Home » POCUS Brings Aid to the Hospitalist

POCUS Brings Aid to the Hospitalist

Hospital medicine formed to fill a void that had evolved. Before the busyness of administration and insurance compliance, primary care physicians used to visit and physically follow up on patients admitted to the hospital. In the ’90s, the world of primary care changed, and the ability to see hospitalized patients personally was no longer an option.

Now a care gap was created, and the question of who would provide hospitalized patients specific, personalized care while admitted, was left unanswered. This is where hospital medicine came into play or what is known today as the hospitalist. The term was invented by Dr. Robert M. Wachter, professor and chair of the department of medicine at the University of California. It simply means a generalist-specialist who cares for hospitalized patients.

Despite the absence of one’s primary doctor, while in the hospital, patients still need someone who is providing dedicated, specific care geared towards their unique needs. That’s the benefit that came with a primary care physician visit. No one knows a patient’s medical history like their primary doctor. The longevity and depth of understanding an individual’s health proved to assist in patients being diagnosed more accurately; therefore, being discharged readily quickly because a proper care plan was established and implemented on time.

Hospitalists become that specialist for hospitalized patients, orchestrating and overseeing their care. The job is to navigate the patient through a multitude of specialists and assist in weaving their care into one integrated plan.[1]

Today, there are more than 60,000 hospitalists nationwide managing the care of inpatient stay.[2] The roles vary and include physicians, nurse practitioners, physician assistants, and practice administrators. Each job is seen as critical and proven to reduce readmission as well as patients’ length of hospital stay. The work is so essential; there is a day set aside in March and a week in May to recognize the contribution of these generalist-specialists.

One modality enhancing the prominence of the hospitalist is point-of-care ultrasound (POCUS). Many hospitalists incorporate POCUS into their daily practice. As with the incomparable and matchless knowledge, the primary care physician provides their patients to ensure a speedy recovery, POCUS steps in to do the same. When accurately applied, this pocket-size device provides immediate and detailed answers to specific diagnostic questions.

Another similarity to the primary care doctor POCUS provides hospitalists is continuity and consistency of care. POCUS examinations are commonly performed by the same clinician who initially generated the relevant clinical question. This clinician discovers the answer via POCUS and ultimately integrates the findings into the patient’s care plan.

POCUS also helps hospitalists with monitoring patients during admission. For example, it has become a significant tool for tracking the progression of COVID-19 in individuals. When utilizing POCUS to view the lungs of COVID-19 patients’, it aids in predicting new and increased symptoms, allowing hospitalists the proactive measure of modifying treatment plans in advance. Having this preemptive measure has assisted in the fight against the coronavirus.

As our world shifts and the dependency on hospitalists increases, it is imperative to make room for advances in medicine like POCUS to assist in providing the personalized care patients expect and deserve. Better technology and support on the front end of the bedside equates to improved patient care and results on the back end.

References

  1. Howley, E. (November 19, 2018). What Is a Hospitalist? Retrieved, February 24, 2020 from https://health.usnews.com/health-care/patient-advice/articles/2018-11-19/what-is-a-hospitalist.
  2. (n.d.). National Hospitalist Day. Retrieved, February 21, 2020 from https://nationaldaycalendar.com/national-hospitalist-day-first-thursday-in-march/.

Looking for additional inspiration? Sign up for our POCUS Post™ newsletter to receive monthly tips and ideas.

Looking for more information?

Fill out the form below or email us at POCUS@Inteleos.org to get more info.
  • This field is for validation purposes and should be left unchanged.

[gravityform id="66" ajax="true"]
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_66' ><div id='gf_66' class='gform_anchor' tabindex='-1'></div> <div class='gform_heading'> <h3 class="gform_title">Get your POCUS Guide - POPUP</h3> <span class='gform_description'></span> </div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_66' id='gform_66' action='/pocus-brings-aid-to-the-hospitalist/#gf_66' novalidate> <div class='gform_body gform-body'><ul id='gform_fields_66' class='gform_fields top_label form_sublabel_below description_below'><li id="field_66_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_1"><label class='gfield_label screen-reader-text' for='input_66_1' >Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_1' id='input_66_1' type='email' value='' class='form-control medium' placeholder='Email Address' aria-required="true" aria-invalid="false" /> </div></li><li id="field_66_3" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_3"><div class='ginput_container ginput_container_text'><input name='input_3' id='input_66_3' type='hidden' class='gform_hidden' aria-invalid="false" value='https://www.pocus.org/pocus-brings-aid-to-the-hospitalist/' /></div></li><li id="field_66_4" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_4"><label class='gfield_label' for='input_66_4' >Comments</label><div class='ginput_container'><input name='input_4' id='input_66_4' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_66_4'>This field is for validation purposes and should be left unchanged.</div></li></ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_66' class='gform_button button' value='Download POCUS Guide' onclick='if(window["gf_submitting_66"]){return false;} if( !jQuery("#gform_66")[0].checkValidity || jQuery("#gform_66")[0].checkValidity()){window["gf_submitting_66"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_66"]){return false;} if( !jQuery("#gform_66")[0].checkValidity || jQuery("#gform_66")[0].checkValidity()){window["gf_submitting_66"]=true;} jQuery("#gform_66").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=66&amp;title=1&amp;description=1&amp;tabindex=0' /> <input type='hidden' class='gform_hidden' name='is_submit_66' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='66' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_66' value='WyJbXSIsIjZmY2YxODJmMjQzYjkwYWE0YTkyM2JiYzA3ZGNhOGYzIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_66' id='gform_target_page_number_66' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_66' id='gform_source_page_number_66' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> <p style="display: none !important;"><label>&#916;<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_2" name="ak_js" value="223"/><script>document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() );</script></p></form> </div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_66' id='gform_ajax_frame_66' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe> <script type="text/javascript"> gform.initializeOnLoaded( function() {gformInitSpinner( 66, 'https://www.pocus.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_66').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_66');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_66').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_66').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_66').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_66').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_66').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_66').val();gformInitSpinner( 66, 'https://www.pocus.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [66, current_page]);window['gf_submitting_66'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_66').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_66').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [66]);window['gf_submitting_66'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_66').text());}, 50);}else{jQuery('#gform_66').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [66, current_page]);} );} ); </script>