ED Muskoka Physicians - Living the Dream

Archives for August 2018

Cellulitis care

Hi all again,

Mark and I have recently chatted about Cellulitis care in our ED’s
Practice is varied and I have a hard time following what each of us are doing.

Another example arose yesterday…Kirstin and I talked about a patient that I had already discharged from the ER a few minutes prior and I had changed from him from IV to oral antibiotics. There was a relevant wound swab with sensitivities in Adam’s mailbox! I had no idea that this had been done!! Emma had seen the gent on his last visit. Adam on his first visit. Now me. Then seeing Roy on monday coming up. Oh boy….

The po clindamycin alone was not enough and so I tracked him down and added cipro to get his two bacteria covered!!

My point is that following these cases is hard for us all.
Just thought I should open this discussion for people to comment, help make a protocol maybe?, talk about further at our group meetings?

Intersting article attached here too…older article but not sure there is more recent comparison…

Just to add to the discussion…

follow-up/documentation

Please document all your follow-up of results in cerner ( make a progress note) or write and have scanned into chart.
It helps cover you and helps with patient care.

patients calling

Hi all,

Health records in both sites are getting many calls form patients asking for results of tests done in ER.
Patients are consistently telling staff that a doctor or nurse has told them to call in three days or so to get results!

Hospital staff can’t give out results over the phone so patients are getting upset and time is being wasted.
Please if you are doing this please change your practice .
If I am worried about a test or awaiting a culture I call/follow up with the patient myself or I have them call their family doctor/NP even if that person is out of town. Their primary care can help you with this! Yes – I know – many don’t have primary care….

Please don’t put our hospital staff in this predicament though please.