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Archive for May, 2009

Tamiflu Pharmacies

The pharmacy has contacted all of the local pharmacies, below is their stock of both capsules and liquid.
           
                                                                                                Capsules                       Liquid
            Apthorp            West 77-78 & Broadway                         10 boxes                       6 bottles
            Chateau Drug    Amsterdam and W 68th Street                 4 boxes (tomorrow)        2 bottles
            CVS 540           Amsterdam & 86th Street                        2 boxes                         20 bottles
            Drug Loft           1412 Madison & 96th Street                     1 box                             6 bottles
            Duane Reade     3rd Ave & 115th Street                              15 boxes                       10 bottles
            Duane Reade     West 181st  Street & St. Nicholas            4 boxes                          None
            Duane Reade     Broadway & 97th Street                           7 boxes                         None
            Madison Avenue Madison & 97th Street                            5 boxes                         3 bottles
            Rite Aide           Amsterdam & 70th Street                        None                             None
            Rite Aide           Broadway & 110th Street                         6                                  None
            Rite Aide           West 125th Street & St. Nicholas             None                             None
            Town Drugs       West 113th Street & Amsterdam              3 Boxes                        2 Bottles
            Town Health      45 E 30th St. between Park & Madison     1 box                            None

Written by phil

May 28th, 2009 at 8:43 pm

Posted in ID,Swine Flu

Swine Flu Surge Coverage

It has been noted that a lot of attendings are behind in hours. Not as far behind as I, but behind non-the-less.

We have negotiated a “pot-sweetener”: if you are behind in hours to double- digits (that’s more than 10), you can be re-imbursed for swine hours at almost double. That’s right- 5 hours for 3.

Note that if you are ahead in hours, not behind, you are being paid at $150, which is higher than moonlighting rate. It seemed unfair to pay those ahead at a higher rate, while re-imbursing those behind at the base rate.

We are now re-imbursing both those ahead and those behind at higher, crisis pay rates.
Take another look at the spreadsheet now.

If you have a gmail account, you can add your name to the schedule yourself.

Written by admin

May 28th, 2009 at 7:47 pm

Posted in Admin,Swine Flu

Discharge Assistant

Written by phil

May 26th, 2009 at 5:16 pm

Peds Asthma Clinic Followup

This is just a reminder about the operation of the Peds Assoc Asthma Follow Up Clinic. We go on hiatus over the summer months (June, July, and August) so there are no specific slots starting June 1, 2009.

However, the program should continue in spirit over the summer. ANY Peds Assoc patient who is seen in the ER or has been admitted to the hospital with asthma should receive a 24-48 hour follow up on discharge. Appointments need to be made through the general number (659-8559) and the patient should be given an urgent appointment. If a patient presents to the ER in the middle of the night, the family should be told to call the following morning for an urgent appointment.

The clinic will restart this coming September.
Carolyn Rosen, MD

Written by reuben

May 20th, 2009 at 5:25 pm

Follow-up for the uninsured

with 2 comments

This is the latest policy from IMA.

Earlier announcement:

All uninsured patients are sent to the Patient Service Center (1st flr CAM). Where they are put on a Level 1 sliding scale fee and only have to pay $16.44 per visit, until they are on Medicaid. The PSC also gives the patient a referral/appointment to the REAP office.

Only patients who cannot provide documentation (ss card, License, etc), are unable to be put on a sliding scale, have to pay the full price for a visit.

REAP: patient should call 212.423.2800 to get set up with Medicaid.

Written by reuben

May 20th, 2009 at 4:16 pm

EMS EKGs

Written by phil

May 18th, 2009 at 5:41 pm

Posted in Cardiology

EHC ED Wireless Consult Project

Attached are the wireless #’s to contact the ED Consultants and the algorithm to use.
The #’s are also in AMION and posted in the ED.
Please let me know if you are having any difficulties (wireless numbers not being correct or not in AMION, etc).
Don’t forget to log the consult times and drop them in the boxes in the A and B room so we can have #’s to back it up if this does work well.  Indicate if you made contact via page or wireless as well.
Thanks.

Laura

Written by reuben

May 9th, 2009 at 7:53 pm

Posted in Elmhurst

Deaf or Mute Patients

We are required to offer/arrange for an interpreter for patients who are deaf or mute.  These can be arranged viat the Languages Assistance Program (42700)  or the Patient Service Center (88990).
 
Should the patient decline the use of an interpreter (because they do not feel the need for one or prefer to use someone that has accompanied them) we should document that the patient declined and that we were comfortable with the level of communication. 
 
Thanks. 
 
Maria,
 
 
Maria M. Cardona
LEP Coordinator
212-659-8995

Written by phil

May 8th, 2009 at 10:47 am

Posted in Consults

Sinai Trauma Policy

Goal: To expedite treatment of unstable trauma victims in the ED.

Management:

At the discretion of the ED attending, the admitting surgical resident can be summoned to the ED by page and, if necessary, by overhead, as well as any surgical specialties that may be required.
If there is need for a rapid institutional response, telecommunications/(the page operator) can be notified for a “Trauma Team”. This will not be an overhead page. Rather, telecommunications will then notify the surgical resident on call as well as the Anesthesia, Cardiothoracic surgery on call, Neurosurgery, and Orthopedics.
Any procedures in the ED will be under the supervision of the ED attending. Once the patient is admitted, management may be taken over by the surgical attending if present.
Disposition:
Patients will be admitted by the ED attending to the most appropriate service in consultation with the attending of that service. If the patient has multi-system/service trauma, he/she will be admitted to the General Surgery admitting team for 24 hours if necessary. The patient may then be transferred to the service caring for the most severe injury if all other injuries are stable after 24 hours.

Written by phil

May 7th, 2009 at 5:44 am

Posted in ED Guidelines,Trauma

CME Refunds

Written by phil

May 6th, 2009 at 5:50 pm

Posted in Finance

MSSM Faculty Development Info

Written by phil

May 1st, 2009 at 3:55 pm

Posted in Career