Category:Consults

From Guide to YKHC Medical Practices

Revision as of 23:05, 13 February 2019 by JenniferH (talk | contribs)

Internal (Bethel) Consult Services

Breast Feeding

We have one lactation consultant in clinic (Dr. Roll), one in OB, and a WIC Peer Lactation Educator.

Dental

There is a dentist on call and available 24/7 for consultation and help managing a complex or concerning dental patients. The ER has a list of dentists and their cell numbers. If there is not an up to date call schedule then feel free to call each cell until you reach the first available dentist.

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.

HIV

Dr. Hunt and Dr. Roll are our local HIV experts. Contact them with any questions about HIV. If these providers are not available you can contact Alaska State Epidemiology Section on HIV, Tel: 907-269-8000 Fax: 907-563-0453.

Optometry

There is an optometrist available 24/7 for consultation and help managing a complex or concerning eye patients. The ER has a list of optometrists and their cell numbers. If there is not an up to date call schedule then feel free to call each cell until you reach the first available optometrist.

Pediatrics

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.

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.

TB

We have a large amount of TB here. For questions on diagnosis and treatment, contact one of our physicians who has special training in it—Dr. Ron Bowerman, Inpatient; Dr. Roll, Kusko; and Drs. Chyi and Fisher, Pediatrics. The easiest way is to TigerText them.

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: michael.cooper@alaska.gov

Wound Care

Physical Therapist can provide direction and help with wound care management. Basic abscesses, etc., can be sent to nurse-only clinic in Specialty Clinic for repacking, but with any concerning wounds it is recommended to involve physical therapy.

External Consult Services

ANMC Adult Specialists

(*97) 800 478-6661. IM, Surgery, Ortho, ER, GI, Infectious Disease, Urology, Neurology, Heme-Onc, ENT (adult and peds), Pulmonology/Intensive Care, Cardiology, Rheumatology, Renal Nurse Practitioner for chronic renal failure, Podiatry, Endocrinology

HIV

UCSF HIV Consultation on line

HIV Warm Line

Warm Line (800) 933-3413 M-F 9 a.m.– 8 p.m. EST

MEDCON Seattle

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

Pathology

Call ANMC (*97) 800 478-6661 and ask for Pathology Department

Palliative Care

Call ANMC (*97) 800 478-6661 and ask for Dr Piromalli Telemedicine/AFCHAN

Poison Control

(*98) 800-222-1222

Seattle Children’s Hospital

206 987-7777 (ask for doctors consult line)

Tele-Radiologists YKHC

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)

TB

Francis Curry National TB Center Warm Line (877) 390-6682

This category currently contains no pages or media.