Reply To: Outpatient Urgent Visits

  • Maureen Sanders

    Member
    August 27, 2014 at 10:59 am

    Arnold Palmer Hospital is very much the same.
    No ED between 8 and 4 unless parent calls and 911 is needed.
    We try to do everyinthg we can in the clinic and then admit as needed.
    We also have the same type of “standing” orders.

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    Maureen Sanders
    Arnold Palmer Hospital for Children
    Orlando, FL
    United States
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    Original Message:
    Sent: 08-26-2014 05:17 PM
    From: Kristen Cox
    Subject: Outpatient Urgent Visits

    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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