Trauma surgeons often rely on consultants to assist in the care of their patients. Orthopedic surgeons and neurosurgeons are among the most frequent consultants, but a variety of other surgical and medical specialists may be needed. I have found that providing a set of guidelines to consultants helps ensure quality care and improve communication between caregivers and patients/families.

Here are some guidelines you can provide to your consultants to ensure strong relationships and patient satisfaction.

• Please introduce yourself to our patient and their family, and explain why you are seeing them.
• Although you may discuss your findings with the patient, please discuss all recommendations with a member of the trauma service first. This avoids patient confusion if the trauma team chooses not to implement any recommendations due to other patient factors you may not be aware of.
• Document your consultation results in the medical record in a timely manner.
• If additional tests, imaging, or medications are recommended, discuss with the trauma service first. We will write the orders or clear you to do so if appropriate, and will discuss the plan with the patient.
• We round at specific times every day and welcome your attendance and input.
• Please communicate any post-discharge instructions to us or enter them in the medical record so we can expedite the discharge process and ensure all follow-up visits are scheduled.

Bottom line: A uniform “code of behavior” is important! Ensuring good patient communication is paramount. They need to hear the same plans from all their caregivers; otherwise, they will lose confidence in us. One of the most important lessons I have learned over the years is that you do not need to implement every recommendation that a consultant makes. They may not be aware of the most current trauma literature, and they will not be familiar with how their recommendations may impact other injuries outside their specialty.

Click here to download an editable copy of the Trauma Services consultant guidelines for your use.