response should include a section that states:
- Assessment:
- Plan:
- Please remember to document any images that are used to help with the assessment and Plan using following AUTOTEXT:
- "The Health Aide sent photos/ EKG for examination as she/he needed help with the treatment plan. Thanks for sending the Telemed photos that were reviewed of the __.
- ( identify what part of the body the photos were of)
- Assessment
- Plan
- Please give any Immunizations that are due."
- For antibiotics and other oral medicines that typically require a prescription, best practice is to write out the instruction for taking them so that the health aide can provide correct, clear instructions to the patient- or just select them from the Power plan the Health aide has selected. For RMT or any village med administration – Please use the Village powerplans.
- For consistency, the response should include a section that states:
- They then send the RMT back to the sending Health Aide.
- If an RMT message from a health aide is opened by a provider who is unable to respond, that provider has to right click on the message and mark it as unread so that the message is bolded again, indicating a response is still needed.