ED Muskoka Physicians - Living the Dream

looking to give shifts?

If anyone wants to potentially give up shifts july 5-11 inclusive let me know.

A locum is interested coming that timeframe but we have no open shifts that week. If I don’t hear from those of you working in this timeframe by sunday am I will assume you don’t want to give any shifts away.

Flood help

Just to make sure you all know that Paula is collecting any donation for Shelley and family ( Er nurse Shelley) to help with repair/care/etc of their home that was severely affected by the flood. E transfer Paula or give her cash.


Form One intake

Please be aware that you do not have to wait for a CMH assessment to send the package for admission consideration for a form one patient to OSMH!! Attached is OSMH intake form!! Of coarse if you feel that a CMH assessment may help create a safety plan or that CMH may very well come up with a plan to care for the patient out of hospital then I would certainly indicate this on sending the intake package or wait for CMH….

Airway boxes

Please look at the example of the airway boxes in both ER’s and provide me any feedback you have within the next week. These are going to be on each crash cart,one in each ICU , and one for transfers and looked after by RT’s. They aren’t meant to take the place of our full carts but provide a basic set of standard things that are at hand/available throughout the hospital. AND THAT ARE THE SAME EACH SITE AND PLACE! Thanks!

Bracebridge Walk-in Changes

Just an FYI that the Rexall walk-in clinic in Bracebridge has changed their policies. They are strongly encouraging patients who are already rostered to other doctors to see their own physician. They will not refuse to see them, but are putting up some resistance to it. They will continue to see patients who are NOT rostered, as a walk-in service.

Tylenol Overdose

Hi all,

Attached is the NEW updated and simplified NAC protocol for Tylenol overdoses. Take a little read. I have asked our Nurse leaders at both ER’s to update our protocols too!!


SMMH Ultrasound

Please make an effort to use ( to test it!!) the Zonaire ultrasound in SMMH. It is supposed to be fully repaired and functional. The Sonosite has currently been removed as it is only a loaner . Let me know please by email or text when you have used in the next couple of weeks and that it is functioning ok or not ok!! Thanks John

Transfer of Care OPP to ER

Please take a moment to read this algorithm for transfer of care of patients brought in by OPP under the mental health act or with concerns of a mental health issue. You will see that if we are going to detain a patient under these circumstances we need to have the patient’s MD assessment and form one completed or at minimum an order for a FORM one on the chart.

dialysis patients admitted

If you are admitting any dialysis patient followed at OSMH nephrology want to be called with goal of admitting them at OSMH! Even peritoneal!


Ct tech is now onsite ( most weekday evenings) till 11:30pm!!

THIS IS GOOD! I see Kersti already posted a post in the SMMH sleep room with this! haha!! I just edited to say weekdays!

If they are onsite on the weekday you don’t need to call radiology to protocol CT’S or approve them until after 9 pm!!

Still fill out a req for contrast studies and follow same weekend policy at present.