General Practice Triage System
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  • Triage Phone Consultation
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  • Telephone Triage Skills
  • TRIAGE CHART
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  • Home
  • Contact
  • Telephone Prompts
  • CONTACT FLOWCHART
  • INJURY/ TRAUMA
  • MEDICAL PROBLEM
  • OTHER PROBLEM
  • KEY WORD SEARCH
  • Triage Phone Consultation
  • Triage Training
  • Telephone Triage Skills
  • TRIAGE CHART
  • Sample Triage Policy
  • Practice Nurse Triage Guidelines
  • Practice Emergency Guidelines

triage - Phone  consultation

Protocol for deciding the appropriateness of telephone consultations for the management of patients

​LOGISTICAL FACTORS to consider when using telephone consults

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Patient Factors

•  Availability of the carer
•  Care of dependants
•  Transport and capacity to use it
•  Confidentiality

Practice Factors

•  Appointment system (capacity, flexibility and skill-mix)
•  Timetabling for tele-consults
•  Time of day of call
•  Distance between patient and practice
•  Billing arrangements
.
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out-of-hours service factors

•  Time of day/night (number of professionals available)
•  Distance between patient and practice or appropriate after-hours health services

Locality Factors

•  Dispensing arrangements
•  Distance between patient and services
•  Traffic (in urban areas)
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flowchart for determining the type of consultation

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examples of appropriate consultation methods

GP Tele-consult
  • Specialist report
  • Pathology/Radiology result
  • Long-term medication prescription repeat
  • Medication issues
  • Chronic disease management
  • Progress welfare/management check
  • Follow-up of acute presentations e.g. home visit or ED discharge
  • Coaching
  • Complaint management
RN Tele-consult
  • ​​Progress welfare/management check
  • Coaching​
Face-to-face GP consult
  • Change or medication/request required
  • Prescription request for drugs of dependence
  • Physical examination required (beyond patient observations)
  • First appointment/ new symptom
 +Face-to-face RN consult for patient                          observations
  • ​Long-term medication prescription repeat
  • Chronic disease management
  • First appointment/ new symptom










Copyright - Medics for Life 2016