ED Muskoka Physicians - Living the Dream

suture kits

Last update I hope.

Can’t put 4 by 4 s in the sterilized kits due to sterilization standards. Grab ten pack or individual ones when setting things up. This will not change with our current equipment.

Grab a disposable drape if you want one at the moment as they are separate. This is the best way to go at the moment.

Please be happy that these changes have happened. Just seeing if you are reading this!!…although I am serious.

John

primary care

Hi all,

Please be aware that the NPLC in Huntsville is now seeing patients that signed up to join the clinic last summer. They have a very structured intake process and their wait time to “get in the door” has grown.

Patients are being told to “go sign up with them” which is fine but be aware of the wait time to an appointment.

I encountered another patient in Huntsville ER tonight ( seeking benzo renewals) that was told he would get in “very soon” by the doc that referred him there.

Just a little info to help inform patients with.
John

Youth Mental health clinic RVH

Please take a moment to read the info and referral forms that will be in each ER in a file folder by early next week!!

in nutshell – RVH youth urgent referral clinic for mental health – available to us now!!
not form one patients!
criteria and program in folders ! easiest to just take a look!!

John

MQA cases/autopsy/deaths

If anyone has a case they want reviewed at MQA just let me know!!
It is an affective way to improve process!!

I have sent a few cases there recent and have had usefull results in nursing protocols/ED flow etc.

ALSO:(2) if you are involved in a case which is having an autopsy and want to see the autopsy report then please request it!! A formal process needs to be followed but I can walk you through and/or Liz Parrott will do it for you.

ALSO: (3) a Any death in ER try to dictate a note as so much more clear for MQA review as all deaths in ER automatically go to MQA. Probably a good thing to do for CMPA purposes too.

John

suture kits

Hi all,

A little healthy reminder!!

We have 12 autoclaved re-usable suture kits in each ER!! Don’t throw out!!

We have disposable as a back-up and will be upgrading the needle driver. Every non – surgical weekend at your host site we have no way to clean instruments and hence the back-up!!

You will need to add a sterile towel( packaged on own) and 4 by 4’s as you want at the moment. Packaging may change in the near future.

We also have many more sterilized individual re-usable instruments at both sites ( mosquitos, Kelly’s etc…)
If you aren’t sure if an instrument is disposable or not then don’t throw out as MDRS will sort….

If you see someone “borrowing” our equipement they shoudl sign it out with the clerk/lead nurse and bring back too!!

thanks
John

Organ donation for ED docs/internists info

Hi everyone,

Please see the attached ! Dr Dave Johnston asked me to invite all ER docs in Huntsville and Bracebridge!!
not drug sponsored but FOOD and info!
John

Muskoka May 31info

Suture KITS!

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smmh ct

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olis

Hi all,

Just wanted to make sure that you are aware you can use olis anytime from your cerner screen to see old labs for patients
done in any community lab ( actually I was just able to see labs from Sunnybrook ).
Make sure that your blue arrow is on the patient you want then click olis. Change your date selection as needed.

J

suture kits – feedback now !!

Hi everyone,

Many of you are aware we have been waiting several months for improvements in our suture supplies ( namely a better disposable kit or idealy autoclaved real equipment!!).

Kersti, Dave M, Pierre and myself are all very dissatisfied with the current kits and have expressed this to admin. With many delays and frustration building I need you all to way in…

Who is not happy with the current kits? Do you like the poor quality needle driver and forceps? or have no issue with it?

Please let me know asap and respond either way.

I have the four names on the list already as above in addition to Jen ( NP) and Bob (PA).

thanks
John