Jason Haag Intern Conference

Plan ahead

Use Resident Assistants to

Make follow up appointments
On WebCis f/u lists

Fax discharge summaries/patient information

Plan ahead

Talk to your patient

How do they pay for meds?

Who is going to pick them out?

How long will the hospital stay be? Who do they live with at home? Do they have home health/home PT already in place?

Start your discharge summary

Can put in procedures Secondary diagnosis Follow up appointments Pertinent labs Start the hospital course

Brief Discharge Summary

Most important take home message to patients

Diagnosis what you have/had done Medications ***reconciled with home list*** Discharge instructions What to do/what to look out for Follow up appointments Does not have to be exact date

Talk with Social Worker

Be very nice to these people About

Ride They can provide one (ambulance, taxi, bus) Medications They can help pay for them (pharm assistance) Home Health/Home PT They can arrange it

Talk with the Nurses

Keep them in the loop Nurses will provide

Patient education How do I administer lovenox, do accuchecks? They will decipher your discharge summary into

patient talk

Make sure they understand whats going on with the patient

Talk with Home Infusion

Talk early and often

They provide home IV therapy
Can arrange IV therapy on Saturday Can arrange acute changes in antibiotic choice IF they know about the patient ahead of time

Communicate with PCP

Dont have to call Send phone message with dx/tx

Not a novel (they can read your d/c summary), just

give them a heads up

TALK WITH THE PATIENT!!!!!!!!!

They will have questions that they want their doctor to answer The more time you put in early in the day answering questions will save you later

Key Points

Carry over all diagnosis Reconcile medication list Procedures/imaging

No need to list every CXR, KUB

Pertinent Labs
Admission Chem-10, CBC Special labs

Hospital Course

List by problems
Overview of hospitalization Not on HD#1then on HD#2

Express the maximum amount of information in the minimum amount of space Be clear, concise, and coherent
The longer it is, the less likely someone is to read it

Must do Brief Discharge Summary To dictate or not to dictate

+/- of dictation

If you start falling behind

They will find you Medical Records keeps a log of physician of record and will track you down for delinquent d/c summaries

If you are too delinquent they wont let you work (i.e. wont

pay you) till your caught up