Hi everyone,
Kate has quit as ER NP in SMMH er and just finished at now.
I am waiting to have an exit interview with her and then I can fill you in more around reasons.
We are without an NP for the time being.
Also- I have learned that the “protected NP funding” that SMMh had is no longer and that the salary provided for an NP was rolled into general budget by the MOH.
Stay tuned…..I have met with Esther and talked to Deb…I am worried about the future….
John
Good evening all,
Just a reminder if you are dealing with an aggressive mental health patient…you could consider loxepin…
We do have it in both er’s.
It is part of the OSMH mental health orderset that I circualted months ago after meeting with memebers of the OSMH mental health team.
Just a reminder….
DR Zacharias ( lead pysch hospitalist) and Dr Rodway -Norman are still planning to come to a talk or do rounds with us soon. ALthough…for many reasons we are now looking at JAN 2017 for this.
I circulated OSMH’s months ago and when I recently wanted it I actually just called OSMH Er and had them fax it to me.
John
Hi All,
Copy and paste this to your browser and take a look at this video.
This is the health team mission group I will be part of this year joined by two fantastic locals Helen Dempster and Cheryl Dove and 57 teammates!!!
I am selling Muskoka Coffee still as a fundraiser to buy supplies for the mission trip.
I have about 30 bags left ( several kinds) of Muskoka coffee.
$16 a bag ( like the store) and I get 5 dollars of that for the team . This five dollars then becomes $7.50 with the help of a team grant.
Let me know what coffee you would like!!
John
Just a quick reminder (which was new information for me tonight) – for our adolescent mental health patients we can make a referral to the psych “Urgent Consult Clinic” at RVH. This is for adolescents ages 12-17 who are safe to be discharged but need psych follow up within 48h (ideally). They will be seen either in person or by OTN by a multidisp. team of an RN, social worker, and psychiatrist. This is supposed to be a one-time visit for consult & recommendations only.
Referral forms can be found in the MENTAL HEALTH BINDER in Huntsville (apparently there is a specific urgent consult clinic binder somewhere in Bracebridge too? We couldnt find it in Huntsville tonight)
Thought I’d pass this along as I’m pretty sure I had never heard of this service before and it sounds useful!
Hi all,
Just a reminder that if you can’t get a urine sample from a patient you still may be able to medically clear them.
You can consider a call to the psych hospitalist at Orilla direct to discuss if unsure and bed available there ( or psychiatrist if RVH or Penatang).
Sometimes that urine sample may be needed but if you are unsure you could consider a call to discuss.
John
Hi all,
Question…
Would every doc be okay to fax a copy of the facesheet to DI when we write down a test to be done????
I think it is the best way to go to ensure the rads have the info they need from the chart and our clerical staff or nursing staff then don’t need to put anything in the comments box in terms of history except the indication for a test if not in their main menu.
The rads want this info!!!
It is standrd of care elesewhere.
There have been countless hours used trying to come up with a work around/electronic version/powerchart access for rads/etc….etc…etc…..
DI will take the faxed sheet and marry it with the cerner order. They wil double check the order then and all people then seem to be happy..
Thougths?
I give you one week to comment on this.
thanks
John
