Hi all,

Just closing a complaint that has brought to front how important our discharge messaging is!!

The patient and mom understand clearly heard that a fracture could be missed on first ED visit from the verbal discharge instructions, by the ED doc, ( due to growth plates) but didn’t seek care for over three weeks after the initial injury because it ” was getting better slowly” and they understood it shouldn’t be if a break was missed.

It was actually a missed tibial fracture by the ED doc and radiologist. It is clearly on the x-ray but is a commonly missed break in this case!

If they had been told “if still any pain in one week to 10 days see an MD” that would have prevented a delayed presentation of a missed fracture.
That is now how specific I have become on my discharge instructions and I think super helpful for all to hear about this case.

ALSO – reminder to use written d/c instructions whenever possible!! In HDMH I am even sending our PA away to write these up for me and then when ready bring them to me to edit or give to patient.

John

Please write your name in the attending MD spot for all patients you see!!
Switchboard and med records is struggling!
Its our responsibility.

It needs to legible too!!

thanks
John

Please always right the time you see a patient.
Our complaince with this is dropping and leads to huge issues for coding and data tracking.
It may be even tied to funding again at some point!

Please write the PIA time ( along with your name) on every patietn’s chart you see!

THank you

John

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

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.

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

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

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

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.