Hi all,
The lab critical result pathway has been modified slightly…

Between 11pm and 7 am if a critical lab/micro result comes available ( blood culture, csf result, etc) ordered through the ER and the patient was sent home….

The result will be called direct to the ER doc at the treating hospital site. Please take this result and decide on appropriate action. May need to call patient in middle of night? or call the ordering doctor in the am? or call the family doctor in the am and confirm they can follow it up? I would suggest always letting the ordering MD know that a result has come up and how it was handled.

Just a few examples. Please then document what you did. I just document these things directly in the cerner chart of the patient as a clinical note.

This supports good patient care and supports each other as docs.
If you wish to review the full lab/micro curtail result pathway please just look on sharepoint or I can get it sent to you.
thanks
John

If you see the white demographic validation sheets not done in a chart of patient you are seeing..
Either..
1)give to ward clerk to do when available
2)give to nursing to allow them to delegate the task or do themselves
3) do it yourself! It takes about 20 seconds maybe…
even if you just validate the phone number it may be super helpfull later when soemone needs to call them!

Nursing is supposed to take responsibility to do when ward clerk not there but soemtimes I find just easier to do myself.

This sheet was created to flag info because of patient that was never contacted ( about his positive bllod cultures from which he died) due to lack of info to reach or find him. Same reason for the new line on the d/c sheets reminding yuo to get a contact number.

John

Hi all,

Please start thinking ahead if you have ideas to help us all to manage the upcoming summer boom!

I am meeting with radiology to try and plan re early morning CT’s, ensuring ultrasound coverage as good as can be, etc!

We could use the 6 hours overlap money differently if wanted? maybe do 4 hour overlap shifts and then have shift overlap other days instead too…
These kind of thoughts…

Novel ideas of flow/efficiency may be lurking in your head so thing about brainstorming with all!

John

If anyone gets a critical result in their mailbox for a micro/lab test that they didn’t get a call from or the patent wasn’t admitted…
Please let me know!!

I just got one for a joint culture for a patient with a septic joint!!

the critical result pathways of a phone chain exists to timely get this info to the MD that needs to know and for the patient!!
If you don’t know the pathway of phone calls let me know or it is on sharepoint.

John

Hi all,

Please look at the 7 remaining open shifts in Bracebridge between feb 26th and end of march…

$25 per hour incentive now approved for anyone picking up these hours….

I am not anticipating open shifts in the next schedule ( Tony sending out this evening)….

This incentive can apply for Jeffs feb 26th afternoon shift too ( which he posted and needs covered for its c section day!!)

Ask your friends and feel free to direct them to me.
HFO has posted a locum add for us to try and get these filled too admit many other things explored!!

Any questions please text me or email me direct.
thanks
John

Hi all,

FINALLY…FINALLY
after over a year of negotiation.

We have final approval to order the KING VISION ( “a” blade system with ET tube track, along with paediatric adaptor and peds blades). I think the KING vision peds addition will be a great replacement for the airtrac peds as they expire.

Does anyone feel strongly we need to trial them before we just buy them for both ER”S??
Admin wants me to ask this question.

If anyone wants the full story from me just text or call me. If anyone feels strongly that this is something we don’t need or want ( and need to trial before buying) then let me know.
No response means you are ok with each department getting this and will consider using it!!
John

6.0 absorbable and non – absorbable is the vote by the majority!

Both stay!
thanks for the feedback

Hi all,
overwhelming majority want 6.0 absorbable and non – absorbable !
Both stay!
thanks for all the feedback!!

Please document on all admissions who MRP is when admitting to internal medicine.

Dr Moran is declining calls by ICU and ER staff saying he is not MRP despite the ED doc having handed over the patient.

Please if you admit someone and wait till the am to call the internist ( or any mrp) please close the loop and advise nursing to document the MRP informed ( or write it on the chart).

I was asked to spread this word by the chair of internal medicine
thanks

Due to a generous directed donation to HDMH a new ER ultrasound is in the WINGS!!
With a new one being purchased then will then have a “spare” in HDMH that could be used if service needed on HDMH machine or SMMH machine!

Anyone welcome to trial any machine anytime if they would like.

sonosite edge 2 in service jan 16, demo jan 17 – 21
zonare TE7 inservice jan 23, demo jan 24 – 28
philips sparq inservice cardio feb1, general feb 2, demo feb 3 – 7
GE Venue 50 inservice feb 13, demo feb 14-18

SMMH docs you guys/ladies welcome too!!
John