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T vs L patients:

Each service assigns patients and takes call in a different manner.  The following is a list of programs with information regarding how their specialty deals with call in our hospital.

Medicine: 

  • Assignment of new (“unreferred”) patients are based on the patient’s medical record number. If the last number is even, the patient is assigned an L number. T patients are odd numbers.
  • Consult team based on letter in front of medical record number. Patients who have seen either Tulane or LSU in the past should be admitted by those respective teams, regardless of letter.

Dermatology:Consult team based on letter in front of medical record number. Patients who have been seen by either Tulane or LSU in the past should be seen by that respective team, regardless of letter.

Neurology: Call team alternates for ER patients(odd days Tulane neuro, even days LSU neuro), regardless of who follows them in clinic. L-neurology will admit isolated neurologic issues, regardless of whether patient is L- or T- number.  T-neurology cannot admit - patients should be admitted to medicine service according to L- or T- number.

Neurosurgery:  For unreferred patients, L-Neurosurgery takes first half of month, T-Neurosurgery takes second half of month.  For patients followed by neurosurgery for ongoing problem, consult the service who has seen that patient in the past.

OB/GYN: For unreferred patients (not seen in past 3 years by Ob/Gyn), Tulane GYN covers first half of month while LSU GYN covers second half of month. Patients who are followed in clinic, consult the service who has seen that patient in the past. 

Ophthalmology:  Each team takes call every other day. Does not matter whether patient is T or L or which team has seen the patient in the past.

Orthopedics: Each team takes call every other day.  Does not matter whether patient is T or L or which team has seen the patient in the past.

ENT: There is only L-ENT.

Plastics: There is only L-Plastics

Psychiatry: There is only L-psychiatry

Surgery: There are 2 LSU teams and 1 Tulane team however they share call and cover for each other's patients.  For all surgical patients, consult the service listed on-call. 

Urology: Tulane and LSU take call every other day.  However, they do not cover for each other's patients.  For established patients, consult the service which has seen them in the past.  For unreferred patients, consult the service on call.

Cardiology: For STEMI, Tulane taking call for 1st-15th; LSU taking call for 16th-31st.  For routine ER cards consult, refer to letter on patient sticker.  If patient has been seen by particular cards service in past, consult the service which follows them regularly.

Endocrinology:  Consult all patients by their L- or T- number.  If patient has been seen by one service in the past, that service should be consulted.

Gastroenterology:  This is a combined service - consult general pager for both

Hematology/Oncology: Consult all patients by their L- or T- number.  If patient has been seen by one service in the past, that service should be consulted.

Infectious Disease: Consult all patients by their L- or T- number.  If patient has been seen by one service in the past, that service should be consulted.

Nephrology: Consult all patients by their L- or T- number. If patient has been seen by one service in the past, that service should be consulted.

Pulmonary:  Consult all patients by their L- or T- number.  If patient has been seen by one service in the past, that service should be consulted.

Rheumatology:  Consult all patients by their L- or T- number.  If patient has been seen by one service in the past, that service should be consulted.

Oral Maxilofacial Surgery: There is only L-OMFS.

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