Scope-Moyale Primary Hospital - Interdepartmental - Consultation - Protocol 2017
Scope-Moyale Primary Hospital - Interdepartmental - Consultation - Protocol 2017
Hospital
Interdepartmental
Consultation Protocol
Moyale
January 19, 2025
Contents
Introduction...............................................................................................3
Types of consultation................................................................................3
Objectives.................................................................................................4
Mechanism of consultation.......................................................................4
Procedure of consultation.........................................................................4
Declaration................................................................................................8
Introduction
The medical consultation is best understood as a two-way social interaction
involving interactive decision making. A rational choice and focusing on
interactive decision making—has the potential to provide models of the
consultation that can be used to generate empirically testable predictions about the
factors that promote quality of care.it is a deliberation of two or more health care
professionals about diagnosis or treatment in a particular case. Communication
breakdowns are common sources of medical errors. 70% of medical errors have
been attributed to failures in effective communication. Communication happens in
various forms throughout the health care service; one common type is
the consultation, or one provider seeking formal recommendations from another
provider regarding the care of a patient. Better consultations would reduce the
possibility of misdiagnosis and also improve patient outcomes, patient experience,
patient safety and staff satisfaction.
Types of consultation
1. “Immediate critical interventions” include consultations to physicians for
management of an emergency outside of the scope of practice.
2. Procedural interventions include consultations for procedures outside of the
scope of practice.
3. “In-person evaluation and management inquiry” includes consultations for
diagnosis or management of a patient
4. “Remote evaluation and management inquiry,” or telemedicine, includes
consultations for diagnosis or management of a patient, although not through
an in-person encounter. These types of consultation are needed for sub
specialty services.
Objectives
To introduce, standardized and improve patient care in Moyale general
hospital.
To establish consultation plat form vertical and horizontal (nurse to
nurse ,nurse to physician, physician to physician, physician to specialist)
Mechanism of consultation
1. Written consultation
2. Oral (phone) consultation
Procedure of consultation
1. First contact health professional triage the patient condition
2. Immediately assess the condition of the patients and manage accordingly.
3. If the patients are whether emergency or non-emergency consult to next level
professional if any beyond scope of practice and needy of support for better
outcome
4. During any consultation, document all the condition of the patients with name
and signature of health care provider
5. During consultation inform to next level of professionals with all pertinent
information
6. Record date and time of consultation
7. During phone consultation:- call phone with other two health provider by
making the phone loud for the purpose witness and the consultant should come
and document the oral order within two (2) hours depend on the condition of
the patients.
8. During interdepartmental consultation utilize consultation form properly
9. If the consultant is not arrived timely inform the nearby responsible persons
and record the time
10.Until the consultant is arrive do what is better to the patients
11.After arrival of the consultant, evaluate the patient and Document all
information on patient file with date, time of request and response, name and
signature
12.Manage the patients accordingly.
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