SCHEDULERS INFORMATION SHEET

A /

LOCATION

/ Morsani 3rd Floor
B /

DEPARTMENT

/
CARDIOLOGY
C / SCHEDULING PROVIDER
Mnemonic / IGNACIO L GALLARDO, MD
# 2145
ILG
Academic Secretary / Name: Connie Van Horn
Phone: 813-259-0660
Fax: 813-259-0665
Clinical Nurse Manager / Name: Kim Clifford
Phone: 813-259-0639
Fax: 813-259-8676
Clinical Care Coordinator / Name: Connie Smailes
Ph#: 813-259-0643
Fax: 813-259-8676
D /

SPECIAL PATIENT INSTRUCTIONS:

·  Do not over book without prior authorization from Clinical Nurse Manager or Triage Nurse
·  Will see patients 18 yoa and older (No Pediatrics)
·  New patients should arrive 30 minutes early to allow for parking and registration
·  Stress echo’s and dobutamine stress echo’s should be linked to Dr. Gallardo by using a PRO visit type 15 minutes later than the test
·  ALL PATIENTS COMING FROM DR GALLARDO’S PREVIOUS PRACTICE MUST COME WITH RECORDS IN HAND. IF THEY ARRIVE FOR APPOINTMENT WITHOUT RECORDS THEY WILL BE RESCHEDULED
·  DEVICE PATIENTS
·  Ask patient what kind of device they have or ICD (record in comment field in GE)
·  We must know if patient is being seen for pacer check & if so, they must be scheduled in the AM clinic only.
·  Brand:
o  Medtronic
o  Guidant
o  St. Judes
·  Instruct patients that they MUST bring a copy of the pacer/ICD card
·  No Work Comp
·  Non-English speaking patients must be accompanied by an interpreter.
E /

DIAGNOSIS GUIDELINES

PROVIDER WILL SEE ALL CARDIAC DX.
SPECIALIZES IN THE FOLLOWING”
·  Pacemaker patients
·  ICD
·  Vi-V
·  EPS
·  V-Tach (copy of actual V-tach strip is required prior to visit)
·  Atrial Fib (copy of actual A-fib strip is required prior to visit)
·  Atrial Flutter (copy of actual A-flutter strips are required prior to visit)
·  Syncope
·  Post-cath or PTCA patients
·  Patent foramen ovale
·  Atrial Septal defect
·  Valve diseases (aortic, mitral)
·  Patient’s discharged from TGH after angioplasty/stenting/ bypass/valve surgery
·  Heart Failure (HF)
·  Congestive Heart Failure (CHF)
·  Rule out heart failure (R/O HF)
·  Cardiomyopathy (CMO)
·  R/O Cardiomyopathy (R/O) CMO)
·  Dyspnea, shortness of breath
·  Swelling, Edema
·  Knows the he/she has heart failure or cardiomyopathy and wants to see a specialist

GUIDELINES CREATED BY: CONNIE SMAILES ON 10/13/09

GALLARDO Morsani.doc 2 of 2

Revised 11/11/10/TAW/