First draft of the workflow for the clinic opening next week — Sept 14th. This document will change and the scope of the clinic will increase.
Referrals
Referrals to the clinic will open on Friday of this week. Referrals can be made from both sites.
To make a referral, use the order in Cerner (Consults → Internal Clinic Referrals → Clerk Communication Order — mark "Please give pt STZ appt time please"). The patient will be given an appointment time before leaving the ER — the actual booking is done by clerical staff.
📄 Medical Clinic — Workflow Outline (Sept 2026)
Examples the Clinic Can See
Not all-encompassing. We are also in the process of securing additional next-day US slots at Queens for patients seen at Midtown the evening prior — for conditions unlikely to need specialty services at Midtown (think DVT US, possibly renal colic, etc.). Reminder: Queens already has reserved slots at Midtown for next-day ultrasounds you deem high-risk for needing specialist involvement.
| Problem | Comments |
|---|---|
| Next-day US / VQ scan | If high risk for needing surgery, consider keeping at Midtown. |
| Wound check / suture check | Specify in your order when they should be seen. |
| Repeat antibiotics / treatment | Book an appointment for when next dose is due. |
| Non-emergent procedures (e.g. paracentesis, punch biopsy) | Indicate why you are referring so equipment is available. Procedures not requiring sedation. |
| Follow-up imaging (X-ray discrepancies, outpatient MRI) | If patient is not currently in the department, call a clerk to book them after placing the order. |
| Follow-up / repeat lab work | If patient is not currently in the department, call a clerk to book them after placing the order. |
| Cellulitis / abscess reassessment | |
| Return for services available at Queens | Social work, OT/PT, CCAC. Make sure the question is focused. |
Physician in Clinic — Workflow
- Assess and treat patients in clinic.
- Complete radiology discrepancies for both sites — book patients into clinic when appropriate. Communicate with clerical about this.
- If not busy, you may direct patients from the ED to the clinic.
- If you identify a patient who needs to be transferred to the main department (too sick for the clinic), transfer them. This requires a handover to the acting resus doctor at the time of transfer.
- If at the end of your shift there is still a patient in the clinic awaiting treatment or imaging, that patient will be transferred to the main department with a handover to the 1500 doctor.
- Billing is the same as in the regular ER.