How does your inpatient consult service run?

[DigableCat]

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How do you receive the consults?
How soon do you see them?
How often do you see the patients? Or do you make recommendations and sign off?
For what reasons/diagnoses do you see the patients?
Do you see any ways to improve your consult service?

 

[Disciple]

How do you receive the consults?
How soon do you see them?
How often do you see the patients? Or do you make recommendations and sign off?
For what reasons/diagnoses do you see the patients?
Do you see any ways to improve your consult service?

1. They're called in to the rehab dept. office.

2. Within 24 hours

3. After the consult, if the patient has potential for acute rehab, our nurse practicioner will f/u daily until they are admitted, go home or are discharged/transfered somewhere else. We sometimes f/u on the more complicated ones.

4. Diagnoses pretty much run the gamut i.e. ortho, neuro, neurosx, cardiac, pulmonary, gen surg., oncologic, transplant and of course general deconditioning (hate these ones).

5. Yes, I wish the unspoken rule among services about not calling nonemergent consults after 3-4 p.m. applied to PM&R as well.
Shows what some specialties think of rehab.