Reply To: Outpatient Urgent Visits

  • Kristen Coleman

    Member
    August 26, 2014 at 5:19 pm

    We do not have a formal policy stating our hours for emergency visits to our clinic, but all emergent visits that occur between 8-4pm will come to our clinic. If the patient comes in by ambulance they are required to go to the emergency department instead of clinic. Anything outside of 8-4pm we send to the emergency department. Those hours are also our only limit on time. We bring patients in whenever they need it and deal with staffing/space issues as they come up.

    We do have a standing order policy in place for how to treat the urgent F/N or hematology fever add-on which allows the nurse to start interventions without a provider present. I can only think of a handful of times when we have needed this, but the nurses were covered with starting a NS bolus and drawing cultures on a patient who showed up before 8am. 

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    Kristen Cox
    Denver, CO
    United States
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    Original Message:
    Sent: 08-25-2014 01:04 PM
    From: Jillian Orlando
    Subject: Outpatient Urgent Visits

    This message has been cross posted to the following Discussions: Nurse Educators and Outpatient Staff Clinic Issues .
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    Hello,

    We are trying to standardize a policy in which we can better accomdate urgent and emergency visits in our Heme Onc Outpatient clinics. Does anyone have policies around handling unexpected add-on and emergency visits such as Fever/Neutropenia, Bleeding, etc. Do these include guidelines for type of emergency visit and timing to clinic?

    Thank you,
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    Jillian Orlando
    Branford, CT
    United States
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