Claire Ankuda
speaker
277 appearances
2 recordings
1 series
first heard Jan 2020
last heard May 2020
Claire Ankuda’s voice in public audio — every appearance, attributed to the second.
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Um, so our calls really shifted to being a lot from the ED were sort of um rapid response questions of patients who would likely need intubation in the next hours, usually not minutes, but usually hours.
Or people in the uh calls from physicians in the IC were on the floors of similarly patients who were acutely decompensating, who they really needed help talking to families then, but were also tied up with other patients um in a in a crisis situation.
Chris normally likes to mention that I rode my bike in.
It's his favorite part of this story.
Thanks.
Well, I I mean I think the lesson learned was that the call line was a great tool to directly do palcare work, but as a health system tool, it was also a great tool to figure out where needs were and target those precious in-person resources where in-person resources had to exist.
Like the ED during these during these shifts, there was just no time to even make a call.
Um
So so the call and helped us figure that problem out, which was a really interesting health systems lesson for us.
that's an under count because the count in the paper is the number of notes we wrote.
We were pulled into far more cases and had far more meant more calls where we were just curbsiding and not writing notes.
she's the head of our clinical services.
Yeah, and this was our sort of always being behind the eight ball is volume, as you saw, volume grew really rapidly.
And so it was first, you know, we started with two attendings, then week two we added in, we made it sort of a a little rotation with four attendings a week, rotating through the call, taking calls during the day, taking calls during the night, or being in the ED in person.
Then we added in backup callers, and because of that, we needed
med students to triage the calls because we wanted the calls to go directly to an attending.
And the call
So we had
at all times a primary attending, a fellow, backup attendings on the call line and med students manning this operating system online, um, patching the calls through.
So those were the sort of the things we did to keep up with the calls.
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