Please make sure you have all registered for OTN so you can actively use as this program is gonna be expanding….!
Call Way Lerm or Cindy at the OTN office if you aren’t registered.
This is your second reminder.
John
SMMH admits
May 8, 2017 by Leave a Comment
Hi all,
We hit a couple of challenges recently with admits to family docs at SMMH so I asked the new co chair of family Practice to clarify the admit process…
he said
“I was able to get input from most of the FMD and the majority are satisfied with the current system of being notified in the am of most admissions, unless if there is no internal medicine coverage and the patient may be of moderate complexity ( or worse) and they are considering admitting to them, then they would like a call. Overall the feeling is that the ER MD’s are doing well currently with assessing this and no change is required.”
Just to try and clarify.
thanks
john
Process Improvements in The Emergency Department
April 11, 2017 by 1 Comment
A good read from an Ontario ED
Flu update
March 21, 2017 by Leave a Comment
In case you are interested…
Week 11 flu …is on the drop…
take a look at last year compared to this year.
remember that the “quick test accuracy” isn’t great. Joe Gleeson expressed concern to me and Kersti about this suggesting we remind each other of this and consider tamiflu for the “at risk person” we admit that may have a negative quick flu test.
I think we all know this but…..
ED minutes
March 16, 2017 by Leave a Comment
Hi all,
Here are the ED minutes form ED committee meeting feb 2017.
Next meeting is 2:30pm not 2 pm as listed.
John
Emergency Department Committee Meeting Minutes -February 27, 2017
ccac community clinic in Huntsville
March 12, 2017 by 2 Comments
Muskoka Clinic Presentation PDF March 2017hi All,
See attached of a bit lengthy presentation of CCAC nursing clinic opening in Huntsville for CCAC nursing care….
cheers!
vascular consults
February 28, 2017 by Leave a Comment
Hi all
Please do ALL calls to vascular surgery through criticall. Even for Barrie.
They are tracking calls like neurosurgery now. And apparently easier for us to get them that way….
This is the message through the LHIN and driven by RVH vascular.
thanks
John
crash carts
February 28, 2017 by 4 Comments
Morning all,
I need a volunteer to work with me to pick out standard things we want/need on our crash carts.
They are all a little different in each hospital and quality council handed this issue to the ED committee to lead the reform of this as we are the main users.
I have pulled some data from Mount Sinai ( Howard Ovens and their pharmacy) and Susan Lang has inventoried our carts largely….
Can someone volunteer to review with me? Then I think we run it by internal med and then make it happen!
thanks
John
internists at SMMH…
February 21, 2017 by Leave a Comment
Update in case you aren’t sure….
Three highly probability recruits to SMMH to start soon….
Jan continues to tell me this. Certainly before summer is the best answer I can get at this point in start dates…..
we will see! A little hope though.
I keep asking weekly!!!!
John
HDMH ER stocking reminder
January 19, 2017 by 1 Comment
Hi all –
In follow-up to our discussions at Journal Club tonight, I wanted to remind everyone of the following:
1. PROBLEM SOLVING for STOCKING ISSUES: There is a clipboard with ORANGE paper that leans up against the glass behind the ‘captain’s chair’ MD computer that is labelled “Physician – Missing and/or needed items”. This is intended to be a place you can jot down items you found were not stocked or missing while on shift (i.e. no dermabond in suture carts, missing cast supplies, where the heck is our otoscope…) This is meant to assist in communication with our nurses that do the stocking at night, and Sara Tumber can also review this every once in a while to try to fix some of the common/systemic issues that come up.
2. NEW CENTRAL LINE AND ART LINE KITS: Sara has created boxes to house supplies for central lines and art lines. These live on top of the carts in Trauma 1 and are very clearly labelled. Not sure if anyone has used them yet – if you do, any feedback on whether anything is missing? Central line kits should contain all the necessities including lidocaine, sterile syringes, caps, dressings, glove/gown/masks, and sterile U/S probe covers…. should help facilitate a quick and safe set-up in the future. Same idea for art lines (both femoral and radial should be stocked in the same box)
Also:
Keep your eye out for an email from me with a doodle poll in the next couple of days. Before our next business meeting I am hoping to put together some patient information handouts that can be kept on hand in the ER, and want your feedback on what topics would be most useful. (This goes for SMMH and HDMH docs)
Kirsten