Practice Management
Children wind up in the urgent care center when they’re not at their best—sickly, often cranky, and not necessarily in the most compliant frame of mind. And that’s “typical” kids. The challenges can increase exponentially for children with autism spectrum disorder (ASD). How staff and clinicians deal with the patient and family in the urgent care center or emergency room can make all the difference in the world, though, facilitating a better clinical experience and …
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Case The patient is a 40-year-old man who presents with annular, scaly lesions on his arm which appeared over the past week. The patient is a veterinarian, and was diagnosed with type 2 diabetes last year. View the photo and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreCase A 44-year-old man presents to your urgent care center complaining of intermittent dizziness. He denies shortness of breath, fever, chest pain, and syncope. Upon exam, you find: General: Alert and oriented Lungs: CTAB Cardiovascular: RRR without murmur, rub, or gallop Abdomen: Soft and NT without r/r/g View the ECG and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.
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The U.S. Consumer Products Safety Commission tells us we can expect a spike in emergency room visits on or around the Independence Day holiday next week. If you’ve done a good job of alerting your community to the fact that many ED-bound patients could be treated just as well (not to mention faster and less expensively) in your urgent care center, that means you can expect to see more traffic, too. Make sure your holiday …
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The number of marijuana-related visits to the emergency room and urgent care center at Children’s Hospital Colorado has more than quadrupled since Colorado legalized recreational use, according to a new study. Researchers at the University of Colorado Anschutz Medical Campus reviewed ED and urgent care records for 13- to 21-year-olds, looking for visits where the patient either had a diagnostic code related to marijuana use or a positive urine screen; that number rose from 146 …
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Ohio is placing new limits on the prescribing of opioid medications for acute pain, forbidding clinicians from writing more than a 7-day supply for adults, or a 5-day supply for minors (down from up to 90 days, currently). Prescribers will be allowed to override the acute pain limit if they identify a specific reason in their patients’ medical records, though this is not likely to apply in the urgent care setting. Further, the limits do …
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Seven health systems—including more than one with a stake in the urgent care marketplace—are among the World’s Most Ethical Companies, according to a new listing from the Ethisphere Institute. Hospital Corporation of America (HCA), Baptist Health South Florida, Cleveland Clinic, Covenant Health, Northwell Health, Sharp HealthCare, and University Hospitals were all recognized for their ethics and compliance programs; corporate citizenship and responsibility; creating a culture of ethics; governance; and their leadership, innovation, and reputation. More …
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Spring has officially arrived, and with the snow continuing to melt it won’t be long before seasonal allergens are in full bloom. Urgent care physicians are reminded, however, that symptoms of allergic reactions to pollen and ragweed can be identical to those seen in patients who are allergic to cannabis, ranging from mild sinusitis to acute exacerbations of asthma. Since allergy panels don’t typically test for reaction to marijuana, the only way to get a …
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The World Health Organization (WHO) is calling on clinicians and drug makers to help fight a worldwide surge in antibiotic-resistant organisms, some of which could be just as prevalent and as dangerous as Zika and Ebola. The rate of their emergence has picked up in recent years, thanks in part to inappropriate prescribing of antibiotics. As such, the WHO has echoed the pleadings of the U.S. Centers for Disease Control and Prevention (CDC) for clinicians …
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New data suggest that efforts to educate patients on when it’s appropriate to go to an urgent care center vs the emergency room need to continue, if not increase. Basically, the survey from CityMD shows too many are not selecting the appropriate setting for immediate care. More than 2,000 Americans 18 and older were asked which setting would be most appropriate for immediate care in eight separate scenarios, from having a child with a 104⁰ …
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