FINAL Global Module 10-11.pdf - AaronsWorld.com

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REFERRALS Patient Referral To BCNH Clinicians should show appreciation to physicians who refer patients to BCNH with typed thank you letters after the FOC. When the referred patient has completed several visits (3) or after pertinent diagnostic or therapeutic outcomes are achieved, the clinician then should send another letter to the referring physician, summarizing the patient’s visit and/or treatments to date. All correspondence must be approved and signed by the supervisor. Patient Referral Outside BCNH To refer a patient to a provider outside of BCNH, a typewritten letter must be completed by the primary or secondary student clinician. This letter should follow the standards of a professional referral letter including the patient’s identifying information, the presenting complaint and other relevant subjective information, any objective findings, the assessment or rule-outs (differential diagnosis, depending on the scope of the supervising clinical faculty member), the reason for the referral, and what treatments, tests or diagnostic procedures are to be performed (again within the scope of the referring supervisor). The letter should indicate whether or not the recipient provider should institute treatment as he or she sees appropriate, or whether he or she should consult with the referring supervisor first. This letter must be signed by the referring provider. It must be photocopied, with the copy placed in the chart. The original is sent with the patient to be hand delivered or is mailed. Templates and sample letters are in the appendix of this module or are available from your supervisor. Intra-clinic Referrals Student clinicians are encouraged to consider referrals to other departments within the clinic. All such referrals require an intra-clinic referral letter (see templates and examples in the appendix of this handbook), completed and signed by the supervisor. The clinicians / supervisor teams are encouraged to write treatment summary notes at the conclusion of their evaluation or treatment to the referring supervisor and clinicians. 24
III. SAFETY, ACCIDENTS, AND EMERGENCIES SAFETY Everyone in the clinic is required to follow the guidelines for universal precautions against infectious diseases, safety standards, and sterile technique standards. Please review these guidelines. HAND WASHING AND DISINFECTION All students and supervisors are required to wash their hands with soap and warm water for 20 seconds then rinsing thoroughly and drying the hands before and after every patient visit, before and after performing PE, and any clean or sterile procedure. Disinfection of surfaces (exam tables, equipment, sink and countertops, lamps, etc.) must be performed between each patient and at the end of shift. Refer to infection control manual located in the lab for details. Chemical hand sanitizing stations are located throughout the clinic for use when water is not available. BLOOD BORNE PREVENTION PROCEDURE o Wipe all working surfaces down with germicide before and after working with (or possible exposure to) blood, body fluids or tissues (urine, vaginal fluids, semen, stool, etc). o Wear a ¾ length buttoned lab coat when in the acupuncture clinic, or handling or testing blood or body fluids (even a urine dipstick or vaginal wet prep). o Dispose of ALL SHARPS (lancet, vacutainer needles, syringes, etc.) in a puncture resistant SHARPS container. o Make sure you have EVERYTHING you need (bandaids, gauze, alcohol, Sharps container, tourniquet, needle, holder, acupuncture needles etc.) in front of you before starting venipuncture or other invasive procedure. o NEVER be more than an arm’s length away from a SHARPS container when using any kind of sharp (needle, lancet, acupuncture needle etc.). o NEVER walk or turn with an acupuncture needle, syringe or other sharp in your hand. o NEVER (under any circumstance), recap the needle on a syringe or reinsert an acupuncture needle into an insertion tube after using it. Even one handed recap is strictly forbidden. o NEVER unscrew needle from hub of syringe or vacutainer holder. If it is stuck, throw out entire apparatus. (average cost is $1.00) o All non-sharp biohazard items (items exposed to blood or body fluids like urine dipsticks or bloody gauze) are thrown away in BIOHAZARD (red) BAG, not sharps containers. o NEVER put or stuff anything into already full sharps container. o When Biohazard bag or Sharps container is ¾ full, close it, tape it shut and dispose of appropriately. o When in doubt about any of these procedures, ask your supervisor. 25
Page 1: TABLE OF CONTENTS TABLE OF CONTENTS
Page 4 and 5: II. CLINIC SHIFT POLICIES AND PROCE
Page 6 and 7: DRESS, HYGIENE, AND APPEARANCE REQU
Page 8 and 9: Integrated care shift - This shift
Page 10 and 11: Students will receive a grade of AC
Page 12 and 13: GRADING AND STUDENT PERFORMANCE Cli
Page 14 and 15: If students wish to file a grievanc
Page 16 and 17: o Violation of the Bastyr Center fo
Page 18 and 19: CLINICIAN RESPONSIBILITIES - PRIMAR
Page 20 and 21: CLINICIAN RESPONSIBILITIES - SECOND
Page 22 and 23: DOCUMENTATION GUIDELINES (DG) Basty
Page 26 and 27: NEEDLES NEEDLE STICK OR EXPOSURE IN
Page 28 and 29: IN CASE OF A SENTINEL EVENT A senti
Page 30 and 31: SUICIDAL/HOMICIDAL PATIENT PROCEDUR
Page 32 and 33: EMERGENCY PROCEDURE PROTOCOL FLOW S
Page 34 and 35: o The nature of the incident. o The
Page 36 and 37: o The student services office. o Th
Page 38 and 39: *Names of Bastyr clinicians and fac
Page 40 and 41: Patient Access Clinicians may not g
Page 42 and 43: MEDICAL RECORDS The medical records
Page 44 and 45: Faculty providers frequently receiv
Page 46 and 47: Check the form for completeness. Ha
Page 48 and 49: Exceptions Below is a list of the e
Page 50 and 51: GRIEVANCE/COMPLAINT POLICIY V. MISC
Page 52 and 53: CLINIC CLOSING TIME In general, the
Page 54 and 55: VI. APPENDICES I. CLINIC CONTRACT I
Page 56 and 57: Appendix 2 Bastyr University Health
Page 58 and 59: Appendix 4 MEDICAL ABBREVIATIONS Th
Page 60 and 61: GB gallbladder GC gonorrhea GH grow
Page 62 and 63: q (spell out) qam qd qh q2h qid qpm
Page 64 and 65: Appendix 5 PATIENT CO-MANAGEMENT: T
Page 66 and 67: Today’s Date Dr. Primary Care Doc
Page 68 and 69: Today’s Date Doctor Name Doctor A
Page 70 and 71: Impression: I am concerned about th
Page 72 and 73: CLINIC PHONE DIRECTORY Bastyr Cente
Page 74 and 75:
AOM Clinical Faculty: Terry Courtne
Page 76:
ND Residents: Jessica Bean, ND 1st
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