Inpatient Care

Medicine G Inpatient Service at Harborview

Background

The SeniorCare Program was initially conceived in 1976 by the Long Term Comprehensive Care Committee at the University of Washington. In 1979, we began the outpatient clinic portion (now known as Senior Care Clinic) and in 1980 the inpatient program (now known as Medicine G) was started.

1. Overview of the Inpatient Service

    - Physicians in the subspecialty of geriatric medicine with expertise in the care of older adults.
    - Consultations and inpatient care are available for patients aged 65 years and older.
    - We have a special interest in geriatric syndromes such as cognitive impairment, delirium,
      falls/gait instability, frailty, and functional decline.

2. Description of the Inpatient Services
a. GERIATRIC MEDICINE CONSULTATIONS  

    - Patients 65 years of age or older.
    - Patients still in the ICU should be medically stable and extubated.
    - Consultation request should include the name of the attending physician of the requesting
      service and a specific diagnosis or medical issue to be addressed. 
    - If the consultation is for potential transfer to Med G, please state this so we can begin to
      assess the need for transfer in our initial evaluation.

b. GERIATRIC MEDICINE TRANSFERS

    

Patients will be accepted in transfer to Med G Monday through Friday and at the discretion of
the Geriatric Medicine attending. Patients seen by Med G in consultation Friday-Sunday will
be assessed early in the day on Monday for suitability for Med G transfer.

 Patients must meet the following criteria to be considered for transfer:
 - Aged 65 years or older.
 - Surgical procedures completed. Expectation is that the surgical service will still see
   the patient as needed and will arrange outpatient surgical follow-up prior to the patient’s
   discharge from HMC.- Stable enough for floor (with or without telemetry). Patients coming
   from ICU status  should  have an overnight period of floor status.
 - Expected remaining LOS >48 hours due to ongoing medical issues, which require daily
   monitoring by a physician. Patients stable enough for discharge, or those expected to be
   discharged in <48 hours (to home, assisted living, or SNF), should stay on the primary
   service with Med G consultation.
 - Expectation for some degree of functional recovery (patients with end-stage/terminal illness
   or SNF resident receiving custodial care fall outside of this category).

Whom Do You Contact For Consultation?

    Page the Medicine G resident (Med G pager 540-4337) stating the purpose of the consultation,
    the name of the attending from the service requesting the consultation, and specific question(s)
    to be addressed.

 

 

 

 

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