When the Consult Note is associated to the Consult order and signed, it will complete the consult order.
The care team is not automatically removed from the patient; the providers will need to remove their care team from the patient. So once they have completed the consult, the patient will stay on their care team and they can also assign themselves to the patient so they can continue to follow the patient.
There are Consult system lists for each Consult specialty for each location. When a consult order is placed the patient will show on the list. Providers will be educated to add the lists to their My Patients.
Workflows:
(1) If a provider is listed in the “to” field, then they should always get a push notification.
o If folks are still running into cases where a push notification doesn’t happen, then we need to have the example to investigate.
(2) If the providers Sign In to the team, then they will get push notifications if the team is selected in the consult order.
o They should sign into the team on the days they are covering if they want push notifications.
(3) We made a change this week to allow folks to toggle these push notifications on/off on their device. They just need to go into the notification settings of the app, and now they can toggle “Consult Notification” on/off.
o It is by default on.
(4) At the community hospitals, the consult order creates a task for the unit coordinator to call the provider.
Order Transmittal Rules
201- Consult Transmittal
124- Paging and Haiku notifications.
ED has separate rule from (1) Facility rule. They use rule 16000.
Finding independent Providers
When placing a consult order, providers need to be able to choose independent providers by name. If a clinician cannot find the provider in the “to” field of a consult order, select the “Override Restrictions” button, and then search again.
Notifications
At CMC the go to both Haiku and paging. At community hospitals, they go to Haiku.
Full logic below:
| Service | Epic Consult Order | Pager # |
| Acute Care Surgery | IP CONSULT TO ACUTE CARE SURGERY [CON139] | 35213 |
| Allergy & Immunology | IP CONSULT TO ALLERGY [CON35] IP CONSULT TO IMMUNOLOGY [CON61] | 35166 |
| Anesthesia Pain | IP CONSULT TO ANESTHESIA PAIN [CON140] | 35238 |
| Anesthesiology | IP CONSULT TO ANESTHESIOLOGY [CON36] | 30900 |
| Bone Marrow Transplant | IP CONSULT TO BONE MARROW TRANSPLANT [CON141] | 31252 |
| Cardiothoracic Surgery | IP CONSULT TO CARDIOTHORACIC SURGERY [CON73] | 33118 |
| Cardiology | IP CONSULT TO CARDIOLOGY [CON43] IP CONSULT TO CARDIOVASCULAR MEDICINE [CON142] | 30996 |
| Colorectal Surgery | IP CONSULT TO COLORECTAL SURGERY [CON1] | 36951 |
| Congenital Heart Disease | IP CONSULT TO CONGENITAL HEART DISEASE [CON143] | 37137 |
| DACR & NACR | IP CONSULT TO DACR [CON144] IP CONSULT TO NACR [CON155] | 30512 |
| Dentist | IP CONSULT TO DENTIST [CON58] | 35326 |
| Dermatology | IP CONSULT TO DERMATOLOGY [CON59] | 31426 |
| Electrophysiology | IP CONSULT TO ELECTROPHYSIOLOGY [CON66] | 30718 |
| ED | IP CONSULT TO ED [CON145] | 30580 |
| Endocrinology | IP CONSULT TO ENDOCRINOLOGY [CON60] | 30113 |
| Endovascular-Limb Salvage | IP CONSULT TO ENDOVASCULAR-LIMB SALVAGE [CON146] | 35001 |
| ENT | IP CONSULT TO ENT [CON13] | 30115 |
| EPAT | 36311 | |
| Epilepsy | IP CONSULT TO EPILEPSY [CON147] | 31528 |
| Family Practice | IP CONSULT TO FAMILY PRACTICE [CON3] | 38197 |
| Gastroenterology | IP CONSULT TO GASTROENTEROLOGY [CON68] | 30385 |
| Genetics | IP CONSULT TO GENETICS [CON99] | 30465 |
| Geriatric Medicine | IP CONSULT TO GERIATRIC MEDICINE [CON55] | 37420 |
| Obstetrics & Gynecology | IP CONSULT TO OBSTETRICS [CON46] IP CONSULT TO GYNECOLOGY [CON191] | 30554 |
| Gynecologic Oncology | IP CONSULT TO GYNECOLOGIC ONCOLOGY [CON56] | 38384 |
| Heart Failure | IP CONSULT TO HEART FAILURE [CON148] | 31007 |
| Hematology-Oncology | IP CONSULT TO HEMATOLOGY [CON57] IP CONSULT TO HEMATOLOGY-ONCOLOGY [CON149] | 31251 |
| Hepatobiliary Surgery | IP CONSULT TO HEPATOBILIARY SURGERY [CON150] | 38171 |
| Hepatology | IP CONSULT TO HEPATOLOGY [CON151] | 32747 |
| Infectious Diseases | IP CONSULT TO INFECTIOUS DISEASES [CON5] | 31285 |
| Maternal-Fetal Medicine | IP CONSULT TO MATERNAL-FETAL MEDICINE [CON152] | 38652 |
| Medicine | IP CONSULT TO MEDICINE [CON153] | 32309 |
| Metabolism | IP CONSULT TO METABOLISM [CON154] | 30480 |
| Nephrology | IP CONSULT TO NEPHROLOGY [CON8] IP CONSULT TO RENAL CARE [CON64] | 34436 |
| Neurology | IP CONSULT TO NEUROLOGY [CON9] | 30116 |
| Neuro-Stroke | IP CONSULT TO NEURO-STROKE [CON156] | 35663 |
| Neurosurgery | IP CONSULT TO NEUROSURGERY [CON10] | 30153 |
| Oncology | IP CONSULT TO ONCOLOGY [CON47] | 38947 |
| Ophthalmology | IP CONSULT TO OPHTHALMOLOGY [CON48] | 35251 |
| Oral Surgery | IP CONSULT TO ORAL SURGERY [CON11] | 31012 |
| Orthopaedic surgery | IP CONSULT TO ORTHOPAEDIC SURGERY [CON52] | 32663 |
| Pain Management | IP CONSULT TO PAIN MANAGEMENT [CON32] | 35879 |
| Palliative Care | IP CONSULT TO PALLIATIVE CARE [CON157] | 35614 |
| Perioperative Medicine | IP CONSULT TO PERIOPERATIVE MEDICINE [CON130] | 32054 |
| Plastic Surgery | IP CONSULT TO PLASTIC SURGERY [CON70] | 30156 |
| Podiatry | IP CONSULT TO PODIATRY [CON50] | 30625 |
| Psychiatry | IP CONSULT TO PSYCHIATRY [CON53] IP CONSULT TO CHEMICAL DEPENDENCY [CON72] | 30164 |
| Pulmonology | IP CONSULT TO PULMONOLOGY [CON54] | 33605 |
| Radiation Oncology | IP CONSULT TO RADIATION ONCOLOGY [CON20] | 32614 |
| Rheumatology | IP CONSULT TO RHEUMATOLOGY [CON44] | 30246 |
| SCC Adult Supportive Oncology | IP CONSULT TO SCC ADULT SUPPORTIVE ONCOLOGY [CON132] | 33567 |
| Structural Heart/TAVR | IP CONSULT TO STRUCTURAL HEART/TAVR [CON133] | 35541 |
| Surgical Oncology | IP CONSULT TO SURGICAL ONCOLOGY [CON134] | 30175 |
| Thoracic Surgery | IP CONSULT TO THORACIC SURGERY [CON207] | 32732 |
| Transplant Services | IP CONSULT TO TRANSPLANT SERVICES [CON135] | 31330 |
| Trauma Surgery | IP CONSULT TO TRAUMA SURGERY [CON26] | 49993 |
| Urology | IP CONSULT TO UROLOGY [CON39] | 30125 |
| Vascular Medicine | IP CONSULT TO VASCULAR MEDICINE [CON136] | 32513 |
| Vascular Surgery | IP CONSULT TO VASCULAR SURGERY [CON40] | 35214 |