HFiT Clinic's Protocols

HFiT Clinic daily procedures -       Some Weekdays and Saturdays    

 Instructions for Volunteer, clinical faculty and students: 

• Pre-clinic class Saturdays: 7:00 or 7:30  AM (See class schedule)-8:45 AM

1. Prepare computer equipment, open the following links: nimbo-x.com, Up to Date, & ICD-10 Codes

2. 8:30 AM (In-person partners)– Discuss with the Soup Kitchen volunteers about sending patients to the waiting room 

3. Before 8:50 AM the Zoom session will be open using the clinic's laptop, the two iPads (Free iPad & kiosk) 

   1. Stations will be created according to instructions by the HFiT attending physician (Registration, Vital Signs and Rapid Tests, Consult shadowing)

4.  Students will be re-admitted to  Zoom between 9:00 & 9:15 AM  

5. Consult will start and computer equipment will be positioned to facilitate interaction between students, patients and volunteers. 

6. Priority will be given to the above procedures

7. In case of an emergency, students will be informed about the situation and asked to wait. 

8. Outpatient services will finish at  12:30 PM to clean and sterilized the clinical spaces, 

   1. Patients not seen by 1 PM will be rescheduled for another appointment.  

9. Between Noon and 12: 30 PM faculty, students and volunteers will debrief and discuss cases if time allows. 

10. Medical notes will be completed and added to the EMR by medical students, faculty and volunteers before 2 PM  

11. Students will use templates discussed in clinic procedures.

12. Provide a diagnosis using ICD-10 codes for ALL consultations  (see ICD-10 Search) send by chat to the provider

Students and volunteers and visiting scholars:

1. After pre-clinic session, students will begin the virtual Zoom visit between 8:50 and up to  9:15 AM

2. Students will keel their video cameras on during telemedicine interactions with patients

3. At the beginning of the consult, students will present to the patients and ask for permission to participate during the medical encounter

   • If a patient does not authorize student's participation, sound and video will be suspended until the patient leaves  

   • Students will have access to audio and video after the patient leaves the medical office 

4. Students need to dress appropriately and be in a space where there is privacy and will not be interrupted. Students in pijamas or similar attire will not be allowed to participate.

Links to access PHQ9 , GAD7 and electronic medical record for faculty, students and volunteers:  

Registration, PHQ9, GAD7, TB Questionnaire

Access to EMR (Nimbo) for students and volunteers: 

Website: https://app.nimbo-x.com (Links to an external site.)

Username: Add your UCSD or UABC email    [example:  hfit.nimbo3@gmail.com]

PW: Use the password associated with your email

At the end of registration, students will write in the patient's medical record in the EMR the following information:

• PHQ4/9 results 

• GAD7 results if requested

• TB results if higher than 10

You can use your PC, MAC, iPad to do the PHQ9,  GAD7, and TB  questionnaires 

If you are using a computer that is used by other people, log out from the EMR (nimbo) and close the surveys you have used from your browser

Do not save any passwords.