D

Appendix FF – Pediatric Dermatology Clinic Tips

In the manual since June 27, 2021

REFILLS

  • Default for prescriptions is NO refills

  • Please be sure to send refills at visit

  • Families should contact pharmacy directly for future refills  (dot phrase “QESFAX”)

  • Please choose correct pharmacy  (esp for biologics, compounds)

  • Topicals to local pharmacies

  • Biologics to Specialty pharm (default is Goldsmith) - route chart to CG ACC DERM RN if initial rx

  • Enstilar to St Peters (coupon)

  • Please write dx code on prescription

  • Elidel only covered Dx Atopic Derm for Medicaid ( MO Med Prefers)

  • Retin A - Dx Acne Vulgaris for Medicaid ( Mo Med Prefers)

  • Protopic and Elidel ARE covered by Meridian and Molina with PA

  • Terbinafine not covered by Medicaid  on $4 list at Dierbergs Pharmacy

  • Ordering Triple Gel: choose Rx for fluocinonide gel, add under “note to pharmacy” “dispense ‘Triple Gel’ - mix 1:1:1 fluocinonide gel:6% salicylic acid gel:2.5% LCD (e.g. Cutar)”- send to Goldsmith

  • Cyber Access - username:  pedderm     password: Password!

HEMANGEOL / DUPIXENT START (SAMPLES)

  • Initial order to CGCH pharmacy to send sample
  • One time order for in clinic dose for initiation
  1. In patient chart- orders/name/must choose in patient today orders( bed icon)/ preference list/choose drug for today/ choose once frequency/ note to pharmacy “ do not send- clinic supply”/ check pt supplied dose #1
  • New Rx to Goldsmith for home supply refills

IPLEDGE

  • Route chart to CG ACC DERM RN POOL for all accutane scripts ( new or refills)
  • Ensure negative pregnancy test prior to writing refill ( rx only good for 7 days from test)
  • If you initiate a consent, both parent and child ( under 18) must initial each slot and sign form; place ipledge number on completed form;  form needs to be placed in media tab via Haiku

LABS

  • Lab04311 “Staph Strep culture” for surveillance throat/perianal swabs

  • Biopsy orders SLU Dermpath ( order for Skin Biopsy procedure and Derm Path Req)

  • Skin biopsy (add dot phrase QESBIOPSYOPNOTE)

  • Please label all swabs and biopsies in the room with a pt label ( RN will place req sticker)

  • Default lab orders are for Cardinal Glennon; no changes needed to order labs at CGCH

CBC W DIFFERENTIAL Status: Normal Standing Expected Date: Expires: Lab Collect O Routine Future • Approx. 3/24/2022 # Lab Collect Routine Class: Prior

Text from this document (searchable)

CBC W DIFFERENTIAL
Status:
Normal Standing
Expected Date:
Expires:
Lab Collect O
Routine
Future
• Approx.
3/24/2022 #
Lab Collect
Routine
Class:
Priority:
Quantity:
Lab:
Resulting Agency:
Specimen Src:
Blood
Office Collect
PSC Collect
Outside Lab Collects
STAT
(The maximum orderable quantity for this procedure is 100)
CGCMC LABORATO Collection Date:
Collection Tir

  • Outside labs:
  • Status**: Choose Normal**
  • Class: PSC collect
  • Resulting agency**: Quest or Labcorp** (if other outside lab message RNs)

CBC W DIFFERENTIAL Status: Class: Priority: Quantity: Lab: Normal PSC Collect P Routine Resulting Agency: Specimen Src: Blood Standing Future Lab Coll

Text from this document (searchable)

CBC W DIFFERENTIAL
Status:
Class:
Priority:
Quantity:
Lab:
Normal
PSC Collect P
Routine
Resulting Agency:
Specimen Src: Blood
Standing
Future
Lab Collect
Routine
QUEST
Office Collect
PSC Collect
Outside Lab Collects
STAT
(The maximum orderable quantity for this procedure is 100)
Collection Date:
Collection Time:

PATIENT FU/INSTRUCTIONS

  • Use the Pediatric specific Dot phrases
  • 3 mos FU or more have family call scheduling 314-678-3047 option 2
  • 1 mos FU or less please route to Brittany Green (admin asst) to schedule - wont be able to get appt if call scheduling line

CHARTING TIPS

  • Capitalize brand names; use lower case for generics
  • Take images for Haiku as often as possible
  • Problem list elements: start with CG Telederm vs. in-office onset/prior tx, add dot phrase TODAY DATE for line items to summarize visit (condition severity, interval med use, recommended labs, Rx. F/U); add relevant personal and family history at the bottom
  • Complete Followup tab

PATIENT AVS INSTRUCTIONS

  • Begin with a statement summarizing the diagnosis, follow with summary recommendations
  • If you choose related dot phrases, review and edit for patient-specific relevance
  • For recommended follow-up >3 mo: ask family to call scheduling 314-678-3047 option 2 (QESFOLLOWUP)
  • For recommended follow-up <3 mo: route to Brittany Green (admin asst) to schedule - wont be able to get appt if call scheduling line
  • Verify AVS/Problem list consistency (to avoid future confusion for nurses fielding questions)

REFERRAL/ACCESS CALLS

  • If paged for referral and you are not able to answer send, message to: Sam Scego or Catherine (Cathi) Slinkard, RNs to return call and explain delay

Ped Derm Office Contacts

Brittany Green - admin asst brittany.green.1@health.slu.edu     ext 3451

Sam Scego, RN - samantha.scego@ssmhealth.com cell 314- 221-0361

Cathi Slinkard, RN - catherine.slinkard@health.slu.edu cell 314-750-8395

Derm Fax 314-268-4077

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