REAL-TIME VIRTUAL SUPPORT Toolkit for Healthcare Providers
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REAL-TIME VIRTUAL SUPPORT Toolkit for Healthcare Providers August 2020 Real-Time Virtual Support Pathways rccbc.ca/rtvs In This Toolkit About Real-Time Virtual Support ........................................................................................................... 1 Flow Chart ............................................................................................................................................. 3 How to Access RTVS ............................................................................................................................. 4 Frequently Asked Questions ................................................................................................................. 6 Zoom Instructions ................................................................................................................................. 8 Zoom FAQs ...........................................................................................................................................11 Physician Profiles ................................................................................................................................. 13 RUDi Team ..................................................................................................................................... 14 ROSe Team ..................................................................................................................................... 21 CHARLiE Team ................................................................................................................................ 23 MaBAL Team ................................................................................................................................. 28 Dermatology Team ....................................................................................................................... 30 Posters ................................................................................................................................................. 31 Real-Time Virtual Support Pathways rccbc.ca/rtvs About Real-Time Virtual Support In April 2020, Real-Time Virtual Support (RTVS) Pathways launched in BC. There are several pathways for rural healthcare providers, First Nations citizens, and rural and remote citizens to access virtual healthcare. Real-time virtual support enables on-demand consultation to support patient care and rural healthcare collaboration. RTVS helps you deliver timely emergency, urgent, and non-urgent patient-centred care for your patients by connecting you to a group of physicians with experience in emergency medicine, critical care, pediatrics, maternity and newborn, and dermatology as well as experience in rural communities. This toolkit is designed for physicians, nurses, and nurse practitioners in rural, remote, and First Nations communities. It describes the pathways that can be accessed by these healthcare providers, how they can be accessed, and which pathway is most relevant at any given time. Healthcare providers can use the following pathways: 1. RUDi – Emergency 2. ROSe – Critical Care 3. CHARLiE – Pediatrics 4. MaBAL – Maternity and Newborn 5. UBC Dermatology Rural and Remote Service RUDi (Rural Urgent Doctor in-aid) Physicians with emergency medicine and rural experience are available 24/7 through Zoom and by phone to support rural healthcare providers looking for support with a patient or preparatory simulation, including providing a second opinion about a patient, reviewing a case, running through simulation scenarios, helping to navigate the healthcare system, providing collaborative support in critical times, and other situations as needed by rural providers. ROSe (Rural Outreach Support) Intensivist/critical care specialists are available 24/7 through Zoom, the ROSe app, and by phone to support rural healthcare providers looking for a consultation, second opinion, or ongoing virtual support for patients. ROSe physicians have expertise in complex, acutely ill patients, and those who are deteriorating; although, they are open to support rural care providers for any patient whom they are concerned about. CHARLiE (Child Health Advice in Real Time Electronically) Pediatricians, pediatric emergency physicians, and pediatric intensivists are available 24/7 by Zoom to provide urgent specialized pediatric support to rural healthcare providers who are presented with urgent problems in children and youth. Support includes providing a second opinion, reviewing a case, helping to navigate the healthcare system, and providing collaborative support. Page 1 Real-Time Virtual Support Pathways rccbc.ca/rtvs MaBAL (Maternity and Babies Advice Line) Family physicians with expertise in maternal and newborn care and an understanding of the rural and cultural contexts are available 24/7 through Zoom and by phone to provide guidance on urgent and non- urgent pre-conception, prenatal, antenatal, intrapartum, and postpartum presentations, for both moms and newborns. Family physicians can also provide assistance in assessment and problem-solving and can rapidly facilitate access to specialist expertise from regional care centre obstetricians or provincial pediatricians. UBC Dermatology Rural and Remote Service UBC Dermatology is operating a service for physicians and nurse practitioners in rural and remote settings (including First Nations Virtual Doctor of the Day) by phone, text, photo, teleconference, and a combination of these. The first contact is usually with a senior dermatology resident who can orient new users. Residents will use submitted information to reach a working diagnosis and plan, which is reviewed with dermatology staff and the referring practitioner. Follow-up plans are made, and a written note is faxed. If you have a patient that you’re worried about, you can access RTVS 24 hours a day, seven days a week to connect with a physician for a second opinion or support. Don’t hesitate—RTVS pathways are here for you. All RTVS physicians on-call are friendly, understand the rural practice context, and are ready to support your needs. RTVS supports established care pathways in regional health authorities by enhancing capacity and strengthening connections between regional and rural BC. We are exploring opportunities to collaborate with health authorities to fully integrate and embed real-time virtual support into clinical programs. This will enable health authorities to provide additional support to rural communities and bridge pathways across health authorities. We look forward to collaborating with you. For up-to-date information, visit rccbc.ca/rtvs. Real-Time Virtual Support is an initiative of the Virtual Health and Wellness Collaborative for Rural and First Nations BC. RTVS is made possible through the incredible work and collaboration of Rural Coordination Centre of BC (supported by the Joint Standing Committee on Rural Issues), First Nations Health Authority, Provincial Health Services Authority, Providence Health Care, BC Emergency Medicine Network, and UBC Department of Emergency Medicine. Page 2 Real-Time Virtual Support Pathways rccbc.ca/rtvs Flow Chart This flow chart shows the RTVS pathways and resources available for rural healthcare providers, as well as First Nations citizens and residents in rural and remote communities across BC. As new pathways are added, please refer to rccbc.ca/rtvs for the most updated version of the diagram. Page 3 Real-Time Virtual Support Pathways rccbc.ca/rtvs How to Access RTVS Pathway Description Access Information RUDi – Emergency A physician with emergency medicine and Available 24/7 (Rural Urgent Doctor in-aid) rural experience is available to provide support with a patient or preparatory Zoom: [email protected] simulation, including: • providing a second opinion about a patient • reviewing a case • running through simulation scenarios • helping to navigate the healthcare system • providing collaborative support in critical times • other situations as needed by rural providers ROSe – Critical Care An intensivist/critical care specialist with Available 24/7 (Rural Outreach Support) expertise in complex, acutely ill, and deteriorating patients is available to Zoom: [email protected] provide support for a consultation, second opinion, or ongoing virtual Phone: 1-888-918-0626 support for patients. ROSe mobile app Physicians can also support rural care (Download the app from providers for any patient whom they are rosetelehealth.com) concerned about. CHARLiE – Pediatrics Pediatricians, pediatric emergency Available 24/7 (Child Health Advice in Real physicians, and pediatric intensivists are Time Electronically) available 24/7 by Zoom to provide urgent Zoom: [email protected] specialized pediatric support to rural healthcare providers who are presented with urgent problems in children and youth. Support includes providing a second opinion, reviewing a case, helping to navigate the healthcare system, and providing collaborative support. Referrals will continue through current regional referral pathways utilizing the partnerships developed by Child Health BC, with the Tiers of Service guiding referrals and discussion of transfers. Page 4 Real-Time Virtual Support Pathways rccbc.ca/rtvs Pathway Description Access Information CHARLiE physicians will partner with CompassBC, a program that provides virtual support to providers managing children and youth living with mental health and substance use concerns. CHARLiE physicians will work with the current Neonatal and Pediatric Critical Care Transport