Telemedicine Clinical And Safety Policy

1. Scope And Triage

Consultants must verify patient identity, confirm clinical appropriateness for telemedicine, and triage urgency at encounter start.

Cases outside telemedicine safety boundaries must be escalated to emergency or in-person intervention without delay.

2. Consultation Safety Baseline

Minimum safety checks include allergies, contraindications, red-flag symptoms, and medication reconciliation when relevant.

Consultants must pause or terminate remote management where information quality is insufficient for safe care.

3. Prescribing Controls

Prescribing requires documented indication, dosage rationale, and interaction/allergy review.

Controlled or high-risk medications must follow stricter verification and jurisdictional requirements.

4. Handoffs And Follow-Up

Each encounter must end with a documented assessment, plan, safety-net instructions, and follow-up recommendation.

Critical follow-up tasks and unresolved risks must be explicitly handed off through approved workflows.

5. Emergency Escalation

Immediate escalation is required for suspected life-threatening conditions, severe deterioration, or inability to maintain patient safety remotely.

Emergency events must be recorded with timeline, actions taken, and disposition.

6. Quality Assurance

Consultation records are subject to audit, peer review, incident investigation, and corrective action programs.