ED Muskoka Physicians - Living the Dream

Archives for July 2016

Criticall documentation sheet

Hello again,

It was requested by our internal medicine colleagues at rounds a few months back that we clearly document our conversations with specialists (especially neurosurgeons) via Criticall on the chart of patients that are being admitted for monitoring at our hospitals.  Specifically, the inpatient doc needs to know who we spoke with and their recommendations for follow-up. This information too easily gets lost in the busy ER chart, so I have created a template sheet to use that will hopefully make this easier (and remind us what to ask on the phone!).  It can be used for other specialist consults as well (i.e. ortho) and should be stickered and included in the patient chart.

Copies of these template sheets can be found in the drawer to the right of the physicians desk in Huntsville under the (scribbled) label “Criticall”.  I will be bringing copies to Bracebridge today to include in the physician resource drawer there too. Please let me know if you have or hear feedback about these forms – is there any way to make them better/more useful?

Kirsten

HDMH Backup sign in Binder

Hi all –

As discussed at our HDMH ER group meeting, I have created a binder with ‘sign-in’ sheets in order to help us document our back-up calls.  It is a white binder, clearly labelled, located on the shelf behind the ‘captain’s chair’ .  When you are called in on back-up, please remember to grab this binder and sign in. It should be fairly self-explanatory (name, date, time, reason for call-in i.e. how many patients waiting). The more we remember to do this the better our data will be!

This should help us defend our back-up usage if god-forbid the ministry ever tries to claw back our funding, and it may be able to help us identify some trends about our high-needs times.

If the Bracebridge group is interested in doing something similar let me know.

 

Kirsten

holiday/leaves

Hi everyone,

In looking ahead to the next year there are a few docs who would like to be away for a month or so for a variety of reasons.

In the interest of planning Kirsten and I feel that putting up a master sheet /board/calendar may be a huge aid to not have many overlap leaves if possible.

Individuals can write up the times they are hoping to be away and that then means that it may help avoid many away at one time.

A GOOD EXAMPlE…is if I know that 3 docs are away at the same time ( say even for a week) then rather taking the same week of I would /could consider taking different week off….

Any one against this?

All would have to think about using or it won’t really work….

If okay then I will just put a board or calendar in each site in the call room…!?!?

thoughts?

John

A nice link on extensor tendon repair …

Hi All,

In case you haven’t done one of these in a while …

I am still not sure I am going to stop a busy shift for 30+ minutes sometimes to do these but here’s a nice

link with nice videos on extensor tendon repair https://www.aliem.com/2016/extensor-tendon-injuries-hand/

TJ

SMMH NP

Hi SMMH ,

Jen is now on early mat leave which was unplanned.
Kate is our new NP that has been hired but will not be done training till near the end of July!
There will be a small gap in NP coverage so be aware.
Hang in there!
John

tia/stroke d/c

Greetings all,

Please use the TIA/Stroke d/c summary sheet found in the MD drawers in both ER’s.
Its a great summary sheet and will be super helpfull for us to organize/coordinate stroke /tia care .
It has been passed through ER committee and supported by the Stroke team at MAHC.
It will also help with tracking our MAHC stroke /tia care to maintian our reginal stroke center!

I will likely use it as a d/c sheet for patients too!!

Please let me know if any concerns.

John