ED Muskoka Physicians - Living the Dream

Reactivate clinic

Dr Rich Trenholm would like to consider presenting or talking to our ed groups to tell him what his clinic has to offer for patients ( sports med consult with him or Dr Pierre Mikhail, chiro, massage, physio, etc).

I think many of us know what is at the clinic and that sports med related referrals can be ohip covered with a referral but I am just reaching out on his behalf to the group of there is interest in a discussion.

Let me know if you are interested. depending on interest then he will decide how to efficiently meet/discuss/plan)

Critical results communication ( DI)

I added the document outlining the communication of critical results into media if you are interested. The latest revision was adding DVT.

ISITE comments

Please put your interpretation for every diagnostic test that you interpret without a radiology report in isite. Its a pivotal way to trigger our critical result pathway if you miss something on a x-ray, ct or misinterpret an ultrasound tech report .

I recently misinterpreted an ultrasound tech report so please put your comments in for ultrasounds too!

locum seeking shifts

Hi all, If you re interested in giving shifts aug 16-22 or aug 5-8 inclusive let me know asap at either hospital . If I can string together shifts a locum will come up. Maybe this will let you pick up another open shift??hint hint!

Tuesday mock

If anyone is free roughly 1 – 3pm or so on this coming Tuesday.  We have a mock event on Tuesday in Bracebridge. Any ED doc that is interested in this please text me or call me and I can give details! Keep confidential please.

looking to give shifts?

If anyone wants to potentially give up shifts july 5-11 inclusive let me know.

A locum is interested coming that timeframe but we have no open shifts that week. If I don’t hear from those of you working in this timeframe by sunday am I will assume you don’t want to give any shifts away.


Form One intake

Please be aware that you do not have to wait for a CMH assessment to send the package for admission consideration for a form one patient to OSMH!! Attached is OSMH intake form!! Of coarse if you feel that a CMH assessment may help create a safety plan or that CMH may very well come up with a plan to care for the patient out of hospital then I would certainly indicate this on sending the intake package or wait for CMH….

Airway boxes

Please look at the example of the airway boxes in both ER’s and provide me any feedback you have within the next week. These are going to be on each crash cart,one in each ICU , and one for transfers and looked after by RT’s. They aren’t meant to take the place of our full carts but provide a basic set of standard things that are at hand/available throughout the hospital. AND THAT ARE THE SAME EACH SITE AND PLACE! Thanks!

Tylenol Overdose

Hi all,

Attached is the NEW updated and simplified NAC protocol for Tylenol overdoses. Take a little read. I have asked our Nurse leaders at both ER’s to update our protocols too!!

John

discharge instructions

Suggestion….
Please use the d/c instructions as much as possible – written- and hand yellow sheet or copy to patient!!

I just finished two more complaints that the d/c sheet would have likely avoided or been my defence /your defence to the patient issue!!

Also – I chart when patent refuses the written d/c sheet which means I offered to write things out for them and they declined!!

It could be a NEW YEARS RESOLUTION!!