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Archive for December, 2009

Transferring from Mt Sinai to other facilities

We do not have to transfer often from Mt Sinai so this is what is necessary when we do:

-A transfer form must be completed, scanned  to the chart and given to the transfer team. This is found under copies in the lt hand column. This includes receiving facility/accepting physician info.  That being said, there also used to be a consent form under that same heading and it printed as a packet.  The consent form is probably important legally- I’m not sure why it is no longer there.

-You must also include a written exam (repeat exam) within in 1 hr(or something similiar) to transfer- to show the patient was stable prior to transfer. (I noted this on the transfer form and timed it- it could also be done as a dr note on the chart)

-A copy of the completed chart (with full H&P and attending note)

-Copies of any labs (just make sure you enter them into the chart from “results”)  or imaging studies(hard copy or cd- This can be made at the film library- way down the hall past the ED CT scanner on the right; there is a sign posted. I imagine during off hours the ED rad techs could do this.)

Feel free to add anything I may have forgotten. Anyone know why we no longer have the written patient consent for transfer- (I do think it is important)?
-Lori Montagna

Written by reuben

December 30th, 2009 at 5:59 am

Posted in Admitting

MSH/MSSM Phone Extensions

extension 4-1234 = (212) 241-1234
extension 8-1234 = (212) 659-1234
extension 7-1234 = (646) 537-1234
extension 5-1234 = (212) 824-1234

Written by reuben

December 20th, 2009 at 8:51 am

Posted in Contacts

Pastoral Care

Pastoral Services encourages you to call them for patients who may benefit from the services below.

The primary contact is Rabbi Goldstein, and you may call him 24/7 at 917.842.6091 for all faiths and needs – he will triage appropriately, perform phone consultations after hours, and even come in if he deems it necessary. A list of other pastoral care contacts (including priests for administering last rites) is below.

What is Pastoral Care?

Pastoral Care helps people of all faiths find:
meaning, healing, hope, and comfort while experiencing the challenges of life.
clarity for decision-making, inspiration, release from stress.
connection with their Higher Power, God, the Universe, the Creator, or that which is beyond us all.
balance and inner peace.

Professional Pastoral Care does not proselytize.

Pastoral Care:
allows people to draw upon and examine their own beliefs.
encourages people grow through their experiences.
meets patients where they are –- spiritually and emotionally.

Who can Benefit from Pastoral Care?

Patients, families, friends, staff – everyone!

When Should You Call Pastoral Care?

When individuals and families are:
experiencing conflict.
experiencing despair or losing track of hope.
confronting serious illness.
considering end of life issues.

Who Provides Pastoral Care?

Board Certified and experienced Chaplains.
Community faith leaders, such as pastors, rabbis, and priests.
Specially-trained volunteers.

Other Services

Sunday Mass, Sacraments, and Communion for Catholic patients & their families.
Kosher food for Jewish patients, daily and holiday services.
Major holiday services of various faith traditions.

How to Contact Pastoral Care

Department of Pastoral Care 212-241-7262
In-house extension 47262
Catholic Priests: 212-241-7908  Pager: 917-401-1680

More Contact information:

Rabbi H. Rafael Goldstein, Director
Department of Pastoral Care
212-241-7262
Cell Phone: 917-842-6091
Pager: Call the cell phone
Email: rafael.goldstein@mountsinai.org

Catholic Priests
Fr. Apolinari Ngirwa
Fr. Matthew Abba
212-241-7908
Pager: 917-401-1680
Email: apolinari.ngirwa@mountsinai.org
Email: matthew.abba@mountsinai.org

Pediatrics
Rabbi Mollie Cantor
212-241-6458
Pager: 917-537-0125
Email: mollie.cantor@mountsinai.org

Palliative Care
Rabbi Edith Meyerson
212-241-2234
Pager: 917-919-5902
Email: edith.meyerson@mssm.edu

Written by reuben

December 19th, 2009 at 10:10 pm

Posted in Death

Discharging Admitted Patients

From Dr. Baumlin.

When an admitted pt goes home:

  1. Please change the disposition in Ibex to “discharge from inpt”.
  2. Please make sure that the pts RFID tag is removed.
  3. The RFID tag goes in the bin next to the pnuematic tube system.

Written by phil

December 15th, 2009 at 3:51 pm

Discharge Update

Wounds

  1. All pts with cellulitis should follow up at IMA
  2. All I and D’ed pts should follow up in IMA
  3. All sutured pts should follow up in IMA (except hand and face lacerations)
  4. Any wound cared for or repaired by surgery, plastics or ortho should have follow up arranged by the consultants.  Care will be provided in those specialties respective clinics. (or private offices)

IMA is open Monday – Friday 9a to 3p on a walkin basis for care of the above mentioned patients.

If a patient has a pmd, pts should be requested to “follow up with your pmd”

Discharge Desk

  1. You all have been doing a great job at making sure pts get to the discharge desk!
  2. Remember to review the instructions with the pts (or have the nurse review the instructions), then leave the paperwork with the Registrar at the Discharge Desk.  T

Written by phil

December 9th, 2009 at 3:11 pm

2010 OSHA Class Schedule

DATES DAY START END LOCATION
January 5

January 21

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

Goldwurm Auditorium

February 9

February 25

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

Goldwurm Auditorium

March 9

March 25

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

To be determined

April 8

April 27

Thursday

Tuesday

3:00pm

8:00am

4:00pm

9:00am

Goldwurm Auditorium

Goldwurm Auditorium

May 11

May 27

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

Goldwurm Auditorium

June 10

June 22

Thursday

Tuesday

3:00pm

8:00am

4:00pm

900am

Goldwurm Auditorium

Goldwurm Auditorium

July 8

July 20

Thursday

Tuesday

3:00pm

8:00am

4:00pm

9:00am

Goldwurm Auditorium

Goldwurm Auditorium

August 5

August 24

Thursday

Tuesday

3:00pm

8:00am

4:00pm

9:00am

Goldwurm Auditorium

Goldwurm Auditorium

September 9

September 21

Thursday

Tuesday

3:00pm

8:00am

4:00pm

9:00am

Goldwurm Auditorium

Goldwurm Auditorium

October 5

October 21

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

Goldwurm Auditorium

November 4

November 23

Thursday

Tuesday

3:00pm

8:00am

4:00pm

9:00pm

Goldwurm Auditorium

Goldwurm Auditorium

December 7

December 23

Tuesday

Thursday

8:00am

3:00pm

9:00am

4:00pm

Goldwurm Auditorium

Goldwurm Auditorium

Written by phil

December 8th, 2009 at 3:05 pm

Posted in Admin

Blood Bank QI

Transfusion Services has a new director, Dr. Kathleen Leonard, who comes from another institution and is committed to improving the service we get from the blood bank. The first problem we’re taking on is the rapid procurement of un-crossmatched blood.

The blood bank cannot send blood through the tube system without a recipient defined by two identifiers; in an urgent situation, this is going to be name and MRN. In a patient who needs prompt resuscitation, if a name isn’t immediately available, a John Doe chart should be generated. This is a two-step process that involves a registrar (to register the patient) and a nurse (to triage the patient). Both of these tasks can be done in a minute or two, but in urgent cases it may be beneficial for a physician to encourage the BA and RN so that the process is expedited.

Once these steps are complete and the patient appears in IBEX, the order for uncrossmatched blood should then be put into IBEX and a phone call should be made to the blood bank (46101). When you reach the blood bank, you should ask to speak with a tech. Tell the tech that you need STAT uncrossmatched blood in the emergency department, the name age and gender of the patient, and your tube station.

If you have problems with blood bank, especially with regard to patients who need urgent products, send me the specifics so I can discuss them with Dr. Leonard.

Futhermore, Dr. Leonard told me that her cell phone is on 24/7 if you have urgent blood bank needs that are not being met. Her coordinates are below.

reuben

Kathleen A. Leonard, MD
Director, Transfusion Medicine
Mount Sinai Medical Center

Phone:    212/241-8810
Fax:         212/876-5994
BB:          917/596-0023
Pager:     917/205-5034
Cell:         516/445-3667
Email:     kathleen.leonard@mountsinai.org

Written by reuben

December 6th, 2009 at 9:44 pm

Posted in Blood Bank

Prescription Refill Protocol

Written by reuben

December 2nd, 2009 at 8:52 am

Posted in Pharmacy,Toxicology

Detox Centers

Written by reuben

December 2nd, 2009 at 8:16 am

Posted in Toxicology