Pattye Anderson, MSN, FNP bc USC C/O 1994 UCLA c/o 2004 CASE PRESENTATIONS Management of After Hours Office Triage Calls Using Qualified Non Physicians & Planning for Extended Locum Staff Pattye Anderson, MSN, FNP bc USC C/O 1994 UCLA c/o 2004
TArgEt audience The overarching goal of after hour triage and locum staffing is to make available the most effective care management to serve patients in a variety of settings, including primary care, obstetrics care, and pediatric settings.
Educational Objectives At the conclusion of this activity participants should be able to: Explain common case scenarios for after hours triage Demonstrate the rationale for utilizing advance practice registered nurses for call management Educate office about compliance & legal risk reduction Provide scenario for short term locum clinician
CASE PRESENTATION 1 STAT Results from Labs Scenario Lab calls answering service Answering service contacts NP & emails encounter NP verifies STAT results, documents and faxes
CASE PRESENTATION 2 NP verifies or corrects prescription Ambiguous Pharmacy Prescription Scenario Pharmacist contacts clinic regarding prescription Answering service contacts NP & emails encounter NP verifies or corrects prescription
CASE PRESENTATION 3 Call from Hospital / OB Patient Unknown Provider Scenario Hospital contacts office for OB Patient with ACOG or Provider Answering service contacts NP & emails encounter NP verifies OB GYN / ACOG
CASE PRESENTATION 4 Adult / Pediatric Patient with symptoms Scenario Answering service screens call, contacts NP & emails encounter NP triages symptoms, follows algorithm, documents encounter, recommends follow up
CASE PRESENTATION 5 Worried Well Call from Caregiver Scenario Answering service screens call, contacts NP & emails encounter NP triages caregiver concerns, follows algorithm, documents encounter, recommends follow up
CASE PRESENTATION 6 Sick Call from Caregiver Scenario Answering service screens call, recommends ER or contacts NP & emails encounter NP triages caregiver concerns, follows algorithm, documents encounter, recommends ER & office follow up
CASE PRESENTATION 7 New Patient / Rescheduling / Missed Appointments Scenario New Patient / Missed Appointment Answering service screens call, recommends calling after clinic reopens per protocol & emails encounter Clinic manager per protocol contacts patient for scheduling.
CASE PRESENTATION 8 Primary Care Clinician (MD / PA / NP) shortage / planned absence Scenario Primary Care Clinician shortage / or planned absence Provide Job Description / Interview / Credential /Negotiate / Sign Confirm Onboarding / Begin Term / End Term