HFiT Clinic's Protocols

HFiT Clinic daily procedures -       Saturdays 

 Instructions for Volunteers, clinical faculty, and students: 

Preclinic joint meeting 7:30-8:45 AM

The clinic starts at 8:55

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

2. 8:30 AM – Discuss with the Soup Kitchen volunteers about sending patients to the waiting room (on-site collaborators)

3. Before 8:50 AM the teams will be organized for the day

   1. A registration station will be created according to instructions by the HFiT attending physician 

   2. A Vital Signs / Rapid test station will be created 

   3. Three clinic shadowing stations 

4.  Option for students visiting via  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 sterilize the clinical spaces, 

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

9. Between 1:00-1:15 PM faculty, students, and volunteers will debrief and discuss cases. 

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

11. Include a diagnosis using ICD-10 codes for ALL consultations  (see ICD-10 Search)

For Students visiting via Zoom. 

1. Students will be added to the virtual Zoom visit between 8:50 and 9:15 AM

2. Students will keep their video cameras during telemedicine interactions 

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

   • If a patient does not authorize the 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 records 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.