ED Muskoka Physicians - Living the Dream

Archives for May 2018

radiology difficult contact

Hi all,

Several of us had had some issues reaching certain radiologists recently.

Dr Pui is one… – if her cell number doesn’t work then call the “MR” number at the top of the radiology weekly list.

If you can’t reach a radiologist in all the ususal ways we try… Dr Peter Chait ( as chief rad) suggest call him on his
cell – 416-417-1928 .

John

HDMH traige move?

I just learned yesterday that nursing has put forward a proposal to the hospital to move traige into the existing space of FT 1 and FT2.
This would eliminate FT1 and FT2.

They want to so this before summer.

Main motivations..
1) safety of triage nurse as then they are ” in” the ED department behind locked door.
2) the traige nurse then can more easily help with care of patients in the ER ( float to care) when not in triage. This would increase nursing hands to help with care.

Bob and Sara have been involved some with Diane George on this one. I haev not been involved till now.

If you have ideas about how to re purpose other space the ER to help flow then please speak up or if you have thoughts on this please speak up.

I have had some discussions re puposing Bob’s space, quiet room, and maybe capturing space in the back entrance as well.

John

Sedations/scope of practice

If you sedate a patient then you are responsible for the patients airway and all issues related to sedation. I beleive this is clear as standard of care.

Nurses or allied health should not be asked to work outside of their scope of practice. This has happened in the ER and we should each support one another to work within our scope of practice.

Nurses should not be asked to push medications (ex. propofol) and left with a deeply sedated patient on their own.

Any questions please feel free!

thank you
John