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Archive for the ‘Hurricane Sandy’ Category

Healthix

Data on all NYU patients is available through Healthix by going to the “More Services” button in the lower left hand corner of Epic. Available data includes: hospital d/c summaries, cardiology reports, radiology reports, pathology reports. NO LABORATORY RESULTS ARE AVAILABLE for at least several more weeks. Similar data is also available from BI, SLR, and many other hospitals in Long Island and Queens.

Please let me know if you have any questions or problems.

Thanks,
Jason

Written by phil

November 14th, 2012 at 8:10 pm

Hurricane Sandy Map

Written by phil

November 9th, 2012 at 4:34 pm

Posted in Hurricane Sandy

Emergency Dialysis Patients

Patients are having a tremendous problem accessing their usual hemodialysis.
Here is a summary of how to get these folks the services they need. This is neither a ‘policy’ nor a ‘protocol.’ It is a summary of conversations yesterday with ED and Renal folks.

For HD patients:

* NYU Dialysis patients who have temporary, pre-arranged HD arranged here will be flagged by BAs at greet and sent to outpatient HD. If that fails, we should call Yvette Cummings at 646-285-8273, then the patient should be d/c from ED and go to outpatient HD.

* For other patients who cannot access their home dialysis centers we should draw a GEM for K+ and get hep B surface Ag and Ab quant. If the pt has HYPERkalemia or volume overload call renal for emergency dialysis.
* If a patient does NOT need emergent dialysis follow the steps below:

1. call the ED social worker who will assess where the patient was supposed to go based on their home HD site.
2. If the patient has such a secondary HD they are supposed to be using during this time, they should be discharged to follow up there for dialysis.
3. if such a secondary site cannot be identified, call renal, they will arrange a dialysis time here. Whether that is now or tomorrow, the patient can be discharged from the ED to go to that appointment. (There I some technical thing the BAs do that isn’t quite discharging then, so just be sure the BA at discharge knows the patient is leaving the ED and going to outpatient HD)

(Brian Radbill added “if you have any concerns, please call the on call Renal Fellow, especially if pt is going to be discharged and does not have a very solid plan for HD the next day at their own unit. We discussed having these pts come back to the B1 HD unit at 9am so. We can work it out from there.)

Written by phil

November 1st, 2012 at 9:31 pm

Posted in Hurricane Sandy

EMERGENCY ACCESS TO PRESCRIPTION MEDICATIONS

Written by phil

November 1st, 2012 at 9:30 pm