Archives for April 2018

If anyone has an orphan doc or family doc say that they will not accept an admission …

We have had some recent cases in both sites!!!

My suggestion is please just say ” I understand you don’t think this patient does not need to be admitted but since I do and I can’t come up with an appropriate care plan other than admitting I appreciate you coming to assess the patient and help plan alternate care”

WE ARE ALL stressed and feeling the heat …I am not trying to be mean or unprofessional…but a consistent message to our peers is why I post this.

I am not suggesting using this line for areas of care that the receiving MD may feel out of their scope ( like with internal medicine issues and we have no bloody internal medicine support again in Bracebridge) but for routine admits…

A few of us felt just some consistent scripting may be helpfull…..

Hi All,
Emma and I attended the EVT meeting last night as Huntsville looks at if/how it can support the process the province is trying to role out. NNT of 2 with right criteria to consider.

On that – please let me know at my mahc email (john.simpson@mahc.ca) the MRN and initials of any patient that is automatically excluded with EMS arrival using out stroke protocol criteria.

I have an upcoming meeting with EMS to try and reduce the false positives brought on stroke criteria to Huntsville ED and any real examples can help.

thanks
John

Hi all,
The lab critical result pathway has been modified slightly…

Between 11pm and 7 am if a critical lab/micro result comes available ( blood culture, csf result, etc) ordered through the ER and the patient was sent home….

The result will be called direct to the ER doc at the treating hospital site. Please take this result and decide on appropriate action. May need to call patient in middle of night? or call the ordering doctor in the am? or call the family doctor in the am and confirm they can follow it up? I would suggest always letting the ordering MD know that a result has come up and how it was handled.

Just a few examples. Please then document what you did. I just document these things directly in the cerner chart of the patient as a clinical note.

This supports good patient care and supports each other as docs.
If you wish to review the full lab/micro curtail result pathway please just look on sharepoint or I can get it sent to you.
thanks
John