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Table Of Contents

INFORMATION GATHERING
ACUTE CARE PHYSICIAN ATTIRE AND RATIONALE
COMMON ICD-9-CM (INTERNATIONAL CLASSIFICATION OF DISEASES) CODES
HOSPITALIST BILLING CODES
CARDIOVASCULAR DISEASES
ST-ELEVATION MYOCARDIAL INFARCTION (MI)
UNSTABLE ANGINA/NSTEMI
ATRIAL FIBRILLATION
SUPRAVENTRICULAR TACHYCARDIA (SVT)
VENTRICULAR TACHYCARDIA (VT)
CONGESTIVE HEART FAILURE (CHF)
SINUS BRADYCARDIA/HEART BLOCKS
HYPERTENSIVE CRISIS
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
PULMONARY EMBOLISM (PE)
COMMUNITY ACQUIRED PNEUMONIA (CAP)
GASTROINTESTINAL (GI) BLEEDING
ACUTE PANCREATITIS
ACUTE RENAL FAILURE
TRANSIENT ISCHEMIC ATTACK (TIA)
ALTERED MENTAL STATUS
DEEP VEIN THROMBOSIS (DVT)
TREATMENT OF ELEVATED INR
DIABETIC KETOACIDOSIS (DKA)
INFECTIOUS DISEASES
DECUBITUS ULCERS (PRESSURE SORES)
ADULT RESPIRATORY DISTRESS SYNDROME (ARDS)
HYPOVOLEMIC SHOCK
DISTRIBUTIVE SHOCK
CARDIOGENIC SHOCK
OBSTRUCTIVE SHOCK
CLINICAL EVALUATION
Ventilation □ Mechanical Ventilation 125
MECHANICAL VENTILATION
COMMON MEDICAL EQUATIONS
CENTRAL LINE PLACEMENT
FEMORAL VEIN CANNULATION
SUBCLAVIAN VEIN CANNULATION
ENDOTRACHEAL INTUBATION
ABDOMINAL PARACENTESIS
LUMBAR PUNCTURE (LP)
ARTHROCENTESIS OF THE ELBOW JOINT
A TERIAL BLOOD GAS (RADIAL ARTERY PUNCTURE)
ARTERIAL LINE PLACEMENT
ACC/AHA PREOPERATIVE CARDIAC RISK ASSESSMENT
ACP Preoperative Cardiac Risk Assessment □ 163
ACP PREOPERATIVE CARDIAC RISK ASSESSMENT
EMPATHY AS A SKILL
Pacing and Effciency: The Way of the Hospitalist □ 169
PACING AND EFFICIENCY: THE WAY OF THE HOSPITALIST
DO NOT RESUSCITATE (DNR) ORDERS
WITHDRAWAL OF TREATMENT
COMPETENCY AND DECISION-MAKING CAPACITY
PATIENT CONFIDENTIALITY AND HIPAA REGULATIONS
Futility and Unreasonable Patient Requests □ 183
FUTILITY AND UNREASONABLE PATIENT REQUESTS
THE DIFFICULT PATIENT
Pain Control and Palliative Care □ 187
PAIN CONTROL AND PALLIATIVE CARE
ADVANCE DIRECTIVES
ETHICS CONSULTATION
ROLE OF THE HOSPITALIST AND UTILIZATION
UNDERSTAND YOUR LIMITS AS AN INTERNIST
THE CRITICAL ART OF THE HAND-OFF
The Hand-Off Gone Awry: A True Case Study □ 195
THE HAND-OFF GONE AWRY: A TRUE CASE STUDY
THE HAND-OFF GONE AWRY: ANALYSIS
The Hospitalist Discharge □ 199
THE HOSPITALIST DISCHARGE
HOSPITALIST ADMISSIONS
The ED and The Hospitalist: Fundamental Approaches □ 201
THE ED AND THE HOSPITALIST: A STRUGGLE FOR INFORMATION
THE ED AND THE HOSPITALIST: FUNDAMENTAL APPROACHES
CONCLUSIONS: BE CAREFUL OUT THERE!
INITIAL VISITS (HISTORY AND PHYSICAL) TEMPLATE
DISCHARGE SUMMARY TEMPLATE
Bibliography
Index
P. 1
The Hospitalist Manual

The Hospitalist Manual

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Written by Manish Mehta (Western University of Health Sciences and Providence Medford Medical Center, Medford, Oregon) and Arun Mathews (Apogee Physicians, Phoenix, Arizona)

The Hospitalist Manual is evidence-based and takes into account the modern managed-care model in which the current hospitalist practices. The hospitalist physician is a relatively new concept, and as this new field evolves, so too will the educational needs of internists who have chosen to practice this discipline. Internal medicine residency programs strive to equip students with a comprehensive set of skills for dealing with both inpatient and outpatient care, but there remain practice management and workflow nuances that separate the traditional internist from the acute inpatient care physician, or hospitalist. These are the key areas that this book focuses on, in addition to highlighting procedural and critical care elements. It is hoped that this text will enable a physician to respond to the patients’ needs in real time, providing a service that was not possible for busy primary care doctors to perform in the recent past.
This book will be used as an “in-the-field” guide for new hospitalists, focusing on two groups of readers: the new graduate from residency and the office-based internist that wishes to retrain and certify as a hospitalist physician. It is a practical text, with an illustrated procedures section, intended for use as a reference for hospital-based procedures. The Hospitalist Manual will serve as a pocket guide for those intending to obtain rapid information on practice management principles unique to a hospitalist physician.
Written by Manish Mehta (Western University of Health Sciences and Providence Medford Medical Center, Medford, Oregon) and Arun Mathews (Apogee Physicians, Phoenix, Arizona)

The Hospitalist Manual is evidence-based and takes into account the modern managed-care model in which the current hospitalist practices. The hospitalist physician is a relatively new concept, and as this new field evolves, so too will the educational needs of internists who have chosen to practice this discipline. Internal medicine residency programs strive to equip students with a comprehensive set of skills for dealing with both inpatient and outpatient care, but there remain practice management and workflow nuances that separate the traditional internist from the acute inpatient care physician, or hospitalist. These are the key areas that this book focuses on, in addition to highlighting procedural and critical care elements. It is hoped that this text will enable a physician to respond to the patients’ needs in real time, providing a service that was not possible for busy primary care doctors to perform in the recent past.
This book will be used as an “in-the-field” guide for new hospitalists, focusing on two groups of readers: the new graduate from residency and the office-based internist that wishes to retrain and certify as a hospitalist physician. It is a practical text, with an illustrated procedures section, intended for use as a reference for hospital-based procedures. The Hospitalist Manual will serve as a pocket guide for those intending to obtain rapid information on practice management principles unique to a hospitalist physician.

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Published by: People's Medical Publishing House -- USA on Sep 08, 2010
Copyright:Traditional Copyright: All rights reserved
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