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REFERRAL TO OUTSIDE PRIMARY CARE PROVIDER

Effective Date: 
Fri, 08/11/2017
Revised: 
Fri, 09/22/2017
Policy: 

Student Health Services (SHS) clinical staff provides primary care for UCSC students. Some patients with UC SHIP require consultation or ongoing care from an outside primary care provider due to distance or complexity if appropriate care is not available at SHS.  This determination will be made by the Medical Director in consultation with other primary care providers or managers if needed and on a case by case basis.

The student will be assigned a SHC case manager to help coordinate services and communicate with the students and the insurance carrier as needed.  The UCSC SHS case manager can make arrangements with Anthem Blue Cross to assign a case manager from the insurance carrier if needed.

A referral form is generated by the Medical Director or designee to communicate clinical history, reason for referral, to authorize referral for insurance purposes, and to document a reminder to reauthorize the referral each year if the patient is still a UCSC student with UC SHIP. 

It is preferred that these students get all or most of their care off campus, i.e optometry, labs and pharmacy, however, this can be determined by the department.  CAPS will make their own determination and refer as necessary.

This information will be shared in the EMR under Scheduler Comments, Clinical Comments and Admin Alert.  A broadcast IM will be sent to the Laboratory for entering into Harvest and to Pharmacy to enter into Propharm.

 

 

Procedure: 

The Medical Director will provide the referral and add a reminder in the Patient Chart to renew the referral annually.

A case manager will be assigned.

The EMR documentation process is as follows:

1. Scheduler Comments (OpenRegistration > Registration > Scheduler Comments)

2. Clinical Comments (OpenChart > Clinical Comments > All Divisions)

3. Admin Alert (OpenRegistration > Admin Alert)

A Broadcast Instant Message will be sent via the EMR to the “Alert Group” comprised of management and IT staff. Laboratory management or IT will add an alert in the “Harvest” lab interface program. Pharmacy management or IT will add the alert in the “Propharm” prescription interface program.

Harvest

Open the patient
Click “…” under alerts
Add in text from PNC IM
Save patient

Propharm

Open the patient
Click on the note icon (paper with a thumbtack)
Select New
Title with the IM title from PNC
Add in body of note
Set Priority = High
Save

This system of alert notification will help assure all SHS staff have immediate access to any student with outside PCP alerts relevant to staff.  In the event a student with this alert system in place presents or contacts the SHS, all staff should immediately alert their supervisor for further instructions.

AIR COOLER MAINTENANCE

Effective Date: 
Tue, 07/25/2017
Policy: 

Portable air coolers used in the Student Health Center are maintained according to the manufacturer's recommendations.

Procedure: 

Designated staff perform weekly, monthly, and end-of-season maintenance according to the manufacturer's recommendations:

  • Weekly: drain tank and refill with cold tap water
  • Monthly: drain tank, remove cooling media and carbon dust filter and water wash both, refill with cold tap water
  • End of season: drain tank and wipe with damp cloth to remove mineral deposits, remove cooling media and carbon dust filter and water wash both, allow both to dry before re-assembling, run in “Fan” mode for minimum of 1 hour to dry internal parts before storage
Key Points: 

Portable air coolers are maintained according to the manufacturer's recommendations.

I.B.04

The result of a formal, documented infection prevention risk assessment to ensure that the program is relevant to the organization. 

W.

During the pre-procedure time out, the following items are verified:

1. Patient identification.

2. Intended procedure.

3. Correct surgical site.

4. All equipment necessary for performing the scheduled procedure is immediately available in the operating/procedure room.

5. Any implantable devices intended to be used during the procedure are prepared before the procedure and available.

Notes: 
P&P
Policy: 

J.2.

The design, construction, and equipment comply with applicable state and local codes. 

J.1.

The design and equipment facilitate the physical safety of all persons in the area. 

H.2.

The organization obtains written informed consent from the patient or the patient’s representative before the procedure or surgery is performed. 

H.1.

There is documentation that the necessity or appropriateness of the proposed procedure or surgery, as well as alternative treatment techniques, have been discussed with the patient. 

F.

Electronic data management is continually assessed as a tool for facilitating the Standards above. 

Q.

High level disinfection processes adhere to equipment and chemical manufacturers’ instructions. 

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