+1 Week OrientationAY 2021-2022

Sample +1 Schedule

OPDClinic Tower Wellness Center

Rand Schrader Clinic 5p21(ID Clinic)

LAC+USC Hospital

Outpatient Department (OPD)

• 4th Floor

• Primary Care East (resident clinic)

• 5th Floor – 5p1• Nephrology

• Rheumatology

• GI/Liver/Hepatitis

Rand Schrader Clinic 5p21

• ID Clinic

Clinic Tower (CT)

• 2nd Floor• Oncology (A2C)

• 4th Floor• Cardiology (A4A)

• Hematology (A4A)

• Endocrine (A4B)

• Neuro/Epilepsy (A4A)

• Pulmonary/Chest (A4B)

Outpatient Clinic Locations

AM Clinic (8am – 12pm) or PM Clinic (1pm – 5pm)

• Team huddle prior to clinic starting• To review staffing, patient load, and give updates

• Patient loads• PGY1: 5 patients

• PGY2: 6 patients

• PGY3: 7 patients

Primary Care Clinic

Subspecialty Clinics

• Professional attire (men must wear a tie for Tuesday Oncology clinic)

• See no more than 5 clinic patients in a half day

• NOT responsible for ordering labs/images/placing e-consults

Monday Tuesday Wednesday Thursday Friday

8 AM GI/Liver (Hepatitis)Onc (Breast)ID – 8:30 AMNeuro – 9 AM

Onc (GI)Rheum

GI Onc (Misc)Endo – 9 AMID – 8:30 AMNeuro – 9 AM

Endo (Thyroid)Onc (GU, Lung)

LiverID – 8:30 AMEndo

1 PM CardsOnc (Breast)Rheum

RenalHeme (Malignant)

CardsPulm

RenalHeme (Benign)

ID

Call for patient, HPI, exam, med-reconciliation

Write note while seeing patient

Present to attending

Discuss plan with patient

Complete orders, prescriptions

Discharge patient from clinic

General Outpatient Workflow

• Dial 0 or 93600 from any line• New clinic rooms will all have phones

• Dedicated translator phones (ask your CMA)

• VOIPs

• Check your patient list prior to clinic to determine translation needs

Clinic Translation Services

Report to: Procedure clinic in UCC/CCC (Clinic Tower 2nd floor) @ 8 AM

8 – 12pm: Outpatient clinic procedures

1 – 4pm: Inpatient procedures

Procedure Week

Subspecialties

Cardiology

Endocrine/Diabetes

Gastroenterology

Hematology

Hepatology

Hepatitis C Treatment

HIV

Infectious Diseases

Mental Health

Nephrology

Neurology

Oncology

Rheumatology

Allergy/Immunology

Pulmonary/Chest

eConsult

OtherGynecology/Gynecology OncologyObstetricsOphthalmology/OptometryDermatologyRadiation OncologySleep MedicineGeneticsPathologyPhysical Medicine and Rehabilitation

Surgical servicesCardiothoracicBariatricNeurosurgeryOrthopedicsOtolaryngologyBreastHepatobiliary/ForegutOncology/EndocrineOral and MaxillofacialVascularUrologyColorectalGeneral

AncillaryAddictionAudiologyPhysical TherapyNutritionOccupational TherapyRancho Los Amigos PT/OT RehabPainPodiatrySpeech Therapy

Placing an eConsult

• To avoid delays, include a thorough review of the case and clearly document the reason that you are placing the eConsult• Refer to imaging or studies that have been performed to justify the referral; specialists can refer to

Orchid for the specific image or study result but including laboratory values in your consult can be helpful to the consultant

• Always follow up on eConsult responses

• Search for previous eConsults before placing your request to avoid duplicate referrals

eConsult Etiquette

• Physical or Occupational Therapy• Orchid order: “Physical Therapy or Occupational Therapy Outpatient Eval”

• Include a description of the problem and reason for referral

• Social Work • Orchid order: Specialty Request to Social Work

• SW is present in clinic and can see urgent cases depending on availability

• Diabetes TeleRetinal Screening• Orchid order: “Specialty Request to Diabetes TeleRetinal Screen”

• Communication order to your CMA for scheduling

• Wellness Center • Separate colored flyer in clinic

• Open to all local residents without computer referral

• Nutrition

• Audiology

eConsult Exceptions