CALL GROUP CALENDAR

AFTER HOURS ARE: 5PM-9AM WEEKDAYS 24 HOUR WEEKENDS/STATUTORY HOLIDAYS.

DO NOT CALL THE LONGTERM CARE ON-CALL PHYSICIAN OR NURSE PRACTITIONER DIRECTLY.

To speak with a physician or nurse practitioner after-hours about a long-term care patient, please check whether their most responsible physician (MRP) or nurse practitioner is part of the Long-term Care Initiative - see physician and nurse practitioner list, above. If so, follow these steps:

1. Prepare to call - Gather patient information (chart + medication) and start SBAR. Include the following information: a. Relevant past medical history [ex: previous heart attack, stroke, psychiatric history, why patient is in LTC] b. Relevant events [ex: labs, antibiotics] c. MOST level of intervention d. Allergies e. Last creatinine level/GFR f. Indicate if any blood thinners g. Vitals

2. Call Personal Touch On-Call Service at (604) 528 – 4658. Ask to be patched to the North Shore LTCI on-call physician or nurse practitioner. When speaking with on-call physician or nurse practitioner, include: a. Your name + where you are calling from b. Patient name + date of birth + PHN c. Patient MRP d. Major reason that patient is in LTC (ex: dementia, Parkinson’s, stroke) e. MOST level of intervention f. Provide details from the SBAR and any requested info from chart

3. After the call - Fax completed SBAR (including orders received and care provided) to on-call physician or nurse practitioner and to patient’s MRP. Include: a. Patient name + PHN + DOB + facility phone # (direct ward line)

*Note: LTCI physician and nurse practitioner fax numbers are sent to your facility. If needed, Personal Touch can provide you with the physician’s or nurse practitioner’s fax number.

If you have any questions about the Long-term Care Initiative on-call process, please contact NS Division of Family Practice at northshore@nsdivision.ca or 778-945-3017

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