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Archive for June, 2009

Alternate AMAC Phone Number

Written by reuben

June 26th, 2009 at 4:09 am

Posted in Contacts

Notification of End-stage Renal Disease Admissions

When patients with end-stage renal disease (ESRD) on chronic dialysis are admitted for any reason, life-sustaining renal replacement therapy (hemo- or peritoneal dialysis), must be continued during the entire length of the patient’s hospital stay.  Providing inpatient dialysis requires early communication and coordination with the Inpatient Renal ESRD Service. Failing to notify the ESRD service in a timely fashion delays treatment and prolongs patient length of stay.

Please contact the Inpatient Renal ESRD Service as soon as a patient with ESRD is admitted. A physician is always available via pager 8985 to answer calls and facilitate dialysis treatments.

Thank you for your attention to this important patient care issue.

Written by phil

June 25th, 2009 at 2:28 am

Posted in Admitting

Tamiflu Approval

Written by phil

June 10th, 2009 at 8:37 pm

Posted in ID,Swine Flu

Provider Data Lookup

Written by admin

June 10th, 2009 at 8:07 pm

Posted in Admin

Radiology & Surgery Update

Hi everyone,

Lisa and I had an interdepartmental meeting with Radiology and Surgery at Sinai today – some matters they want us to pass along.

1.  Gastrografin will not be used anymore.  Instead, for g-tube placement confirmation – we are going to use Isovue.  Isovue is the same substance as the IV contrast we use for CTs and can be obtained from almost anywhere in the Department of Radiology.  So please throw out the gastrografin you guys have hoarded in your mailboxes.

2.   When ordering radiological studies – please include your call back # on it.

3.  When ordering CT (-) for acute stroke, please include onset of symptoms.

4.  Radiology is reducing the number of CT scanners in operation from 2 to 1 at night.  ‘Night’ being 10pm – 8AM.  Radiology promises this will NOT affect the ED.  Please let me know if this becomes an issue [with specific instances, patient MR#s, etc] if it does.

5.  Radiology will still not have an u/s tech at night despite efforts by their own residents and other departments to encourage this.

6.  Lastly – per Surgery.  Patients awaiting a liver transplant AND who are on the list – in situations involving surgical issues – call Liver Transplant FIRST via.  Cirrhotic patients who are NOT on the transplant list – call SURGERY for consults.

Written by reuben

June 10th, 2009 at 5:36 am

Posted in Consults,Radiology

Influenza Like Illness Isolation

Given the current difficulty in obtaining single rooms (particularly airborne isolation – negative pressure rooms), we wanted to remind everyone that patients with suspected or confirmed influenza require only Droplet Precautions (not airborne precautions) and can be admitted to any single room. (Of course, if TB or varicella/zoster is present or on the differential, then airborne isolation would be required.)

We have had a few patients waiting in ED for negative-pressure room who required only a single room. Thus, this clarification with staff may reduce ED waiting times for admitted patients.

Written by phil

June 2nd, 2009 at 5:33 pm

Posted in Admitting,ID,Swine Flu