North+Richmond+Orientation

Welcome to North Richmond!

This is meant to help new resident orient to our clinic. The clinic is open Monday to Friday, 8am - 4:45pm.

1501 3rd St, Richmond, CA 94801 (Google Map link)'
 * Directions:**

The North Richmond Staff includes:
 * Facilities/Staff:**
 * Registration
 * Medical Records
 * Nursing/Medical Assistant
 * HIV Community Health Worker
 * Patient Educator
 * Social Worker
 * Care Coordinator
 * Clinic Manager
 * Phlebotomist
 * Physicians

General Staff Meeting 2nd Wed of the Month Please write all requests to staff using the MR447 (Ambulatory Care Provider Form)
 * Communication:**

HIV Support Group: Wednesday Morning
 * Other Clinic Activites:**

Database sheet—adult Database sheet—child Progress note (SOAP), page options (blank, formatted) Clarify in plan: nursing orders; pt ed done; pt action plan; future plans Prenatal Record Flow sheets Diabetes (vs Registry) Asthma HIV INH, Anticoag Forms Chronic Pain Medication Agreement Referrals, studies, labs Dictations (when required, always optional, required paper note basics) RxM (including printing as part of paper chart and med reconciliation) Diabetes Registry—population/panel management, individual pt use
 * TOPIC **
 * MEDICAL RECORDS **
 * General Goals ** of medical record
 * Paper Chart ** :
 * Electronic Records **

Utdol Dynamed Myhq.com/public/a/l/alasieg/ Micromedex nccn.org (cancer), ahwg.net (adolescent provider toolkit) Google, google scholar, pubmed, mdconsult … Medi-Tech (local protocols) CCHS/CCORD FM preceptors Behavioral Science preceptors On-call CCRMC specialists/registrars Outside (eg HIV Warmline, PEPline, CFS) CCRMC Co-managers (Healthy Start, SW’s, etc) Preparing for visit Preparing for clinic huddle with nurse, preceptors; chart/registry review Procedures
 * RESOURCES **
 * On-line Point of Care medical information **
 * On-line patient/provider resources **
 * On-line access to schedule, pt appts ** (PCIS, ALUS)
 * Consultations **
 * Skills Development/Goals **
 * NEW INNOVATIONS ITEMS, ** setting sequential individual goals

Presentations, “1-minute preceptor approach” (commit self…) Direct observation: preceptors (MD and BS) observe resident, vice-versa Structure, roles, “huddle”
 * Working with Preceptors **
 * Working with Nursing Staff **

Healthy Start Anticoagulation Clinic Patient Educators INH Nurse Dieticians Social Workers Specialy Clnics Mental Health
 * Co-management Resources **

Regional Center of the East Bay Nursing Homes Perinatology, Cardiology, Nephrology groups CHO, UCSF, UCD specialty clinics
 * Outside Referrals/Comanagement **

Preceptors: resident’s preferred ways/times for formative feedback preceptors eager for formative feedback summative evaluations Patients: preceptor interview after direct observation “close the loop” Nursing staff: mutual checking in and feedback (not yet structured)
 * Feedback, Self-Evaluations, Mutual Evaluations **

Inviting patients’ family members to your panel Variety of demographics and diagnoses followed (including prenatals)
 * Patient Panel management **

Intentionally inflicted injury Child abuse and neglect Intimate partner abuse
 * Required Reporting **