Clinic Call for Residents
Logistics:
·Call is from 5:00 p.m. to 8:00 a.m. Monday evening through Friday morning. No weekend or holiday call for residents.
·Calls will be routed to you through the UW paging operator at 598-6190. They may page you to a 3 digit number or to the paging operator directly.
·Patients referred to you will be followed by health care providers in GIMC or WHCC.
·Mindscape access from home is helpful but not essential at https://violetta3.mcis.washington.edu
More specifics
Communication issues:
·Confirm that the patient is followed in GIMC or WHCC
·Identify yourself as an associate of the patient’s PCP
·Elicit a history, especially current medications and allergies if prescribing new medications
·Your job is to triage the patient to appropriate care, not to diagnose them. They can be referred to the ER, urgent visit in clinic the following day, routine follow-up, or given reassurance.
·Confirm that the patient understands and agrees with your plan of action.
Communication skills for telephone call
Documentation:
·Use the "Web Call Form" to send email to the on-call attending, the patient’s attending, the appropriate nurse, the Ambulatory Care chief resident. If the nurse needs to follow-up with the patient, state that in the email specifically.
·Dictate a note "stat" (code: 99) at 685-0186 for any encounter in which significant advice was given, prescriptions were dispensed, patients were referred for further care. Dictating a note for a telephone call is the only reliable and accessible way to document that the encounter occurred.
Documentation of telephone calls
Questions or concerns:
·You always have a back-up attending.
Any questions or concerns should be discussed with the attending.
The home phone numbers, office numbers, email addresses, pager numbers are available in the information packet with the cell phone.
You can always page the attending through the paging operator at 598-6190.
More information:
Information about prescribing narcotics