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SVMIC Risk Basics: Surgical Practice


                   the staff should ask in response to various complaints, as well

                   as when a patient should be referred to a physician.



                   Using questions outlined in the advice protocol will enable the
                   staff to:



                         More accurately describe the patient’s condition


                         Give the physician relevant information so that the
                          patient is prescribed the most appropriate treatment or

                          directed to an appropriate healthcare facility

                         Provide the patient with accurate clinical advice that is

                          consistent for all patients with similar symptoms or

                          complaints



                   Any medications initiated or refilled must be directly authorized
                   by a physician or advanced practice provider.



                   Once the triage protocol is consulted and a decision is made

                   about who is qualified to handle the caller’s concerns, a written
                   clinical advice protocol should be provided for the clinical staff

                   to use before giving medical information to the patient. This
                   detailed, written clinical advice protocol should include

                   clarifying questions for the clinical staff to ask the patient in

                   response to various complaints. These questions will help
                   them to determine if the patient should be given specific

                   instructions or referred to a physician or the emergency room if
                   a physician is not available to respond to the patient’s

                   complaints. Staff should understand that if the clinical advice

                   protocol does not include information about the complaint that
                   a patient has described, the physician or an advanced practice





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