Identify Steps in a Clinic WorkflowJanuary 2, 2013
Health Informatics[1]
Identify Steps in a Clinic Workflow
January 2, 2013
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Identify Steps in a Clinic WorkflowJanuary 2, 2013
Slide 1
Identify Steps in a Clinic Workflow
[Video]
(Medical Assistant): Hi. You want to come on back with me?
(Narrator): As you watch the following depiction of the clinic workflow, please note each step in the process in preparation for creating a workflow diagram. Please note that you can stop and restart the video as needed. Also, try to look at the workflow with a critical eye, reflecting on whether it has elements that are inefficient or that might negatively affect patient care. Please share your observations in the discussion forum. Then redesign the original workflow map, creating an improved process.
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Identify Steps in a Clinic WorkflowJanuary 2, 2013
Slide 2
Clinic Workflow
[Video] (Medical Assistant): Mr. Jones. Hi. You want to come on back with me? Okay, Mr. Jones, I am going to have you step up here and get your weight before we go back. Great. Okay. We will go on back.
So, what are we seeing you for today?
(Mr. Jones): I have hada sore throat and a fever and nothing I do seems to make it any better. In fact, it seems like it is getting worse.
(Medical Assistant): Well, that is not good. So, I am just going to take your temperature.
(Mr. Jones): Okay.
(Medical Assistant): Okay. Well, that is no fun to be not feeling well. Okay, and then I am going to take your blood pressure. Stick your arm up. Flip it over this way. There you go. Okay. Great.
Okay, so, how long have you been feeling like this?
(Mr. Jones): About three days.
(Medical Assistant): About three days.And do you have any known allergies?
(Mr. Jones): I took something one time and I broke out in a really bad rash, but I cannot remember what it is called though.
(Medical Assistant): Okay. Do you know what medications you are currently taking?
(Mr. Jones): I take one pill and use two inhalers. I cannot remember what those are called either. Don’t you have my medications on achart somewhere?
(Medical Assistant): We have a list of medications prescribed by Ms. James. The medications should run six months ago when you were here last. Have any of your medications changed since the last time you were here?
(Mr. Jones): Yeah, my psychiatrist increased my depression medication. It was a white pill. Now it is a blue pill. And my pulmonologist also prescribed me an inhaler. I cannot remember the name of it though.
(Medical Assistant): Okay. Well,Ms. James will be here to see you shortly.
(Mr. Jones): All right.
(Nurse Practitioner): [knocking on door] Good morning. I am Diane James, your nursepractitioner. Roger Jones? Mr. Jones, how are you doing?
(Mr. Jones): Good to meet you.
(Nurse Practitioner): I understand you have a sore throat?
(Mr. Jones): Yes.
(Nurse Practitioner): For the last couple of days?
(Mr. Jones): I do.
(Nurse Practitioner): So, let us take a look at the computer. Okay. It says here you that have had a sore throat for the last couple of days?
(Mr. Jones): Yeah, it is pretty bad.It just seems to keep getting worse.
(Nurse Practitioner): And I see that you are taking a couple of inhalers. Is that correct?Albuterol and mometasone?
(Mr. Jones): Yeah, that is correct.
(Nurse Practitioner): So, have you had any nausea or vomiting with the sore throat?
(Mr. Jones): No, I have not.
(Nurse Practitioner): Any hoarseness or cough?
(Mr. Jones)” [Shakes head “No”]
(Nurse Practitioner): Just the throat.But you told Ally that it was getting worse?
(Mr. Jones): Yeah.
(Nurse Practitioner): Okay. Mr. Jones, I think I to want to listen to your lungs and check your throat. Why don’t you get up on the exam table. Great, I am just going to take a listen here. So, I want you take some big, deep breaths. Okay, you can breathe normally. Okay. All right. I want to look at your throat here. How has your appetite been?
(Mr. Jones): Normal.
(Nurse Practitioner): Normal? Okay, open up here. Say “Ahh.”
(Mr. Jones): Ahh.
(Nurse Practitioner): Well, it does look red. What I would like to do is swab your throat. I have seen a lot of cases of strep throat this week, and the clinic, I think they have said they have had quitea spike. So, I would like to get a swab and do a rapid strep test. Is that okay with you?
(Mr. Jones): Yes, let us do it.
(Nurse Practitioner): Okay. I will get some gloves here. Open up. Let me just get it. I am going to take this out and run a quick test. Why don’t you just take a seat over here and get comfortable and I will be right back.
(Mr. Jones): Okay.
[knocking on door]
(Nurse Practitioner): Okay, well, it does look like you have strep. So, I want to write a prescription for you for some antibiotics. Okay, so you are going to need to take these pills, the antibiotics, every six hours around the clock. Take them until they are completely gone. You can take this with or without food;that does not matter. Just take it until it is all gone. It looks like you use Elmwood Pharmacy. Is that correct?
(Mr. Jones): It is.
(Nurse Practitioner): All right, well, I am going to send over a prescription to Elmwood. So, try to rest as much as possible. If you do not feel better in the next couple of days, give us a call back. If you have any more pain or high fever, call us back. Is there anything else I can do for you today?
(Mr. Jones): No.
(Nurse Practitioner): Okay, well, I am going to—um, this should be ready for you when you get home or on your way home, and you can check out at the desk.
(Mr. Jones): Thank you ma’am.
Slide 3
Credits
[This slide is not narrated.]
- MA: Diane Heriot
- Roger Jones: Roger Adams
- Nurse James: Diane Bedecarre
Thank you to Michael Conti, Lorin Smith and the dedicated staff at the Puget Sound VA Medical facility, whose support and assistance made this production possible.
Slide 4
Bellevue College
[This slide is not narrated.]
This training video was produced by Bellevue College with funding from the Office of the National Coordinator for Health IT.
U.S. Department of Health and Human Services
ARRA Grant #90CC07701
[Congratulations, you have completed this video! Select the "Quit" button to leave the course.]
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[1]The following transcript has been edited for readability.