Hospital Coverage for Evenings, Nights, and Weekends
- Nursing Coordinators are in-house 24 hrs/day: Reachable at pager 7576, VM 3-6921
- Case Managers are in-house Saturdays 8:00am – 4:30pm and on pager on Sundays also 8:00 – 4:30pm:
- Reachable through paging at 2-2122, additionally the case manager on-call is listed in flyers posted on each unit.
- Social Workers are available by referral from the Nursing Coordinator (exception is ER, who may call us directly)
- Chaplains are available through paging at 2-2122
- Psychiatry Resident is available through paging at 2-2122
- AODA / Adults: Assessments from AODA are available during normal business hours only
- AODA / Adolescents: For Dane County residents, the Adolescent AODA Intervention Program is available 24 hrs a day for assessment. Available through hospital paging. For residents of other counties, contact their DHS the next business day.
- Administration can be contacted through paging at 2-2122. The most typical situation would involve a risk-management issue.
- Patient Relations can be contacted at pager 3492 4:30 - 7:00 M-F.
When a Nursing Coordinator should be contacted
- Meal Coupons
- Bridging supply of Medications
- Petty Cash ($20 max)
When a Case Manager should be contacted (often contacted by care team leader)
- Discharge Planning Issues
- Plan of Care Issues
When a Social Worker should be contacted (see Practice Guidelines for On-Call Social Work )
- Families in crisis/conflict
- Critical treatment decisions
- Abuse/Assault issues
- Traumatic accident
- External disasters
- You are overwhelmed – You would ordinarily contact homeless shelter for person in ER, but there are four people coming in on Med Flight and there’s a person waiting with a gunshot wound, etc.
- Discharge Planning
- Financial Issues
- Advance Directives (These can be witnessed by non-related visitors. If none are available, the staff nurse can put a note in the chart detailing the patient’s wishes and then put a consult on A2K for the regular social worker)
Questions to ask when contacted
- What is the nature of the emergency?
- If referral comes from someone other than Nurse Coordinator, is Nurse Coordinator aware of contact (exception: direct call from ER)?
- What do you want the Social Worker to do?
- Does the family know the Social Worker was called?
- Can this situation wait until next business day? If, so, put a consult through on A2K.
Services Social Workers can provide
- Support and consultation
- Defusing: Assisting patients and their significant others by discussing feelings/reactions and adaptive/maladaptive stress responses
- Debriefing: Discussion of facts and feelings in order to deal with acute, delayed, or cumulative stress from a single stressor or multiple stressors
- Facilitating discussions and decision making
- Crisis reduction counseling
- Education about normal and abnormal responses to stress and methods for identifying and practicing coping strategies
- Referrals to appropriate sources
Social Workers have made a commitment to be in-house within 45 minutes of a call when needed.
We should fill out On-Call Log and give to the Social Work Coordinator the next business day.
As most of you know, the nursing supervisor will assist families with any financial needs.
Given that the situations we are called in for are complex, it is helpful to receive a description of the patient and the situation which includes: Why they are there, current medical condition and expectations, family members present, and how they appear to be coping with the situation. It is helpful to have this information prior to arriving as it can allow time to formulate a plan of action.
Typically, social work is called in when the staff is extremely busy and can not spend time with the family. For the most part, when the ICU calls, it is with the expectation that someone will come in. It has been frustrating for ICU staff when they have called social work and they feel the social worker on call tries to problem solve over the phone and does not agree to come in.
We are typically used at the time of death (however, this is often handled by the staff) or at the time of admission. It is a time to assist with basic needs such as housing, meal tickets and most importantly helping families to cope with the situation. It is also helpful to assess the families understanding of the situation. There are many times when it is simply helpful to listen to families and help them problem solve basic issues around housing and care for other children.
Please feel free to contact any of the Peds social workers for clarification or affirmation of a plan of action.