Embedded Files
Quick Access to the:
UPDATED 7/22/21
Background:
Background:
Senior Pediatric Residents (defined as PGY-2 and PGY3) will gain experience with telehealth by providing medical advice to patients of the UNLV Health Pediatric Clinic. While on UMC PEDIATRIC WARDS NIGHTS, these residents will cover Caregiver Call (also known as Mommy Call), by answering after-hour, weekend, and holiday phone calls from established and soon to be established UNLV Health Pediatric Clinic patients. This service & policy does not include patients seeking advice specific to UNLV Health’s Pediatric Subspecialities or non UNLV Pediatrics Patients.
Call Schedule:
Call Schedule:
Weekday Shift is 5:30 pm until 08:00 AM the next day.
Friday Shift is 05:30 PM until 06:00 AM Saturday.
Saturday Shift is 24 hours (06:00 AM until 06:00 AM Sunday).
Sunday Shift is 26 hours (06:00 AM until 08:00 AM Monday).
Phone Call Algorithm:
Phone Call Algorithm:
When paged or called by the Answering Service (AS), please respond within 15 minutes at 702-791-1222
If you do not have all your resources ready, gather as much information as needed from the answering service such as: DOB, First and Last Name and Chief Complaint then call them back when you are ready.
Review and confirm the patient using EPIC EMR (any format). For Sunrise Newborns, you may need the Sunrise Portal or Patient Keeper.
When ready, call the Answering service to have them call the family back through their secured line. First, obtain the name and phone number of the caregiver AND the name and DOB of the patient. This information should all be confirmed before proceeding with your call. Ask the caller who the child’s pediatrician is or if the patient follows with the general pediatricians at UNLV Health Pediatric Center.
If an interpreter is needed, please use the CTS language link resource by calling 1-877-650-8021, location code is 25135#, choose option 1 and give them the AS line 702-791-1222.
If the patient is not followed by the UNLV Health Pediatrics Clinic, you CANNOT provide medical advice. You should encourage them to call the after-hours answering service for their provider. However,
You CAN provide advice for infants discharged from UMC or Sunrise nursery who plan to be seen at UNLV Health (but have not yet had an appointment at). Also, recall that the Mother’s Surname followed by BB or BG is how newborns are input in the system.
If the patient was recently discharged from SUNRISE (where they were seen by the resident team) AND not a UNLV Health patient, and they have questions about discharge instructions or medications they need to call the inpatient floor or ER from which they were discharged.
If the patient was recently discharged from UMC (where they were seen by the resident team) AND not a UNLV Health Patient - and they have questions about discharge instructions or medications you may discuss this with the on call UMC attending (not the Outpatient Attending on call), this patient will not be documented on.
If the caregiver is asking advice specific to a UNLV Health Pediatric Subspecialty, please find out which specialty and attendings; then call the Answering Service to let them know that the patient was trying to reach that specialty and not general pediatrics. The answering service will page the correct Pediatric Subspecialist on call.
Please create a phone note within 24 hours of the phone encounter, and if you want to schedule an appointment, message Nubia and Dolly in Epic
To open a phone note: select the patient, create a new encounter, and select phone note.
Every phone note must be forwarded to the outpatient attending on call for review/signature which allows feedback to be provided on telephone management.
For incoming new nursery patients from Sunrise & without an EPIC profile, send an encrypted email to the chiefs and attending on call with necessary information.
Patient follow up:
Patient follow up:
If the patient needs clinic follow up message Nubia Guerrero and Dolly Magally Cavani via EPIC or an encrypted email.
Call Sunrise or UMC’s Pediatric ER if you will be sending the patient to the respective ER’s.
Attending Support:
Attending Support:
Outpatient attending physicians on Nursery Call (not UMC attendings) will provide supervision for any of the “mommy call” decisions which residents need help with.
Residents are not required to call the outpatient attending about any encounters but are encouraged to speak with an attending with any questions regarding lab/radiology results and the management of a patient.
The Attending call schedule is available on New Innovations
Other Notes:
Other Notes:
Residents in clinic or nursery are REQUIRED to sign out any pending laboratory values (e.g. bilirubin results) to the “caregiver call” resident.
Please utilize an encrypted method, or call the resident directly
You may not prescribe any controlled substances
It is advisable to not prescribe any oral antibiotics unless it is a prophylactic antibiotic that the patient is already on.
If the caregiver is requesting any type of rescue medication please refill this medication once, and inform them you will send a message to clinic to set up a follow up appointment
Always err on the side of caution and avoid Wellness Bias
End the call with asking for any further questions and have the caregiver repeat back the information you told them
Useful Phone numbers:
Useful Phone numbers:
After Hours Answering Service at 702-791-1222
UNLV Health Pediatrics Clinic (general line) 702-944-2828
Fax Numbers 702-944-2851, 702-944-2850
UMC Peds ER: 702-383-3739 | UMC Floor Pager:702-381-0425
Sunrise Peds ER: 702-961-5437
Recommended Resources:
Recommended Resources:
UNLV Pediatric Center: Clinic Pages on Caregiver Call, Books & Apps
Books:
Berkowitz Pediatrics - Chapter 5 (online via EBook Central),
Harriet Lane (Online via Clinical Key),
Pediatric Telephone Advice by, Barton Schmitt (online via Ovid)
"Pediatric Primary Care: Well-Child Care" - Chapter 49 - (online via Ovid)
Hospital Portals: UMC Epic Portal Haiku (for Androids/IPhones), Canto (for IPads); Sunrise Portal
Apps: Up to date, Doximity Dialer, Visual Dx
Websites: Nevada NBS, WebIZ
Others: Yale PCPC Chapter 5 (Commn Newborn Concerns) UNLV Parenting 101
All residents (regardless of training level) are also expected to keep up to date with their tasks (including labs, imaging, calls); and are to document these calls appropriately. For help in EPIC on how to find assigned tasks and how to document your calls, see the presentation above or ask any attending.
All residents (regardless of training level) are also expected to keep up to date with their tasks (including labs, imaging, calls); and are to document these calls appropriately. For help in EPIC on how to find assigned tasks and how to document your calls, see the presentation above or ask any attending.
INFORMATION PRIOR TO JULY 2021
To access relevant documents click here or the box below (you will need to log in with your UNLV Google Net Id .
Not working? Log out of your personal google/gmail account first
As of January 4, 2016, outpatient attendings will be rotating evening/overnight availability on a weekly basis to provide supervision for any of the mommy call decisions residents may not be comfortable with. You only need to call the supervising attending if you have a question or are uncomfortable with your decision-making. Always err on the side of caution.
The Attending call schedule is online on New Innovations (click schedule tab, view schedule under assignment scheduling tab, and choose “mommy call” option from pull down menu) and is physically posted in the LIED physician work room.
When on, call the "Mommy Call" Number 702-791-1222 to confirm let them know you are on call and which number (pager or mobile) to contact you with.
EVERY mommy call encounter should be documented on EPIC as a “PHONE Note” for each particular patient documenting the guardian question/concern and your recommendations/course of action. The note does not need to be very long but should be sufficiently detailed. A note should be completed within 24 hours (and ASAP if advice is given to go to ED, lab, or follow-up in clinic in AM). Every phone note must then be forwarded to the outpatient attending on call for review/signature, and so they can provide feedback on your management.
TIP: To generate the phone note, find the patient in the EMR, select the “create encounter tab,” and select “telephone.”
If a patient cannot be found on EMR but they insist they follow with UNSOM (currently at LIED clinic or previously at UPC S. Maryland Parkway), you can give advice. Please send an email to attending on call using your encrypted UNR email with patient encounter note. Please be sure to write patient’s full name, phone number, and DOB.
No medications should be prescribed except for one albuterol refill (only if patient has been previously prescribed albuterol). The ONLY exceptions are prescriptions that were written in clinic incorrectly that the pharmacy is refusing to fill unless fixed OR if you receive a call from lab that a throat culture (or similar lab) became positive and pt was not previously prescribed appropriate medicine (eg. PCN for +GAS culture).
Residents are required to sign out any pending laboratory values (e.g. bilirubin results) to on-call “mommy call” resident. This must be done through an encrypted communication or verbally.
Resident Mommy-Call Shifts:
Weekday “mommy-call shift” is 5:00 pm until 08:00 AM the next day.
Friday “mommy-call shift” is 05:00 PM until 06:00 AM Saturday.
Saturday “mommy-call shift” is 24 hours (06:00 AM Saturday until 06:00 AM Sunday).
Sunday “mommy-call shift” is 26 hours (06:00 AM Sunday until 08:00 AM Monday).
Be sure to promptly answer any mommy-call. Attendings receive detailed printouts on EVERY phone call placed to the mommy call service and when you called the service back.
Need any E-Books or Apps ? Click Here for Harriet Lane, Berkowitz, UpToDate, and more.
Who's on call? Check New Innovations.
Page updated
Report abuse