Note: selection of a Supervising Provider ceased to be part of trainee logons as of December 8, 2020. Please see the Manual for information about how this workflow is largely automated. The rest of this posting still applies.
- Inpatient Consults: when a trainee is serving on an inpatient consultation service and helps with a consult in the emergency room, it may be appropriate to select an authorizing prescriber other than the system default (attending prescriber). When working in ER on behalf of an inpatient consultation services, some ordered tests may be more appropriate for the consulting prescriber to follow.
Inpatient Ward: inpatients may be on a ward where there are patients admitted under different attending physicians. Inpatient laboratory results are not routed to In-Baskets unless the result is delayed until after the patient is discharged. Even then, they route to the inbox of the attending physician at the time of discharge. Critical results get called to the responsible provider, who will be the selected Supervising Provider. Accordingly, if a trainee elects to do ward rounds under a single Supervising Provider (e.g., the provider on call to cover that ward at night), know that the Supervising Provider will get called for critical results and be sure that is acceptable to the service that the trainee is working on. Of course, the best practice is to follow instructions for quickly changing Supervising Provider when moving to a patient with a different attending.
- Manual: Trainee Prescriber Roles
- Tip: Changing an Authorizing Prescriber
- Crib-Sheet: Multi-Supervisor Scenarios