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  • 1.  Appropriate Way to Address Patients from Waiting Area

    Posted 11-28-2023 17:19

    Our Ambulatory Education Council was having a robust conversation around best practices for "calling patients" back to exam rooms from the waiting rooms area. We want to ensure this is done in a HIPPA compliant manner, and without assuming gender to ensure we are respectful to all people.

    In thinking of cultural-competence and patient-centered care, some suggestions were: to use last name only or first name initial and last name. Then, once the patient and healthcare provider connect, the patient would confirm their legal name and date of birth.

    What practices do your teams currently use?



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    Nytosha Thomas-Bridgeman MSN RN CMSRN
    Emory HealthCare
    Atlanta GA
    (404)668-4350
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  • 2.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 11-29-2023 08:30

    Good morning, 

    We call by first name.  Then as soon as the patient gets past the waiting room into the clinical hallway, the staff confirms last name and date of birth.



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    Katharine Weeks
    Director of Clinical Operations
    Wentworth Douglass Hospital
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  • 3.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 11-29-2023 08:33

    We use the same process, Katharine.  However, if a first name is difficult (mine, for example), the patient may be called by last name only and then first name and date of birth are verified.



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    Michaelene Wolff, BSN, RN, OCN, AMB-BC
    Coordinator, Clinical Programs
    Chair, Ambulatory Telephone Protocol Committee
    University of Colorado Hospital
    Aurora CO
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  • 4.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 01-30-2024 10:31

    Thank you for your response!



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    Nytosha Thomas-Bridgeman MSN RN CMSRN
    Emory HealthCare
    Atlanta GA
    (404)668-4350
    ------------------------------



  • 5.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 11-29-2023 10:51

    Are there opportunities at the registration area to validate preferred name, pronouns, or gender? 

    I've personally used "Last name 'Thomas-Bridgeman'" when calling someone back, and will ask them to validate first name and DOB when we're at the doorway to go to the clinical area. When I'm the patient I'll usually validate with the person calling me back since my last name causes some confusion and I never know if they were calling a first name or last name! 



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    Andrea Kelly MSN RN NPD-BC
    Director, Population Health
    ECU Health Physicians (formerly Vidant Medical Group)
    Greenville NC
    (252)847-3930
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  • 6.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 02-01-2024 15:03

    Hello Team.

    What is your process when the front office personnel signs the patient in and when you call the patient leaves. Do you document in the medical record that the patient left without being seen? One is the nurses is refusing to document t because she is saying she never saw the patient. Any suggestions?



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    Sheryl Durr
    DNP Nurse
    VA Palo Alto
    Palo Alto CA
    (404)935-8475
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  • 7.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 02-05-2024 12:22

    Great question! I just discussed this with my staff at our meeting last week. Our SOP is first name & first initial of last name i.e "Lauren C", once they get into the clinical hallway confirmation of full name & DOB. If there is a lot of activity in the hallway, then they wait until the patient is in the exam room for privacy.



    ------------------------------
    Lauren Crociata BSN RN
    Clinical Nurse Manager
    Stony Brook Dermatology Associates
    Stony Brook NY
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  • 8.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 02-06-2024 11:26
    Interesting.

    We have a large transgender population and so have used first initial last name and then confirm full name and DOB once beyond the doors of our waiting area. Without a field in our EMR that demonstrates preferred name it’s difficult to use any other method and be patient centric and not offensive to gender queer.

    Amy

    Sent from my iPhone




  • 9.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 02-07-2024 11:55
    This is an excellent conversation on patient advocacy, and it sounds like a grass roots effort that can be used to implore nursing leadership to voice the need for a change implemented in the EHR at the C-Suite level.  Also sounds like the type thing AAACN could take a position on in terms of changing health policy.  I thank you for starting the discussion. 

    ---------------

     

    Aleesa M Mobley PhD APN  (she/her/hers) Why Pronouns Matter

    Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]

    Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute 

    Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing


    Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084 

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    mobley@rowan.edu | som.rowan.edu 


    Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].





  • 10.  RE: Appropriate Way to Address Patients from Waiting Area

    Posted 02-07-2024 15:19
    I'll take it to the DEI committee for best practice recommendations. The below is my recommendation as a member of that committee while we work with epic on a better discrete field and better SOGI reporting as part of the health equity brain thrust. 

    Thanks for raising the question! 

    Amy

    Sent from my iPhone