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In Reply To: On Call Responsbilities
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Post Re:On Call Responsbilities
Author: mrabow [CAPC/PCLC Faculty]
Date: Dec 5, 2007 12:05 pm

Hi,

Great question... For sure, the goal of palliative care is to provide continuity and certainly to be there for crises.

In reality, many programs are limited to M-F, 9-5... or specific hours such as yours.

I think it is appropriate to start with what you have and then try to grow toward the the goal of 24/7 coverage. To maximize the service there are a few things to take care of:
(1) make it clear to patients and referrers what your hours are so they're expectations are appropriate.
(2) make it clear who they should call if you are not available (typically this would be the primary clinical team... i.e. the referring doc)
(3) consider low-level availability (e.g. phone consult only) during the hours you can't be there
(4) consider deputizing others (e.g. hospitalists) to cover patients in emergencies if you can't be there.

Great work and congrats on getting things started. Mike Rabow, UCSF Palliative Care Leadership Center


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