Allied Health Consults: Difference between revisions

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* if a '''new''' consult is generated, then do collect

* At the HSC I have found that when pts are transferred around the med units staff may reconsult physio D/T the fact that each unit has their own physio person and wants physio to continue,(not all the time) but when this does happen I collect as a new consult.--[[User:PStein|PStein]] 13:45, 2013 January 7 (EST)*** OK I am getting confused I want clarification please. Question One if a pt comes from a ward we are collecting from to another ward we are collecting from (ie S4 to N5) the initial consults were done on S4 ie PT /OT/HC but are continued on N5 (without a new consult form) we were not to enter it on N5 Correct??? Question Two We are now seeing new consult being filled out for example S4 had PT/OT filled out transfered to N5 new forms filled out for PT/OT now we enter these in on S5 Correct? Question 3 Pts coming from ICU have PT/OT/SW consults we don't follow them in ICU or enter them in ICU laptop then they are transferred to S4 these services are still seeing the pt on the ward do we enter them in our ward laptops even if no new consult was filled out? Question 4 we have pts coming from surgical wards we are not collecting on PT/OT/ SW have been following them they are still following them on the wards when they are transferred to a collecting ward. They have no new consult filled out do we collect on these pts?? I know if new consults are filled out we do collect. Now I don't know if consults are being reconsulted just verbally or not due to we were not to discuss this with the allied health team. On our forms at the Vic anyone can fill them out drs nurses ect no signature is needed so it would be tough to figure out who filled it out and if it was a self referral.

* At the HSC I have found that when pts are transferred around the med units staff may reconsult physio D/T the fact that each unit has their own physio person and wants physio to continue,(not all the time) but when this does happen I collect as a new consult.--

[[User:PStein|PStein]] 13:45, 2013 January 7 (EST)*** OK I am getting confused I want clarification please.

#Question One if a pt comes from a ward we are collecting from to another ward we are collecting from (ie S4 to N5) the initial consults were done on S4 ie PT /OT/HC but are continued on N5 (without a new consult form) we were not to enter it on N5 Correct??? YES[[User:LHathout|LHathout]]

#Question Two We are now seeing new consult being filled out for example S4 had PT/OT filled out transfered to N5 new forms filled out for PT/OT now we enter these in on S5 Correct? If it is a continuation or transfer of services no.[[User:LHathout|LHathout]]

#Question 3 Pts coming from ICU have PT/OT/SW consults we don't follow them in ICU or enter them in ICU laptop then they are transferred to S4 these services are still seeing the pt on the ward do we enter them in our ward laptops even if no new consult was filled out? Do not enter a consult for services started in the ICU See Above[[User:LHathout|LHathout]]

#Question 4 we have pts coming from surgical wards we are not collecting on PT/OT/ SW have been following them they are still following them on the wards when they are transferred to a collecting ward. They have no new consult filled out do we collect on these pts?? I know if new consults are filled out we do collect. Now I don't know if consults are being reconsulted just verbally or not due to we were not to discuss this with the allied health team. On our forms at the Vic anyone can fill them out drs nurses ect no signature is needed so it would be tough to figure out who filled it out and if it was a self referral.

All good questions. The intention of the project is to know if Medicine consulted allied health in relation to discharge planning. If a patient come from the ICU PT may continue working to get the patient back to a basic functional baseline on the unit. Which PT provides care (ICU or unit)? How do we know care is transferred? How is this distinguishable from a new self generated PT consult working in preparation for discharge. I don't know if PT differentiates between this type of work (in hospital required PT care such as chest physio versus doing a stair assessment in preparation for discharge). I know that there seems to be inconsistent documentation practices as to how Allied Health consults are handled when a patient moves units. I will ask Linda Pooley what is the normal documentation practice for patients transferred between units and programs.[[User:LHathout|LHathout]]

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We do not have self consults we have team initiated consults where any member of the team can ask for our involvement and we assess the appropriateness of this request. We document this in the right side of the order sheet. Other sites will have other processes.

Each site has different processes re the automatic patients seen or for team initiated, interdisciplinary consults etc.''

=== Care Map generated consults ===

@@ Line 41: / Line 41: @@
 * if a '''new''' consult is generated, then do collect
-* At the HSC I have found that when pts are transferred around the med units staff may reconsult physio D/T the fact that each unit has their own physio person and wants physio to continue,(not all the time) but when this does happen I collect as a new consult.--[[User:PStein|PStein]] 13:45, 2013 January 7 (EST)*** OK I am getting confused  I want clarification please. Question One if a pt comes from a ward we are collecting from to another ward we are collecting from (ie S4 to N5) the initial consults were done on S4 ie PT /OT/HC  but are continued on N5 (without a new consult form) we were not to enter it on N5 Correct???     Question  Two  We are now seeing new consult being filled out for example S4 had PT/OT filled out transfered to N5 new forms filled out for PT/OT now we enter these in on S5 Correct?   Question 3 Pts coming from ICU have PT/OT/SW consults  we don't follow them in ICU or enter them in ICU laptop then they are transferred to S4 these services are still seeing the pt on the ward do we enter them in our ward laptops even if no new consult was filled out? Question 4  we have pts coming from surgical wards we are not collecting on PT/OT/ SW have been following them  they are still following them on the wards when they are transferred to a collecting ward. They have no new consult filled out do we collect on these pts?? I know if new consults are filled out we do collect.  Now I don't know if consults are being reconsulted just verbally or not due to we were not to discuss this with the allied health team.  On our forms at the Vic anyone can fill them out drs nurses ect no signature is needed so it would be tough to figure out who filled it out and if it was a self referral.
+* At the HSC I have found that when pts are transferred around the med units staff may reconsult physio D/T the fact that each unit has their own physio person and wants physio to continue,(not all the time) but when this does happen I collect as a new consult.--
+[[User:PStein|PStein]] 13:45, 2013 January 7 (EST)*** OK I am getting confused  I want clarification please.
+#Question One if a pt comes from a ward we are collecting from to another ward we are collecting from (ie S4 to N5) the initial consults were done on S4 ie PT /OT/HC  but are continued on N5 (without a new consult form) we were not to enter it on N5 Correct??? YES[[User:LHathout|LHathout]]
+#Question  Two  We are now seeing new consult being filled out for example S4 had PT/OT filled out transfered to N5 new forms filled out for PT/OT now we enter these in on S5 Correct? If it is a continuation or transfer of services no.[[User:LHathout|LHathout]]
+#Question 3 Pts coming from ICU have PT/OT/SW consults  we don't follow them in ICU or enter them in ICU laptop then they are transferred to S4 these services are still seeing the pt on the ward do we enter them in our ward laptops even if no new consult was filled out? Do not enter a consult for services started in the ICU See Above[[User:LHathout|LHathout]]
+#Question 4  we have pts coming from surgical wards we are not collecting on PT/OT/ SW have been following them  they are still following them on the wards when they are transferred to a collecting ward. They have no new consult filled out do we collect on these pts?? I know if new consults are filled out we do collect.  Now I don't know if consults are being reconsulted just verbally or not due to we were not to discuss this with the allied health team.  On our forms at the Vic anyone can fill them out drs nurses ect no signature is needed so it would be tough to figure out who filled it out and if it was a self referral.
 All good questions. The intention of the project is to know if Medicine consulted allied health in relation to discharge planning. If a patient come from the ICU PT may continue working to get the patient back to a basic functional baseline on the unit. Which PT provides care (ICU or unit)? How do we know care is transferred? How is this distinguishable from a new self generated PT consult working in preparation for discharge. I don't know if PT differentiates between this type of work (in hospital required PT care such as chest physio versus doing a stair assessment in preparation for discharge). I know that there seems to be inconsistent documentation practices as to how Allied Health consults are handled when a patient moves units. I will ask Linda Pooley what is the normal documentation practice for patients transferred between units and programs.[[User:LHathout|LHathout]]
@@ Line 50: / Line 56: @@
 We do not have self consults we have team initiated consults where any member of the team can ask for our involvement and we assess the appropriateness of this request. We document this in the right side of the order sheet. Other sites will have other processes.
 Each site has different processes re the automatic patients seen or for team initiated, interdisciplinary consults etc.''
 === Care Map generated consults ===