A 24/7 telephone nurse triage line for the health centers, hospices, home health agencies, and practices that are required to have one. Licensed RNs. Schmitt-Thompson protocols. A clear next step on every call.
Whether the call comes from a hospice patient's family at 2 a.m., a health-center patient after the clinic closes, or a worried parent on a Sunday, a licensed RN answers. They work from the same evidence-based protocols 95% of U.S. medical call centers use, paired with seasoned clinical judgment, and the call ends with a documented plan.
After the clinic closes, on a weekend, in the middle of the night, a patient or family member dials the line. A culturally aware, licensed Registered Nurse picks up quickly, any hour, every day. No pre-recorded message, no hold music, no portal. Just a clinician ready to help.
Multi-state-licensed registered nurses, working from Schmitt-Thompson Clinical Content protocols, the framework 95% of U.S. medical call centers use, paired with seasoned clinical judgment and AI-assisted intake.
911 if it needs to be. Self-care if it should be. A warm hand-off back to the patient's own care team, the health center, the hospice, the practice, with encounter documentation ready. The call ends with a plan, not a transfer.
Built to satisfy both the compliance officer signing the contract and the patient on the other end of the call.
Enrolled citizen of the Snoqualmie Tribe — the source of the name TULQ — and a former Vice Chairman of its Tribal Council. Worked on Capitol Hill in Washington, D.C., on keystone healthcare and public-interest legislation, and spent three years helping manage a community Health and Wellness clinic, the operational grounding behind how TULQ runs a line.
Eleven years and a dozen ICUs deep, from a Level 1 Trauma Center float ICU to cardiovascular intensive care across the country as a travel ICU nurse. He delivered hospital level care into patients' homes as a lead nurse for a telehealth company, answered every emergency alarm as the rover RN inside a maximum security supermax prison, held the line through the COVID surge in the ICU, and now runs a 142 bed skilled nursing facility as its Unit Manager and MDS Coordinator. He has actually carried the pager.
TULQ is built for the provider organizations that, by regulation or accreditation, must have a licensed nurse reachable around the clock, and for the patients on the other end of the call.
FQHCs, Look-Alikes, and Rural Health Clinics that must demonstrate after-hours coverage. A nurse line that actually triages, with EHR-ready documentation.
Agencies where 24-hour nurse availability is a federal Condition of Participation. Flat monthly coverage that keeps the on-call field nurse asleep.
Small hospitals carrying a 24/7 emergency-coverage obligation without a physician on-site overnight. Nurse triage is the practical answer.
Direct primary care, pediatric, and OB/GYN practices that promised after-hours access and can't sustain it on a physician's cell phone.
TULQ is built around the regulations that make a nurse line mandatory, not retrofitted to look the part.
When a buyer is required by statute or accreditation to have a 24/7 nurse line, the line has to actually triage and document it. TULQ is built to demonstrate compliance, not just answer the phone.
Ten years of ICU, telehealth, corrections triage, and SNF leadership, directed by a nurse who has actually carried the pager.
The same evidence-based protocol framework 95% of U.S. medical call centers use, paired with flat monthly pricing instead of per-call billing.
The numbers below are why the line exists. They are not decoration.
TULQ takes its name from tultxʷ, which means the confluence of two rivers in Lushootseed, the language of the Snoqualmie People, the heritage of our founder. We kept the name because the work itself is a confluence.
That is what TULQ is built to be: the line that picks up when the clinic is closed, and already knows the protocol. That is how a missed call stops being a missed outcome.
Read the full storyFor clinical directors, compliance officers, and partnership inquiries: reach out directly. We answer our own phones.
Schmitt-Thompson protocol-driven. HIPAA-aligned encounter documentation. Coverage model and a capability overview furnished on request.
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