Evans General Surgery Clinic
SURGICAL CLINIC
Current as of:  30 Jun 2012
Clinic Location:		2nd floor of Evans Hospital. Room 2201.
		1650 Cochrane Circle. Bldg# 7500. Ft Carson, CO 80913.
Hours of Operation:  Mon - Fri     0730-1600
Walk-in:		No
Consult		Yes
Required:
Self-Referral		No
Clinic:
Beneficiary		AD, Prime and all others Space-A, ages 6 mos and older.
Types:
Appt Types:		Detail Codes:		Duration:		Comments / Instructions:
SPEC		COUNS				Follow the color coded instructions below for:
						► COUNS = Breast Clinic     Dr. Woll only
						► This is a FEMALE ONLY appointment slot.
						Follow the color coded instructions below for:
						► Bariatric Surgery - look out 40 days.
SPEC		GAST				If the first available appointment is beyond 28 days,  ask the paitent if they are willing
						to "Defer ATC standards". If yes, annotate "ATC Std waived by patient".
						► Gastric Bypass, Obesity related
						► Breast Reductions - look out 40 days.
						If the first available appointment is beyond 28 days,  ask the paitent if they are willing
SPEC						to "Defer ATC standards". If yes, annotate "ATC Std waived by patient".
						► Abdominoplasty
						► For ALL OTHER surgical consults.
						Follow the color coded instructions below for:
EST						► History and Physical
						► Follow-up appt after surgery.
Special Instructions for Patients:
TO BE READ VERBATIM TO THE PATIENT
► Children must be supervised at all times.
► Patients booked for SPEC-COUNS (Breast Clinic) appointments are to sign in at Radiology.
► AD must bring records and radiology records if applicable.
Special Instructions for CLERKS:
Provider Restrictions
Doctors:
► Brown:           NO Abdominoplasty, Gastric Bypass, Lap Band, Gerd/Reflux.
► Kim:                NO Abdominoplasty.
► Fellabaum:    NO Abdominoplasty, Gastric Bypass, Lap Band.
► Lowery:          NO Abdominoplasty, Gastric Bypass, Lap Band, Varicose Veins.
► Mayfield:       NO Abdominoplasty, Gastric Bypass, Lap Band.
► Speirs:            ONLY Breast Post Mastectomy Reconstruction and Breast Reduction.
PA:
►  Saxe:          ONLY sees initial consults for Abdominoplasty for non-gastric bypass patients, Hernia Assessment,
Pilonidal Cysts, Varicose Veins,  any Palpable (able to be felt) Mass except breast mass.
Until further notice:  Make ALL attempts to book based on the request from
the clinic noted on the consult.  Even if it contradicts the protocol!
If the requested provider has no access, send the consult back to a Team Lead.
Team Leads:  Annotate the lack of availability with the requested provider on
the consult and send it back to the clinic for resolution.
COUNS:
(ONLY Breast abnormalities or concerns and abnormal mammograms)
► Breast Clinic:  ANY SPEC, WITH COUNS detail code.
► Only for consults that are written specifically to the Surgery Clinic for breast ABNORMALITIES.
► Dr Speirs Breast Reconstructions/Reductions are not BREAST ABNORMALITIES and therefore NOT BOOKED in a COUNS slot.
SPEC Appointment Instructions for other than COUNS:
Booking Priority:
1.  If referral has been reviewed by Dr Wilcox and has been assigned to another provider, then book with that provider.
2.  If not, check for availability with Dr Wilcox or RN Thornton (gastric bypass evaluations only).  Look out at least 14 days.
Gastric Bypass:
► Doctors Wilcox or Thornton (evaluations only).
► Active Duty is NOT eligible for gastric bypass.
Abdominoplasty (Excessive skin removal, Pannus removal, Tummy Tuck):
Doctors Woll and Wilcox ONLY:
Booking Priority:
1.  If referral has been reviewed by Doctors Woll, Imlay or Wilcox and has been assigned to another provider, then book with that provider.
2.  If not, check for availability with Doctors Woll, Imlay or Wilcox ONLY.
PA Ginther can see initial consults for abdominoplasty for ONLY non-gastric bypass patients.
Breast Post Mastectomy Reconstruction and Breast Reduction:
► Dr Speirs only.
Hernia Assessment, Pilondial Cyst, Varicose Veins, Palpable Mass:
PA Saxe can only see patients for initial consults for Hernia Assessment, Pilondial Cyst, Varicose Veins,
and any palpable (able to be felt) mass except breast mass.
EST:
History and physical:
► Appointments are to be booked within 30 days of scheduled surgery with the provider who will be performing surgery.
(Patient will provide surgery date and provider who will perform surgery).
► For Doctors Wilcox and Woll, PA Saxe is the first priority for History and Physical appointments followed by Dr Wilcox or Dr Woll
for their own patients.
Follow-up appt after surgery:
► Patient will call with specific instructions as provided by the clinic for follow-up appointments.
► Unless the clinic instructs otherwise:  Book another appointments with the Provider who performed patient’s surgery.
► Any questions refer to Head Nurse at the Surgery Clinic:  213#
Special Instructions for Lack of Availability:
► If there are no appointments available, transfer the patient to clinic for assistance:  213#