Intro to Clinic Neuro Boot Camp 2017

Vanderbilt Clinic 10th Floor (VC10) Clinic blocks 5:1 48 Required continuity clinics throughout the year VC10 also supports specialty clinics: Headache Memory Movement Disorders

Workflow Can review cases (prior notes, etc.) ahead of time by accessing Soarian for schedule (ita5.nyp.org). New patients are given 1 hr slots, follow-ups 30 min slots Patients are registered up front and nurses obtain vitals. Nurses put a green folder in your inbox, indicating patient is ready to be seen. You call patient from lobby.

Workflow Open “Neuro Clinic Note” For follow-ups, can copy-forward prior HPI, update and add in interval events Interval events should include any patient complaints, progress of chief complaint, response to therapy Full neuro exam for new patients (including fundoscopic) and focused neuro exam for follow-ups I **highly** recommend writing note during interview

Workflow Save note with attending in clinic as co-signer Update Med Rec in Prescription Writer Leave and present patient to attending (more in-depth for new patients, brief background and interval events for follow-ups). Return with attending or by yourself with updated plan, counsel patient.

Workflow Fill out SuperBill Must be done before visit is discharged Click SuperBill icon in Eclipsys Under “Health Issues” tab, select conditions addressed during interview and click ”Add” Check the box for Provider Signoff and Billing code for description Go to “Superbill” tab, select box near your name in “Ordered by” dropdown menu, search for attending name and select. Click “Save” **NOT Submit

Workflow Ordering Tests/Making Referrals Click Enter Order in Eclipsys Type Amb Adult Neuro for order set and select labs If test/lab not available, can search in Eclipsys For PT/OT or other rehab, see forms under Logistics/Basics>Clinic on Niresidents.org (password milstein) Can also find relevant forms on USB drive connected to all computers in VC10 On Green Folder, write down all relevant tests to be ordered (e.g., MRI, bloodwork, ophtho referral, etc.), attending name and when to return to clinic

Workflow Writing Prescriptions Click Prescription Writer icon in Eclipsys Select User Preferences icon Click Supervising Details, search for clinic attending and select name Return to Prescription Writer and verify that Preferred Pharmacy is correct with patient Click Add New Prescription button Select dose, route, refills and make sure to select “Indication: “ and type in the indication Click Review and Submit From dropdown menu, select ePrescribe and click ok

Workflow Use the whitebook for any clinical questions! It has a lot of good info for treatment and work-up of common outpatient neurologic diseases. Have FUN, this is YOUR clinic!