Rotations
Consults
Rotations · Consults · Workflows
The three you will reach for
The same cards as the library below, put where they are asked for fifty times a week.
New Consult WorkflowUnverified
What this needs
- Request and source
- Consult question
- Urgency
- Callback to the primary team
- Focused chart review
- ECG, telemetry, imaging, labs
- See the patient
- Formulate the plan
- Staff with the attending
- Direct communication
- Initial note
- Follow-up and sign-off
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The local specifics of each step — how requests arrive and how sign-off is worded.
Answered by: Program
Orders & Order SetsUnverified
What this needs
- Whether the order is fellow-entered or recommended to the primary team
- The Cerner order set it lives in
- Indication
- Prerequisites
- Common pitfalls
- The related workflow
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The exact local order-set names.
Answered by: Program
Documentation TemplatesUnverified
What this needs
- Consult note
- Follow-up note
- Pre-op risk note
- Results communication
- Sign-out / handoff
- SmartPhrases
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The exact Cerner template and AutoText names.
Answered by: Program
A consult note, minimum
A standard the program stated, rather than a template it has yet to supply.
- The explicit consult question.
- Pertinent history and objective data.
- An assessment that answers the consult question.
- Prioritized recommendations, urgent separated from non-urgent.
- Who staffed the case, and what was communicated.
- Direct communication to the primary team for important or urgent recommendations.
New Consults
From the request landing to the note being filed.
Receive consultWhere a request arrives and who it comes fromUnverified
How consults are formally placed here — an order, a call, a list, or a combination — and who owns the consult list.
Answered by: Program
Determine urgencyEmergent, urgent, or routine, and what each one changesUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
See patientFocused chart review, then the bedsideUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Staff with attendingOne by one or grouped — it varies by attendingUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guidePlace initial ordersWhat a fellow enters and what is recommended to the primary teamUnverified
Whether fellows routinely place orders on consult patients or recommend them to the primary team, and the exact order-set names.
Answered by: Program
Write initial consult noteThe note that answers the question that was askedUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Daily Management
Carrying a patient from the first note to sign-off.
Follow-up patientUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Review new dataUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Update recommendationsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Communicate with primary teamDirect communication for anything important or urgentUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Sign out unresolved issuesUnverified
The official sign-off criteria and the language the program expects.
Answered by: Program
Orders
What each one is for, and whether a fellow enters it.
Telemetry / ECGUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Troponin & cardiac labsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
TTEUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Stress testUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Diuresis / IV medsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
AnticoagulationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Pre-op evaluationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Cath escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
TEE / cardioversion discussionUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Documentation
The notes, and the templates behind them.
Initial consult noteUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Follow-up noteUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Pre-op cardiac risk noteUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Procedure / results communicationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Sign-out / handoffUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
SmartPhrases / templatesCerner AutoText a fellow actually usesUnverified
The exact Cerner consult-note and follow-up template names, the SmartPhrase / AutoText names, and the patient-list names.
Answered by: Program
Practical Tasks
The small things that cost an hour when nobody has told you.
Find primary nurseWhere the assigned RN shows upUnverified
Where the assigned RN is found — Cerner, the unit board, or the phone directory — and the exact click path.
Answered by: Program
Contact Quarterback APPUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Get outpatient monitorWhen it is appropriate, and who orders itUnverified
The UTMC outpatient monitor workflow: who orders, device type, order path, pickup or mail, and who owns the follow-up.
Answered by: Program
Arrange follow-upUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Reach consult attendingUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guideEscalate urgent caseUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Troubleshooting
When the normal path is not working.
Delayed staffingUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
After-hours urgent consultAfter 6 PM routine new consults are deferredUnverified
How it goes
- After 6 PM, routine new consults are deferred; urgent and emergent consults are evaluated.
- Identify the on-call attending for the question being asked.
- Evaluate, then document and hand off explicitly.
The precise queue or deferral workflow for a non-urgent consult after 6 PM.
Answered by: Program
STEMI / shock escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Pending critical resultUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Unclear consult questionCall the requesting team before working it upUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Still needed from the program
Listed rather than guessed. These are the facts this page cannot answer.
- Consult intakeHow consults are formally placed, and who owns the consult list.
- CernerConsult and follow-up template names, SmartPhrase / AutoText names, patient-list names.
- OrdersWhether fellows place orders or recommend them, and the exact order-set names.
- Sign-offOfficial sign-off criteria and language.
- OvernightThe non-urgent deferral queue after 6 PM.
Last updated 2026-09-19 · Program, Consults Work Guide specification, 2026-09-19
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