ED Muskoka Physicians - Living the Dream

tia/stroke d/c

Greetings all,

Please use the TIA/Stroke d/c summary sheet found in the MD drawers in both ER’s.
Its a great summary sheet and will be super helpfull for us to organize/coordinate stroke /tia care .
It has been passed through ER committee and supported by the Stroke team at MAHC.
It will also help with tracking our MAHC stroke /tia care to maintian our reginal stroke center!

I will likely use it as a d/c sheet for patients too!!

Please let me know if any concerns.

John

radiology/plastics

Also – working on simplifying the process for CT’s if possible…outside of “day hours”
stay tuned..

Plastics update to come by email from me as I forwarding Beckys email ( LHIN ed lead)…
Some progress… some
RVH call schedule for July attached too.
I have reached out to Dr Seki again and am awaiting a reply from him re call/help/referrals/etc….

John

neurosurgery patients

Hi Gang,
Just wanted to let everyone know that I am actively working on the a care plan for neurosurgery patients needing observation/admission…
We had two roadblocks ( in my opinion) to care last week in BB which has lead to many discussions since…..
I am polling a couple other hospitals in our LHIN to see how they handle things too…..
Stay tuned…
John

extra shifts!

Hi all,

Uxbridge Cottage hospital has an urgent need to cover 4 to midnight this sunday!
they also have 3 uncovered shifts in july and many in august if anyone interested.

Good work, good people and I can set u up with friends there to take care of you!

Just spreading the word.

John

posts

ps….I make typos in my posts to draw you in!!!
communication strategy!!
lol

pps…the alarm in room 7 is finally on a switch!! Flip it on if you indeed have someone needing a negative pressure room. The negative rpessure fans are always on so this is just an alarm to say if door ajar and system not fully pressurized.
Be sure to tell Angela how this switch is saving your mental sanity!!!

OSMH mentla health meeting

Hi everyone,

I have an upcoming meeting this wednesday with psychaitry , a couple psy hospitalists, and several key admin in OSMH this wednesday from 11 am to 1 pm…

Esther, Debbie, Angela, Nancy, and Kathy are all participating in person or by teleconference.

The purpose of this meeting to help improve our flow of mental health patients./form one patients ( specifically), and open dialogue on many fronts !!

If anyone would like to join in you are more than welcome! I have a list of key issues to discuss but if there is any burning question you want answered please let me know.
Having had a chat with their Lead psy hospitalist on the weekend ( Rose Zacharias) they are not well informed of barriers to care we encounter and they are super keen to work togethor to move forward!!
Let me know if any burning issues. I will report back be weeks end I hope with an update of our discussion on wed.
cheers
John

suture kits

Last update I hope.

Can’t put 4 by 4 s in the sterilized kits due to sterilization standards. Grab ten pack or individual ones when setting things up. This will not change with our current equipment.

Grab a disposable drape if you want one at the moment as they are separate. This is the best way to go at the moment.

Please be happy that these changes have happened. Just seeing if you are reading this!!…although I am serious.

John

primary care

Hi all,

Please be aware that the NPLC in Huntsville is now seeing patients that signed up to join the clinic last summer. They have a very structured intake process and their wait time to “get in the door” has grown.

Patients are being told to “go sign up with them” which is fine but be aware of the wait time to an appointment.

I encountered another patient in Huntsville ER tonight ( seeking benzo renewals) that was told he would get in “very soon” by the doc that referred him there.

Just a little info to help inform patients with.
John

Youth Mental health clinic RVH

Please take a moment to read the info and referral forms that will be in each ER in a file folder by early next week!!

in nutshell – RVH youth urgent referral clinic for mental health – available to us now!!
not form one patients!
criteria and program in folders ! easiest to just take a look!!

John

MQA cases/autopsy/deaths

If anyone has a case they want reviewed at MQA just let me know!!
It is an affective way to improve process!!

I have sent a few cases there recent and have had usefull results in nursing protocols/ED flow etc.

ALSO:(2) if you are involved in a case which is having an autopsy and want to see the autopsy report then please request it!! A formal process needs to be followed but I can walk you through and/or Liz Parrott will do it for you.

ALSO: (3) a Any death in ER try to dictate a note as so much more clear for MQA review as all deaths in ER automatically go to MQA. Probably a good thing to do for CMPA purposes too.

John