Hey fellow Muskoka Er docs,

Just a little update..

We still have no confirmation of funding for summer overlap shifts.
We still have no confirmation of PA funding past march 2015.
We still are at risk of loosing our half hour overlap funding.
We still are adjusting to currently no PA in Huntsville.
We still have HFO and have met many new good docs.

We are almost done donning/doffing training.
We have a schedule that is likely to look better soon.
We have a good compliment of summer locums lining up and some new folks coming to try us as a new home.

Tyler is confirmed to start in July!

Doron F has started some shifts on his own having finished the mentorship program! Jeff P has integrated well into our group! Eli Miller will be starting soon!

Any questions just ask. Thought I would mix the gloom with the bright. We are currently advocating heard at the LHIN level to help get some P4R money to MAHC!!

John

Morning,

Just to remind us all….

If you are considering handing over a patient on a FORM ONE…consider just admitting the patient!!

We have had half a dozen pateints in the last month that have been handed over more than once, if not two or three times, from ER doc to ER doc.

If disposition is up in thea air in this scneario then don’t CDU either.

Having one MRP is preferable than handing over, handing over, and handing over……

thanks
John

SO….

It has become clear….

PA funding is still up in the air starting april 1st. We stand to loose 2 PA’s positions at Huntsville and one at Bracebridge very, very soon. Natalie has written to the MOH at the end of Nov and followed-up with them recently to have NO response about future funding for PA’s. If we want PA’s the groups need to consider what to do!

Double coverage this summer ( six hour shifts on fri/sat/sun/holiday mondays) will not be funded this summer!! It was P4R money which is no longer as of end of fiscial year. Think of the impact on patient access to care, wait times, job enjoyment, sanity, back-up call in…to name a few.

I am deeply worried about both these issues. I have expressed my concerns on every front as director!! Every front including the timely ER evaluation happening right now!!

Everyone should consider the impact of these two things and start dialogue amongst each group and to our DPR’s. ASAP, ASAP.

John

Hi All,

We have had an issue at both er’s involving narcotic accountability.
PLEASE: always get narcotics/controlled substances through nursing so they can chart and account for all meds. They are now using a “two nurse” sign off system.
PLEASE: Never take narcotics/controlled substances out yourself.

I know this may seem silly if we verbaly tell staff what what are doing but if we just don’t access these meds ourselves we will never be on the hook if some is unaccounted for!!

thanks
JOHN