Difference between revisions of "Category:Consults"
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==Internal (Bethel) Consult Services==
==Internal (Bethel) Consult Services==
Latest revision as of 10:33, 12 June 2019
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.
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).
- 1 Internal (Bethel) Consult Services
- 2 External Consult Services
Internal (Bethel) Consult Services
We have one lactation consultant in clinic (Dr. Roll), a WIC Peer Lactation Educator, and most of the OB nurses are able to provide lactation support.
There is a dentist on call and available 24/7 for consultation and help managing a complex or concerning dental patients. They can be contacted through TigerConnect by messaging the "Dental On Call" Role. The ER also has a list of dentists and their cell numbers.
Emergency Department Bethel
Any ER emergencies, if in Bethel, simply call the ER and talk to the MD on call to transfer and have your charge nurse talk to their charge nurse. In the subregional clinics feel free to call the ER MD with questions, or if you are thinking about medevacing someone, call/TigerText the wards doctor. Please upload any images or EKGs to the patient's chart. If you are having difficulty uploading to the chart, images can also be sent through TigerText.
High Risk OB (HROB):
There is a physician ‘on call’ and available 24/7 for high-risk obstetric consultation. The HROB provider is available to help manage a difficult patient or to assume care of a patient needing a C-section. TigerText the “OB High Risk On Call HROB” role not the physician’s personal TigerText as on call schedules can occasionally change.
If you have an emergency issue, 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. If you do not hear back within 3-5 minutes about an emergency page or in 15 to 20 minutes about a routine consult page, please page again or call the on call physician’s cell number that is listed on the medical staff contact list.
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.
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.
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 non-urgent pediatric consults, please utilize the pediatrician that is scheduled in your hallway to discuss management or address questions. For urgent pediatric consults that require a higher level of care, or if the outpatient pediatrician is unavailable, there is a pediatrician ‘on call’ and available 24/7. TigerText "Peds Wards On Duty" to contact the on call pediatrician.
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 Peds Reference Phone Numbers List.
For any toxic-appearing or critically ill children, please contact 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.
There are lots of TB cases in the Delta. For any TB questions, and for assistance with any active TB cases, contact one of our physicians who has special training [Dr. Bowerman (inpatient); Dr. Tyree, Dr. Johnson, and Dr. Roll (outpatient); Dr. Chyi and Dr. Fisher (pediatrics)].
Upper lobe infiltrates in adults should prompt contacting a TB expert.
Negative pressure rooms are available in Yukon and Delta clinics for any suspected active TB cases. Please refer to LTBI and Active TB Guidelines for assistance.
If none of these local providers are available you can contact Dr. Michael Cooper, MD, MS Section of Epidemiology Tel: 907-269-8000 Fax: 907-563-7868 Email: firstname.lastname@example.org
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.
External Consult Services
- (*97) 800 478-6661.
- 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
- Peds - Peds Surgery, Peds Urology, Peds Endocrinology
UCSF HIV Consultation on line Website with helpful information on HIV and contact information for more assistance.
Warm Line (800) 933-3413 M-F 9 a.m.– 8 p.m. EST. 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.
MEDCON is a 24/7, toll-free phone line to UW Medicine experts in oncology, cardiology, OB/GYN, infectious disease, neurology and other specialties. 800 326-5300
Call ANMC (*97) 800 478-6661 and ask for Pathology Department
Call ANMC (*97) 800 478-6661 and ask for Dr Piromalli Telemedicine/AFCHAN
Seattle Children’s Hospital
206 987-7777 (ask for doctors consult line)
There is a published calendar of who is on call posted in all the units. The radiologists live in Ohio, which is 4 hours ahead. Only call them after hours if it is urgent to avoid burning them out. Speed dials are: Warren (*54) Voss (*94) Vanderburgh (*95)
Francis Curry National TB Center Warm Line (877) 390-6682
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