Appointment Guidelines

Transcription

1 Abdominal Pain Buchanan, Decleve, Malloy, Schute, *D. Accutane PC Visit PC Lamotte No No No 20 Acne PC Visit PC All All No No 20 * DL can do the initial/follow up education visit IM her & she will contact the student to make an appointment ADHD Day PC, UC Buchanan, Decleve, Hughes, Malloy, Schute No No No Direct students to the web for the SHC Evaluation & Treatment of ADHD guidelines [HC 621]. If okayed by psych. To make an 20 appointment Use Rx Refill as the reason code. This is for Dx of Allergies not to be confused with Allergy Allergies Shots. See "Allergy Clinic Information Sheet" for process & requirements [HC 761]. Advise student to fill out their online questionnaire via the Allergy Shot Initial Allergy Shot Initial AIT No No RN No 30 Student Health Communicator. See "Allergy Clinic Information Sheet" for process & requirements [HC 761]. * 30min appt. if restart (pt. not seen here before or has not Allergy Shots Cont.* Allergy Shot Cont. AIT No No RN No 15 been here for more than 2 months) If referred from CAPS please see Daily Process of CAPS referrals & Anxiety forward to Medical Records. Asthma Asymptomatic STI/STD Audio Back Pain Blood in Stool RN's preferred for this type of appointment. RN=15min, PC=20min. Nurse, AIT AIT, PC Please advise student to fill out the STD Testing Assessment via the Student Health Center website. Also offer the Self Directed lab, PC Visit All All RN No 15/20 testing and SHOP as options. Nurse, AIT AIT No No Yes Yes* 20 BP Check Breathing problem Chest pain CAPS Referral Nurse, AIT, PC Visit AIT, PC All All RN No 15/20 If for hormone contraception please refer to the contraception appointment guidelines. RN=15min, PC=20min F/U visit without acute symptoms can be scheduled as an appointment. Acute sx's direct to UC. F/U visit without acute symptoms can be scheduled as an appointment. Acute sx's direct to UC. Ask for paper referral which goes either to Medical Records or on the red out-guide. See Daily Process of CAPS Referrals.

2 Constipation Consultation PC Visit PC All All No No 20 Use this for any consults and in comments indicate what the consults is for, IUD and Colpo. Refer to Clinician Schedule Guide. Do NOT use for gen Px. Also put the referring clinicians name in the comments COPE COPE- AIT, COPE-Nursing See Contraception Appointment Guidelines. Please advise student to review Contraceptive Options via the Student Health Center website. Please advise student to fill out online questionnaire via the student health communicator as it will expedite their appointment. AIT, PC No No RN No If they have been waiting ( on the wait list) for an appointment greater 30 than 2 weeks please schedule with PC. Depo Depression Student must have annual of less than 1 year and order for DEPO by a clinician either from the SHC or documentation of annual with pap and order of DEPO. If student has had an annual but no order for DEPO make a Change of Birth Control. If everything is from the outside, we must have all documentation of annual, with pap, order for Nurse, AIT AIT, RN All All RN No DEPO and date of last shot. In the, Immunization and 15 under Additional type in DEPO. See Depo Calendar. Diabetes Diabetes-Follow-up PC All Monihan No No Please advise student to fill out online questionnaire via the student health communicator as it will expedite their appointment. Only have established Judy Monihan Diabetic patients fill out 40 questionnaire. Diabetes - Initial Diabetes-Initial PC All Monihan No No Please advise student to fill out online questionnaire via the student health communicator as it will expedite their appointment. Only have established Judy Monihan Diabetic patients fill out 40 questionnaire. Diarrhea Day PC All All No No 20 Dressing Change Nurse, AIT, PC Visit AIT, PC No No Yes No 15 Nurse, AIT AIT, Ear Lavage MA No No MA, LVN, RNYes 30 MA's require a clinician order. Ear Problem Eczema PC Visit PC All All No No 20

3 ED-Follow-up* ED- Follow-Up* PC Buchanan, Hughes, Hyde, Kolar, Malloy, Monihan, Schute No No No 40 *Refer to Clinician Guidelines for ED Team. Be sure to put "307" in the comments. IM Beth Hyde if appointment is cancelled. Buchanan, Hughes, ED-Initial* ED- Initial Visit* PC Hyde, Kolar, Malloy, Monihan, Schute No No No *Refer to Clinician Guidelines for ED Team. Be sure to put "307" in 40 the comments. IM Beth Hyde if appointment is cancelled. *Check problem list. Be sure to put "307" in the comments. IM Beth Yes ED-Vitals* PC Visit PC/RN No No No 20 Hyde if appointment is cancelled EKG Nurse, AIT AIT No No Yes Yes 20 Eye Problem Fatigue Day PC All All No No 20 Fever *State reason in comments, if not provided write "personal" also note blue slips and MD who referred. If a F/U from the ER be sure to get Follow-up* PC Priority/ Followup PC All All No No records a.s.a.p. & make comment in the appointment notes that 20 records have been requested. Hand/Finger pain Headache Health Clearance * Travel 30 AIT All All RN No 20/30 Paper Work Only * See Health Clearance Guidelines. Travel =30 PC, Follow-up to initial contraception appointment. Please consult Hormonal Recheck PC Visit, Nurse, AIT AIT All All No No 20 Contraception Appointment guidelines under Women's Health. Immunization AIT should be the primary choice when scheduling. Refer to the AIT, Nurse AIT, RN No No Yes Yes AIT/RN/MA Guidelines. Note immunization types in comments. 15 MA's require clinician orders. Integrative Medicine Integrative Medicine PC Hughes No No No Must have referral. Be sure to tell the patient to bring all meds, herbs & 40 supplements they are taking with them. Nurse, AIT Examples of Medications are: testosterone, avanex, B12 - not to be Injection Medication AIT, RN No No RN No 15 confused with Depo, allergy shots, immunizations etc... Ankle/foot Hand/wrist Head/neck Knee/leg Day PC,UC All All No No 20

4 Shoulder/arm Joint Pain Knee Problem Laceration/abrasion Mole Ck PC Visit PC MD Only No No No 20 Nausea/Vomiting Nutrition: Consult Nutrition Visit Nu Nancy Jackson No No No 45 If initial appoint ask them to bring a 1 week food journal. Nutrition: Gastric Disease Nutrition Visit Nu Nancy Jackson No No No 45 Nutrition: Weight Management Nutrition Visit Nu Nancy Jackson No No No 45 Nutrition: ED Nutrition Visit Nu Nancy Jackson No No No 45 IM Beth Hyde if appointment is cancelled Nutrition: Diabetes Nutrition Visit Nu Nancy Jackson No No No 45 Nutrition: Cholesterol Nutrition Visit Nu Nancy Jackson No No No 45 Pregnancy Test UC Same Day PC All All No No 20 May have a follow up with an RN or AIT Procedure PC Procedure PC See Clinician Guide No No No 40 Indicate in comments what type of procedure you are scheduling PX Athletic PC Visit PC All All No No 20 PX Clearance PC Visit PC All All No No 20 PX DMV PC Visit PC All All No No 20 PX General PC Visit PC All All No No 20 May need RN visit first to order required labs and diagnostic tests, e.g. Antarctica and Fulbright scholarship. Ask if they have their paperwork filled out? Remind patient to bring in their paperwork. If the patient is an employee of UCSC remind them to have the Recharge Form sent to billing (Teresa Dunn) prior to appointment. PX Diving [SCUBA] PC Visit PC All All No No Specify in comments "Scientific" vs. "Recreational". See Diving [Scuba] guidelines. If the patient is an employee of UCSC remind them to have 20 the Recharge Form sent to billing (Teresa Dunn) prior to appointment. Rash Rx Refill Note in comments what medication. Also ask if they have already UC Same Day, PC Visit UC, PC All All Yes No checked in the pharmacy to see if they have refills available. If 20 ADHD meds refer to ADHD Guidelines and put ADHD in comments.

5 Skin lesion Spirometry Spirometry AIT No No No STD SYMPTOMS STD-Results Suture Removal* Swollen Glands Dave only 30 PC Visit, Nurse PC, RN All All Yes No 15/20 AM appointments only. Screening Spiros only (SCUBA) all others are referred out. If negative results are given via the student health communicator. If positive or of concern it is addressed by clinician. Nurse, AIT AIT No No Yes No * prefer records of Tx if sutures where not placed at UCSC. If a F/U 15 from the ER be sure to get records a.s.a.p. & make comment in the PC Visit, PC Same TB-read UC Same Day UC No No Yes No hours after placement. No longer scheduled as apt. Pt. can walk in and be seen in Triage between 9 and 11 a.m. TB-test TB-Nursing, TB-AIT AIT, RN No No Yes Yes 15 TG - M to F TG - F to M TG - Follow Up PC See Clinician Guide No No No 20 Be aware of preferred Name TG - M to F TG - F to M TG - Initial PC See Clinician Guide No No No 40 Be aware of preferred Name Travel (EAP)* Travel 15, Travel 30 AIT No No RN No 30 Travel (Non-EAP)* Travel 15, Travel 30 AIT No No RN No 30 Only if no AIT apt. Monday, Tuesday, Wednesday & Friday ONLY! If an employee of UCSC or CAL Teach remind them to have their Recharge Form sent to Billing (Teresa Dunn) prior to appointment. Also note in comments the program they are with (Cal Tech). Please advise student to fill out online questionnaire via the Student health Communicator prior to appointment as it will expedite their visit. MA's need clinician orders. Can NOT make an EAP appointment unless the online EAP Health History has been reviewed by an RN & a plan has been made via secure messaging. * Ask them to bring immunization records. Include country in comments. Be sure to check Open Chart for EAP plan. Please advise student to fill out online questionnaire via the Student health Communicator prior to appointment as it will expedite their visit. Inform the patient that they may need to return for additional appointments. * Ask them to bring immunization records. Include country in comments. Students must fill out online questionnaire via the Student health Communicator prior to appointment as it will expedite their visit. If F/U note in comments & they are NOT required to fill out the questionnaire. Inform the patient that they may need to return for additional appointments.

6 URI Urinary Symptoms Wart tx PC Visit PC All All No No 20 Will likely be genital procedure Wart tx Wart Treatment AIT All All RN No If no Dx RN will consult with time of appointment. NON 30 Genital only Weight Concerns PC Visit PC All All No No 20 Well Women Exam. Under 21 PC WH Annual ExamPC Well Women Exam 21+ PC WH Annual ExamPC Female clinicians preferred; All MDs by request only. All No No 20 Not back-to-back. Please see W/H Guidelines. Limit of 4 per day. Female clinicians preferred; All MDs by request only. All No No 20 Not back-to-back. Please see W/H Guidelines. Limit of 4 per day. WH -BC change PC Visit PC All All No No Ask of they had a pap within the last year. If yes, we would like a copy, request records make a note in comments & schedule appointment. If never on BC, they can have COPE apt to get started on BC- see COPE 20 instructions above. Must have had Colpo consult visit with one of our clinicians 1st. Any Colpo cancellation required an IM to Beth Hyde for follow-up. In comments specify COLPO(Due to equipment constraints - no more than 2 colpo's per 4/hr. shift - unless extenuating circumstances). Schedule F/U in 2 weeks at the same time the Procedure is WH-COLPO WH GYN Procedure PC Schute, Jackson No No No 40 scheduled. WH-Diaphragm Fitting PC Visit PC See Clinician Guide No No No 20 WH-IUD Insert WH GYN Procedure PC Schute, Jackson, Knutdso No No No Must have consult before scheduling insert appointment. Schedule appointment after 9:0 to allow for pregnancy lab to be done the 40 morning of visit. WH-Procedure WH GYN Procedure PC Schute, Jackson No No No 40 Examples: Endometrial Bx, IUD Removal (20 min.) WH-SYMPTOMS Vaginal discharge, female low abdominal/pelvic pain Wound check Day PC, UC All All Yes* No 20 *RN/LVN as long as patient has been evaluated by SHC clinician Worker's Comp. UC Same Day UC All No No No 20 See guidelines worker's comp. Wrist pain Notes: 1. When making Nurse or AIT apt: Only use drop-down reason code menu for visit type. Other info/comments like type of immunization, etc. should be added in the "additional" field 2. MA apt can be used for TB placement, Non-acute EKGs, Audiometry, Ear Lavage. There needs to be a clinician order for any procedure scheduled with an MA. In general, MA apt should be "clearance" vs. "diagnostic". An example of this would be an EKG for SCUBA clearance vs. to r/o chest pain. 3. Priority follow-up appointments are made only under clinician/manager direction or for general use, 24 hours before appointment time. Please see Appointment Scheduling Guidelines Quick Reference.

7 4. Rx Refills: If patient is requesting an Rx refill and says they are out of medication, please send the patient to the pharmacy. The pharmacy staff will assess the situation, request refills if appropriate, and may authorize an emergency fill for a limited amount of chronic medication (such as contraceptives and asthma medications). Exceptions include medications that are controlled substances or antibiotics etc., or if we have not seen the patient for this medication. In those cases, the patients are routed to the triage nurse. 5. Routine screening physicals, annuals: start with mid-levels. Save MD's for "specialties" 6. Continuity: Try to schedule patients with ongoing condition with same clinician they have been seeing for the condition. 7. Notify Beth Hyde via IM of all ED, Colpo Consult & Colpo Appointment Cancellations 8. STUDENTS MUST HAVE ALREADY LOGGED IN AND KNOW THEIR LOG-IN! IF STUDENTS ARE DOING THEIR INITIAL LOG-IN, THEY WILL NOT BE ABLE TO COMPLETE THE QUESTIONNAIRE, SO IT IS IMPERATIVE THAT YOU ADVISE THEM WHEN MAKING THE APPOINTMENT TO LOG-ON AND COMPLETE BEFORE THEIR APPOINTMENT 's with private insurance. If students choose not to make an appointment, ask if we could have Beth Hyde call them, to help facilitate outside of UCSC. Please IM her with the information.