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Outpatient Department (OPD)
• 4th Floor
• Primary Care East (resident clinic)
• 5th Floor – 5p1• Nephrology
• Rheumatology
• GI/Liver/Hepatitis
Rand Schrader Clinic 5p21
• ID Clinic
Clinic Tower (CT)
• 2nd Floor• Oncology (A2C)
• 4th Floor• Cardiology (A4A)
• Hematology (A4A)
• Endocrine (A4B)
• Neuro/Epilepsy (A4A)
• Pulmonary/Chest (A4B)
Outpatient Clinic Locations
AM Clinic (8am – 12pm) or PM Clinic (1pm – 5pm)
• Team huddle prior to clinic starting• To review staffing, patient load, and give updates
• Patient loads• PGY1: 5 patients
• PGY2: 6 patients
• PGY3: 7 patients
Primary Care Clinic
Subspecialty Clinics
• Professional attire (men must wear a tie for Tuesday Oncology clinic)
• See no more than 5 clinic patients in a half day
• NOT responsible for ordering labs/images/placing e-consults
Monday Tuesday Wednesday Thursday Friday
8 AM GI/Liver (Hepatitis)Onc (Breast)ID – 8:30 AMNeuro – 9 AM
Onc (GI)Rheum
GI Onc (Misc)Endo – 9 AMID – 8:30 AMNeuro – 9 AM
Endo (Thyroid)Onc (GU, Lung)
LiverID – 8:30 AMEndo
1 PM CardsOnc (Breast)Rheum
RenalHeme (Malignant)
CardsPulm
RenalHeme (Benign)
ID
Call for patient, HPI, exam, med-reconciliation
Write note while seeing patient
Present to attending
Discuss plan with patient
Complete orders, prescriptions
Discharge patient from clinic
General Outpatient Workflow
• Dial 0 or 93600 from any line• New clinic rooms will all have phones
• Dedicated translator phones (ask your CMA)
• VOIPs
• Check your patient list prior to clinic to determine translation needs
Clinic Translation Services
Report to: Procedure clinic in UCC/CCC (Clinic Tower 2nd floor) @ 8 AM
8 – 12pm: Outpatient clinic procedures
1 – 4pm: Inpatient procedures
Procedure Week
Subspecialties
Cardiology
Endocrine/Diabetes
Gastroenterology
Hematology
Hepatology
Hepatitis C Treatment
HIV
Infectious Diseases
Mental Health
Nephrology
Neurology
Oncology
Rheumatology
Allergy/Immunology
Pulmonary/Chest
eConsult
OtherGynecology/Gynecology OncologyObstetricsOphthalmology/OptometryDermatologyRadiation OncologySleep MedicineGeneticsPathologyPhysical Medicine and Rehabilitation
Surgical servicesCardiothoracicBariatricNeurosurgeryOrthopedicsOtolaryngologyBreastHepatobiliary/ForegutOncology/EndocrineOral and MaxillofacialVascularUrologyColorectalGeneral
AncillaryAddictionAudiologyPhysical TherapyNutritionOccupational TherapyRancho Los Amigos PT/OT RehabPainPodiatrySpeech Therapy
• To avoid delays, include a thorough review of the case and clearly document the reason that you are placing the eConsult• Refer to imaging or studies that have been performed to justify the referral; specialists can refer to
Orchid for the specific image or study result but including laboratory values in your consult can be helpful to the consultant
• Always follow up on eConsult responses
• Search for previous eConsults before placing your request to avoid duplicate referrals
eConsult Etiquette
• Physical or Occupational Therapy• Orchid order: “Physical Therapy or Occupational Therapy Outpatient Eval”
• Include a description of the problem and reason for referral
• Social Work • Orchid order: Specialty Request to Social Work
• SW is present in clinic and can see urgent cases depending on availability
• Diabetes TeleRetinal Screening• Orchid order: “Specialty Request to Diabetes TeleRetinal Screen”
• Communication order to your CMA for scheduling
• Wellness Center • Separate colored flyer in clinic
• Open to all local residents without computer referral
• Nutrition
• Audiology
eConsult Exceptions