Phone Triage Flashcards
T/F You are liable for the actions & advice of your office staff.
True.
What are some symptoms in kids you DO need to go to the office for?
sick newborn severe lethargy severe pain can't walk tender abdomen tender testicle labored breathing bluish lips drooling dehydration bulging soft spot stiff neck injured neck purple spots
What do nurses & doctor do over the phone?
Nurses usu triage which type of visit is appropriate for pt
Doctors can do whatever they feel comfortable with, prob shouldn’t call in antibiotics
What does an answering service do?
name & phone # Patient ID CC HPI w/ pertinent ROS PMH
What are the benefits of on-phone care?
improved continuity of care avoid unnecessary ER visits reduces patient anxiety provides education & healthcare info increases patient satisfaction levels reduces risks from medical complications
Fever & drooling…what do you do?
call 911
When is the first well child visit for a newborn?
3-5 days old, to check for jaundice
Do you need parental permission for a teenager to be treated for pregnancy, STDs?
NO
Sexual abuse victims must be examined within what timeframe?
24-48 hours
What is on the differential of jaundice for a kid?
Don’t miss diagnosis–sepsis
What are real concerns over the phone?
fussiness that isn’t consolable
no peeing
vomiting w/o fever or diarrhea (diabetic ketoacidosis, food poisoning, increased ICP)
Which bug causes nausea, diarrhea, fever?
gastroenteritis
Should you give immodium to kids with diarrhea?
no
could cause ileus (disrupted peristalsis)
At what point does diarrhea need a workup?
after 2 weeks
should last only 7-10 days
