CARES
The questions you should naturally ask in an interaction
What is PHQ9 and GAD7?
The acronym TMS stands for
What is transcranial magnetic stimulation?
Patients that do TMS and Keta together are ___ more likely to go into remission from their depression
What is 80%?
PCA measure of success
5 TMS orders per week
Three treatment options offered here
1. Medication management
2. TMS
3. Ketamine
What is Connect, Ask, Reassure, Education, Solutions?
The length of TMS treatment and the sessions
What is every M-F for 30 minutes over the course of 8 weeks?
Nurse on site, slow drip, can stop whenever, dosage is based on weight, safe space
PCA stands for
Patient Care Advocate
Length of established, transfer, and new patient appointments
est - 20 min
transfer - 40 min
NP - 60 min
"I am proud of you for coming in today" is an example that would fall under this category
What is reassure?
Give three examples of how TMS is different at Serenity vs. other clinics
dTMS vs rTMS, gratitude, providers and nurses are in clinic, techs stay in the room, MTR every session
Cost of Ketamine
$400 per session, total of $2400 for full treatment and not covered by insurance
The PCA interaction intro should include these main points
1. Your name
2. Your title
3. Why you are meeting with them
4. How long and how often you will be meeting with them
Site used to access all Serenity documents and answer any questions
Bloomfire
The target score we try to achieve on a QA
What is 80%?
List 5 TMS protocols
Depression, Anxiety, PTSD, OCD, Cognitive enhancement, Addiction / craving reduction, etc.
Benefit of doing ketamine and TMS together
short term relief + long term relief = best results. Already activating the positive neuropathways to make TMS more effective
Information PCA is required to put in a patients progress note
Vitals, PHQ9, and GAD7
Questions asked to every patient to verify Hipaa
Name and date of birth
Explain the purpose of the Star D study
To show the decrease of effectiveness when taking multiple antidepressants
Give a TMS analogy
snowy road, fireworks, gym, etc.
Explain ketamine to me like you would explain to a patient
overview should include what it is, how its administered, the benefits patients receive, the length of appointments, and how many appointments in treatment, what the experience is like, etc.
Purpose of the PCA position
CARES
3 places to find a patients medication history
1. Medication drop down
2. NP progress note
3. eEHX, paperclip, continuity of care