COMMUNICATION WITH COLLABORATING PHYSICIANS
與協作內科醫生進行溝通
Surgeons often work with other physicians in collaboration of care for patients.
外科醫生通常都會就病患與內科醫生進行合作。
Communication in these settings is important to the overall patient outcome, particularly when the surgeon is involved in the patient's care for some defined interval that was preceded and will be followed by the ongoing care provided by the primary care physician.
這種情形下的醫患交流對病人的痊愈非常重要,特別是當初級保健醫生一直、且將繼續負責護理病人,而外科醫生需要介入之時。
In this situation, there are two basic types of communication: routine and urgent.
在這種情況下,有兩種最基本的交流模式:常規和緊急
Routine communication of reasonably expected information that does not need to be acted on urgently can take place in a variety of ways depending on the health care setting.
常規信息交流不宜操之過急,需要變換形式、見機行事。
It is typically asynchronous and written, and it may take the form of a note in the patient's electronic medical record or a letter sent to the physician's office.
通常情況下,這種交流方式并不同步,并且通過書面方式傳遞,在病患的電子病例中,它或許會以記錄,或是向內科醫生辦公室遞交信函的方式出現。
For example, regarding a patient who is referred to a surgeon for cholecystectomy and who has a plan made for the operation, communication between the surgeon and referring physician can be routine.
比如,一名轉到外科醫生那里接受膽囊切除術的患者,醫生計劃通過手術治療,那么內外科醫生之間的交流就可以通過常規方式進行。
Urgent communication should occur between or among the collaborating physicians when unexpected or adverse outcomes occur.
當病患出現意外或是不利情況時,外科醫生就應該與協作內科醫生進行緊急交流。
Again?a variety of communication modes may be utilized, but the communication is more often synchronous via a direct conversation either in person or by telephone.
此外,可以采用多種交流方式,且面對面交流和電話交流通常同時進行。
The communication is more than courtesy to the collaborating physicians, as knowledge of these events allows them to participate constructively on behalf of the patient.
當病人的病情決定了不同醫師要相互協作之時,醫生之間的交流就不僅限于以禮相待了。
Examples of situations that warrant more urgent communication include new diagnosis of significant cancers, life-altering complications from interventions, and certainly death of the patient.
需要進行緊急交流的情況包括確診癌癥、因治療所出現的并發癥、以及病人死亡。
Clarity in transfer-of-care responsibility is critical to the continuous optimal care of the patient.
在轉交病人時,清晰明確的表達是病患接受有效治療的關鍵。
Therefore, any communication with the collaborating physicians should indicate either the ongoing role of the surgeon in the patient's care or the deliberate transfer of responsibility for ongoing care issues back to other collaborating physicians.
因此,與協作醫生交流時應該明確外科醫生當前對病人的職責,或者告知病人的護理責任已經轉移到其他醫生身上。
譯文屬可可英語原創,未經允許,不得轉載。