ED Muskoka Physicians - Living the Dream

Archives for September 2018

Double Sequence Defibrillation

Posting the summary document on double sequence defibrillation for cases of refractory VF here on EDMuskoka for future reference.

YES our monitors can do this
YES you need 2 monitors with 2 sets of pad placements (see diagram)
YES you push the button at the SAME TIME (really dual simultaneous defibrillation)

you can read more & find a video at http://theresusroom.co.uk/double-sequential-defibrillation
and a 2016 article at https://www.resuscitationjournal.com/article/S0300-9572(16)30398-7/abstract

Double Sequential Defibrillation for Refractory VF

FOBT

The lab needs to tract every focal occult blood test strip !

If you damage one and don’t use it.. don’t throw in the garbage but return to the lab.

They need to account for every strip they buy and disperse in the hospital. All this means is each test will have a reference number on it and each test will soon have a sheet of paper attached to it.

Use the test as you want clinically. Develop it. Discard test card. Fill in the sheet attached to the test card and send it to the lab!!
This will get the test in the patients electronic chart and satisfy the lab regulatory body!!

We have to do this so our lab is following best practice. Its not an option.

thank you all,

John

locum!

Anyone looking to try and get rid of shifts oct 1- 5.
We have a locum doc interested in work oct 1-5 inclusive if timing works…

Email me or text me if any need as I will need to coordinate for him.

connecting ontario

FYI:
Connecting ontario link is now active from your cerner screen.

You should see it .

Its a lot like OLIS but way more info as you should have heard about with the communication sent out early summer by IT and the province.
Consults, tests at other hospitals, etc!

We have it live now!!

If you don’t see toggle then email leslie.secord@mahc.ca and she will help get you set!!

John

ornge

New website info so check status of ornge transfers..

etc…

may be a more a clerical issue but ..
see attached if interested.

John

Muskoka Algonquin_re Patient Transfer Status Board _Sept 20 2018

ed director

Hi everyone,

We survived another summer! Good job!

I just wanted to put this post out …
If anyone feels I should step down as ed director then please speak up. I continue to try and fulfill the role but recognize that if someone feels that a change in director is needed please speak up.
You can email me or talk to me about this anytime!!

I also welcome meeting with anyone of you to discuss any challenges you are having in the ER and /or discuss your future goals and how I may be able to support you in these goals. Please just email me and we will book it!

I will continue to use this venue as my main source of communication of group/department/director issues.

John