Tiger Connect

From Guide to YKHC Medical Practices

Overview

Tiger Connect has replaced pagers at YKHC. It is automatically installed on your PowerChart/FirstNet desktop and you should also install this on your regular desktop. It can be installed on your personal phone as well.

Tiger Connect allows you to text within YKHC and to ANMC. You can text individuals as well as groups. Roles may be assigned as well and as providers go on/off duty, they will transfer the ‘role’ to the subsequent provider.

Roles

Roles may be assigned as well. As providers in these roles go on/off duty, they will transfer the ‘role’ to the on coming provider.

COVID

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
COVID-19 Response Team 24 hours a day, any day
PPE COVID-19 to communicate need for PPE if not available from department stock 24 hours a day, any day
Scheduling COVID-19

EMERGENCY SERVICES

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
Administrator on-call To request approval for YK pay for patients who do not meet preapproved criteria. (On nights and weekends, you can use the RMT or ED doctor’s name for urgent travel.) 24 hours a day, any day
CHAP on Call
Child Abuse on Call 24 hours a day, any day
Clinical Director on-call For CD on call issues, and, if you are a hospitalist, to call in sick 24 hours a day, any day
Clinician Ethicist on-call 24 hours a day, any day
ED Charge Nurse On Duty 24 hours a day, any day
ED doctor on duty To communicate about a patient for whom a medevac is already activated. (Usually better to just call the main ED number and ask to speak to the ED doc). To communicate about a patient who needs to be transferred to the ED, NOT EMERGENCY RMT (unless patient is already being medevac’d) 24 hours a day, any day
ER Pharmacist to answer questions from the ER about prescriptions 9am-10pm, Monday-Friday (except holidays)
Ethics Committee On Call 24 hours a day, any day
OB High Risk On Call HROB To communicate about patients with pregnancy-related complications. 24 hours a day, any day
OR CRNA On Call for help with difficult airway or intubation OR general anesthesia needs with C-section or other emergency procedures, part of OR STAT C-section group 24 hours a day, any day
OR Charge Nurse On Call to schedule an OR case after discussing it with anesthesia 24 hours a day, any day
OR Circulating Nurse On Call texted as part of OR STAT C-section group 24 hours a day, any day
OR Scrub Tech On Call texted as part of OR STAT C-section group 24 hours a day, any day
Psych Inpt On Site (not for patients)
SART Adult On Call 24 hours a day, any day
SART Peds On Call 24 hours a day, any day

IT DEPARTMENT

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
IT Manager On Call Use if you can’t get a hold of a tech via x6070 or TigerConnect, or if you need to escalate 8am-8pm
IT Network on Call For internal use only
IT RAVEN On Call Use if it is not practical to call and you know it’s a RAVEN issue. 8am-8pm
IT Service Desk On Call x6070 Providers should use when it is too urgent for a ticket but not convenient to stay on the line with a tech. (e.g. when they are with a patient) 8am to 8pm

LONG TERM CARE (LTC)

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
LTC (Elders Home) Doc The physician that staff at LTC should contact when they have medical questions about a LTC resident
LTC Pharmacy On Call The pharmacist that staff at LTC should contact when they have medication questions (including needing refills of PRN medications and questions about items on the MAR) 9am-10pm, every day

NURSE ROLES

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
Charge Nurse A/B/C Any questions about a patient being seen in OPC. Patients who need to be seen via nurse only clinic. Pharmacy TT to see which tube station to send meds to. 8am-5pm, Monday-Friday (except Holidays)
ED Charge Nurse On Duty 24 hours a day, any day
NW Charge Nurse On Duty 24 hours a day, any day
OB Charge Nurse On Duty For the providers to alert the charge nurse of patients that are on their way to the unit( from village or clinic), or to ask questions of the charge nurse on duty 24 hours a day, any day
RN CM On Call-Peds
RN CM On Call - Family Med
RN CM on Call - WH to contact Women's Health Case Manager on duty

OPERATING ROOM (OR)

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
OR CRNA On Call for help with difficult airway or intubation OR general anesthesia needs with C-section or other emergency procedures, part of OR STAT C-section group 24 hours a day, any day
OR Charge Nurse On Call to schedule an OR case after discussing it with anesthesia 24 hours a day, any day
OR Circulating Nurse On Call texted as part of OR STAT C-section group 24 hours a day, any day
OR Scrub Tech On Call texted as part of OR STAT C-section group 24 hours a day, any day

PHARMACY ROLES

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
BH Pharmacy On Call The pharmacist that staff at our BH residential facilities should contact when they have medication questions 9am to 10pm, every day
Clinic A/B/C Pharmacist to contact the clinic pharmacists that are located in Clinic A, Clinic B, and Clinic C teamrooms. see Clinic Pharmacist for more details Monday-Friday 8:30am-5:30pm (except holidays)
ER Pharmacist to answer questions from the ER about prescriptions 9am-10pm, Monday-Friday (except holidays)
Inpatient Pharmacy On Call to communicate about admitted patients, as well as ER and outpatient patients who need medication from the inpatient pharmacy. There may be some overlap between this role and the ER pharmacist role due to the fact that there is some overlap with regards to where in the building a medication comes from. If it’s an IV medication, the Inpatient Pharmacy on call will generally be the one to contact and if it’s an oral medication the ER pharmacist would be the right person. But don’t worry about that too much, the pharmacy staff will get you in touch with the right person. see Inpatient Pharmacist for more details 24 hours a day, any day
LTC Pharmacy On Call The pharmacist that staff at LTC should contact when they have medication questions (including needing refills of PRN medications and questions about items on the MAR) 9am-10pm, every day
Outpatient Pharmacy 1 and 2 The pharmacists logged into these roles are the data entry pharmacists. They can be used to communicate with pharmacy staff regarding prescriptions that have been written, will be written, or to ask pharmacy related questions. see Outpatient Pharmacist for more details. 8:30am-7:30pm, Monday-Friday (except holidays)
Village Ops Pharmacist for pharmacy questions when doing village travel by CHAs, SRC providers, and providers. see Village Ops Pharmacist for more details. 8:30am-5:30pm, Monday-Friday (except holidays)

PROVIDER ROLES

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
Audiologist On Call Available Monday-Friday
Dental on Call 24 hours a day, any day
Endoscopist On Duty
ED doctor on duty To communicate about a patient for whom a medevac is already activated. (Usually better to just call the main ED number and ask to speak to the ED doc). To communicate about a patient who needs to be transferred to the ED, NOT EMERGENCY RMT (unless patient is already being medevac’d) 24 hours a day, any day
Family Medicine Resident On Call to contact the Family Medicine Resident 24 hours a day, any day (for scheduled shifts)
Kusko Wards Doctor (Emergency RMT) To communicate to the wards doctor about patients from Kusko Villages, including FOR EMERGENCY RMT.

For SRC providers, emergency consultation with physician.

Every day 8a-6p (even holidays and weekends)
OB High Risk On Call HROB To communicate about patients with pregnancy-related complications. 24 hours a day, any day
Optometry On Call For emergency optometry consults after 5pm weekdays, weekends, and holidays
Peds Wards on Duty To communicate about any chronic pediatric patient (CPP) from any village, to consult for any pediatric patient, to summon a pediatrician for an emergency including attendance at a delivery.

RMT for any chronic pediatrics patient.

24 hours a day, any day
Star Doc on-call If you are the Night Float, use this to call in your back-up doctor for medevacs. 24 hours a day, any day
Yukon Wards Doctor (Emergency RMT) To communicate to the wards doctor about patients from Yukon Villages, including FOR EMERGENCY RMT.

For SRC providers, emergency consultation with physician.

Every day 8a-6p (even holidays and weekends)

SUPPORT SERVICES

NAME OF ROLE WHY TO USE IT WHEN TO USE IT
CT Tech on Duty to communicate any questions regarding CT exams. Also can be used to notify about inbound patients (i.e. ER pending arrivals) but emergent response is probably still best with a phone call (not all staff have TT on their cell phones). 24 hours a day, any day
Halibut Hall Registration
Hostel 24 hours a day, any day
RN CM On Call-Peds
RN CM On Call - Family Med
RN CM on Call - WH to contact Women's Health Case Manager
RN CM on Call for Provider Call Out's
Scheduling Department on Call
Telehealth On Call Support
Travel On Call

Groups & Broadcast Lists

NAME OF GROUP WHY TO USE IT
Trauma Heads Up
  • This is when we have a trauma coming in that allows us to make sure those that are on call to be on alert. You do not need to call back unless you have questions, this one is just an FYI
  • Sender of a heads up message content - needs to enter in basic information, anticipated and ETA. If it gets cancelled please use this notification and “cancel” in message.
  1. Pharmacy
  2. OR CRNA
  3. ED Charge Nurse
  4. ED Doctor
  5. RT
  6. CT Tech
  7. Lab
Trauma Level I Activation (full trauma activation)
  • This would require all those on the list to come to the ER/or other location if different. Please do not call as this takes time away from staff already dealing with an emergent issue.
  • Sender of Trauma level I activation message content – Location, anticipated needs, keep it short and sweet. (you may exclude any one from this list if you are sure you will not need them- example - EX-OR CRNA)
  1. Pharmacy
  2. OR CRNA
  3. ED Charge Nurse
  4. ED Doctor
  5. RT
  6. CT Tech
  7. Lab
Trama level II Activation (modified trauma)
  • Please send, it allows us to verify activation.
  • Sender message – MRN, RM#
  1. ED Doc,
  2. RT
  3. CT Tech
  4. ED Charge Nurse
***Charge nurses will be responsible for making sure the data gets placed in the green folder at the nurses’ station for any Trauma.
OR C-Section
  • To quickly notify staff that would be needed in case of a C-Section
  1. Peds Wards On Duty
  2. OR CRNA On Call
  3. OR Circulating Nurse On Call
  4. OR Scrub Tech On Call
  5. RT On Call !!CORRECT!!
  6. OR Charge Nurse on Call

Text Duration

Texts live for 3 days only and then will disappear, so it is not intended for permanent documentation.