| |
Clinical
Skill |
Observation
Date
Signature |
| A.
Schedules consult with telehealth staff. |
|
| B.
Discusses the risks and benefits with patients&/or significant
other prior to each consult.
| 1.
Risks |
|
|
A. Transmission may impede the image from being useful
for the physician |
|
B. The video link may not work or may disconnected during
the consult |
|
|
|
2. Benefits |
|
|
A. Patient does not need to travel to Marquette for the
appointment. |
|
B. Patient/medical care provider has access to specialist. |
|
|
C.
Discusses patient rights with patient
|
1. |
Patient
and/or physician may terminate teleconsult and opt to
see the physician if deemed necessary by either party. |
|
|
| D.
Obtains a MGHS consent form after is has been signed by the
patient/responsible party. |
|
| E.
Obtains technical support if necessary by contacting a telehealth
coordinator. |
|
F.
In the event of a system/utility failure:
|
1. |
|
|
Obtains
assistance from a telehealth coordinator |
|
2. |
|
|
Schedules
alternative methods/systems |
|
3. |
|
|
Instructs
patient to seek medical care from another source (local
physician or emergency department if deemed necessary)
if waiting for another appointment is not feasible. |
|
|
| G.
Maintains privacy of the consultation
|
1. |
|
|
Places
video conference system out of view from the window/door.
2. Places blind over window if #1 is not feasible |
|
3. |
|
|
Signage
on the outside of door should indicate "consultation in
progress authorized personnel only" |
|
4. |
|
|
The
room at each site should be panned with the camera introducing
all participants including their role in the consult |
|
|
| H.
Documents the consult
|
1. |
|
|
Type
of consult (i.e.,post operative) |
|
2. |
|
|
Assessment
completed (i.e., auscultation of heart sounds, examination
of surgical wound) |
|
3. |
|
|
Names
of participants at each site |
|
4. |
|
|
Bandwidth
used |
|
5. |
|
|
Follow-up
responsibilities of all involved |
|
|
| I.
Demonstrates use of peripheral equipment
|
1. |
|
|
Stethoscope |
|
2. |
|
|
Patient
Examination Camera |
|
3. |
|
|
Document
Camera |
|
|
