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We have one clinical space with infusion chairs one end and exam rooms on the other end and then 6 isolation rooms for our BMT population. Post-BMT patients are scheduled to a room by our general schedulers although we are considering moving to a disease based schedule model. The rooms are booked in short (2) or long (6) durations depending on whether or not the patient is coming for Labs/exam or labs/exam/infusion. 8am – 10am slots are reserved for patients needing a timed CSA level. Ideally our autos are seen at 11 or 2 unless we think they will need an infusion. Once patients no longer need a timed CSA level they move to later time slots, which is always an adjustment for families so it doesn’t always go smoothly. It is not a perfect system and COVID has added a whole layer because we are so tight on isolation rooms. Hope this helps. Barb
—————————— Barbara Cuccovia, BMTCN,CPON,MSN,RN Brighton, MA United States —————————— ——————————————- Original Message: Sent: 10-02-2020 02:45 PM From: Jack Constant Subject: Outpatient Scheduling Recommendations
The outpatient PBMT clinical setting creates unique challenges when creating a schedule for patients coming to clinic. These challenges occur when seeing multiple kinds of patients in the same setting: recently discharged patients that still require medical attention and hands on care, performing pre-transplant work-ups, and attending to long term follow-ups.
With these challenges in mind, how do other facilities and ambulatory clinics schedule their outpatient visits? Do patients have discrete appointment times that are adhered to strictly, or are there windows of time in which patients can arrive? Who schedules their appointments and how does this get communicated to patients? Overall, I’m looking to hear how work flow occurs in BMT clinics with regards to scheduling. Thanks!
—————————— Jack Constant, BSN, RN, CPN Durham, NC United States ——————————