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You’re Being Paged…

Prepare for on-call duties in geriatric care with this session. Share experiences, discuss difficult scenarios, and offer constructive suggestions for improvement. Monthly meetings for support and guidance.

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You’re Being Paged…

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  1. You’re Being Paged… On-Call Issues for Geriatric Fellows UH Department of Geriatrics

  2. You all will be starting call soon…. • What has been your call experience in the past? • What is the worst part about call? • What are the hardest things to deal with?

  3. Care of the nursing home patient is different than general Internal medicine or Family medicine… • You manage a lot more over the phone • Patients are often more complicated • On the bright side, there is a nurse at the other end of the phone.

  4. Let’s run through some scenarios… • Two fellows per scenario: • One is the fellow • One is the nurse calling, this person will also be the family member if applicable • We will watch and offer constructive suggestions and make comments • Relax! This is just practice!

  5. The “nurse” fellow will be given a sheet with additional information the physician fellow should elicit with questions • Nurses: Do not volunteer information. Let the “fellow” elicit the information from you. • “Fellow”: If you are stumped, you can ask your colleagues here to help you! Just say, “I want to call my attending and call you back.”

  6. Doctor, the U/A has 2+ leukocytes and 2+ nitrates…

  7. Doctor, Mr. _____doesn’t look good…

  8. Doctor, Mrs. _____has a rash…

  9. Mr. ___is refusing his medications!

  10. Mrs. ___’s family wants an update…

  11. Mrs. ____is wheezing…

  12. Mr. ____has diarrhea…

  13. I need an order for cough syrup for Mr. ____, Doctor.

  14. Mr. ___’s fever won’t go away and we gave tylenol 2 hours ago…

  15. Mrs. ______’s G-tube came out and I think she needs to go to the hospital right now!

  16. Any other scenarios? • How was it? • We’ll meet monthly to discuss and dissect particularly difficult “on-call” issues • We’re here to support you! • Thanks for your participation!

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