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Archives for February 2016

SMMH CT scanner

February 23, 2016 by Leave a Comment

Hi All,

So…portable Ct arrival today to Bracebridge and patients will be using starting on monday.

New Ct scanner to be up and ready for pateints april 6th!

critical week is march 29 to april 6 when there is no CT scanner working at Bracebridge site! None! This has to do with only being able to power one Ct at a time and the new one will be being tested.

Just giving this info as a heads up!! Transport of patients that week to HDMH for CT will take place and full logistics of this are still being worked out.
I will keep you posted!!

Starting monday though a CT tech will need to be called in for all CT’s ( including heads) after 3:30 as the tech on x-ray can’t be out at the portable ct too whiel needing to be in hospital in x-ray. Just again a heads up. I don’t think clinical practice needs to change but soem delay may happen due to CT tech needing to come in.

Questions!??

John

Filed Under: ED Administration

Low Risk Chest Pain

February 19, 2016 by 2 Comments

There’s been a lot written lately about low risk chest pain and I thought I’d open a discussion about the HEART Score because it’s here.

First, let’s review what we consider to be an acceptable miss rate for MACE (major adverse coronary event) within 90 days.  In Canada, it seems like getting miss rates under 2% seems to be acceptable.  Salim Rezaie from R.E.B.E.L EM asked this question on the Twitterverse and got this answer from a predominantly American audience.

[Read more…]

Filed Under: Cardiovascular, Education

cerner ER MRP/attending

February 15, 2016 by Leave a Comment

Hi everyone,

All er clerks and registration staff are now supposed to be aware to re-assign ER patients to a new ER md at shift change if you let them know ( starts officially today feb 15).

I suggest printing the cerner screen at shift change and circling the patients to change the attending too. Only change patients not seen yet in the department or waiting room.

This will help get labs/DI/etc to the docs involved in care.

If you are coming in as back-up you can advise the clerk or registration as you pick up charts if you can.

any questions…let me know…
John

Filed Under: ED Administration

fentanyl on street?/Missing?

February 10, 2016 by Leave a Comment

Hi everyone,

Heads up – 20 bottles of fentanyl each containing 100mcg are missing from pharmacy in Huntsville Hospital.
Reported to police/investigation now.

Please keep this confidential but be on high alert if anyone coming to ER with OD symptoms or symptoms that could result from it’s use.

Pharmacy called me to alert ER MDS! Please do not discuss or disclose this to anyone.

thanks’
John

Filed Under: ED Administration