Triage

What is Triage?

  • Residents who are on rotations exempt from checking EPIC in-baskets will sign out their in-basket to the “MG Ambulatory Pool”.
  • Residents scheduled for Triage will cover the MG Ambulatory Pool
  • If a rapid response is called in the clinic, the triage resident/intern will be asked to assist in stabilizing the patient.

Where does Triage take place?

  • You will be expected to be in the telephone triage area of the resident Annex during your half day session
  • The staff will expect to find you here and will often bring you urgent paperwork to be completed.

How does it work?

  • Log on to EPIC and assign yourself to the Ambulatory Pool and the Ambulatory Covering Group.
    • Go to your EPIC in-basket
    • Click on the button “Edit Tools”
    • Select the “MG Ambulatory” check box under “Pools” and “Covering Group” in the pop up window
    • Click “accept” to close the window.
    • Complete the “Tasks and Responsibilities” listed below
    • At the end of your Triage session, remember to deselect yourself from the “MG Ambulatory” pool
  • You will be responsible for the paper bins too. Please check this bin periodically during your administration session.

Tasks and Responsibilities

1) Sign-out mailboxes

  •  Check to make sure all people who should have signed out their mailboxes did (vacation, RICU, CCU, Night float, SNO, House Chief

2) Med refills

  • Open refill encounter
  • Input pharmacy phone number
  • Fill Rx through meds and orders
  •  Close encounter
  • Refill requests faxed to the office should be entered into EPIC and e-scripted to the pharmacy, if possible (not faxed). Alternatively, just call the Rxs in
  • E-script refill requests should be forwarded to the patient’s PCP to be filled.
  • Never refill narcotics. Coumadin should only be refilled for a maximum of 3 months total.

3) Phone calls – should be coming as a staff message through Epic

  •  Open new telephone encounter
  • Document in the note/progress note section
  • Forward to PCP
  • Close encounter

4) Forms

  • Check your paper mailbox weekly!
  •  Urgent forms can be completed and sent in.
  •  Non-emergent forms can be put in the PCP’s mail bin.
  •  Forms that require a lot of clinical information should be completed by the PCP.
  • Wheelchair requests and disability evaluations can be referred to PM&R.
  • Most forms for Home services (Nursing, PT, blood draws) or durable medical equipment (DME) require an attending signature. Please do not sign these yourself. Fill out any clinical information and have an attending sign them for you.

5) Lab/Radiology results

  •  You should only be getting emergent labs sent to you by the nurse. Please manage these results and document everything as a RESULT Note in EPIC and forward the note/result to the PCP and their preceptor.
  • If you spoke to a patient then document in a TELEPHONE encounter.