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Archive for November, 2011

Elmhurst NP Role

Please see attached details.

Some of the KEY POINTS:
1) Must be present at morning and evening rounds
2) Must participate in morning report
3) Perform advanced triage function on the A/B teams
4) Are to be assigned straight forward cases when there are no evaluation to be done
5) When they are leaving on break they are to tell you when the will return, how many patients are pending initial evaluation and let you know the status of the patients they are seeing primarily.
6) Tell you when they have returned from break
7) Assist in the Fast Track in the morning if there are no patients to be seen on A/B. Those cases should be presented to the A/B team attending (not the cardiac/trauma attending).
8) Assist in FT if, during the day, that attending request assistance (through the charge nurse). This should be for a short (about 1 hour) periods.
Thanks,
Phil

Nurse Practitioner Revised Role_2011

Written by reuben

November 18th, 2011 at 8:10 pm

Posted in Elmhurst

VNS / NYCLIX Interface

Starting this Sunday, November 20th, a new pilot project with VNS-NY and NYCLIX will begin.

If a patient who is actively enrolled with VNS-NY registers to be seen in the Mount Sinai ED, VNS-NY will receive an alert in real time.

Mon-Fri 9-4:30, the on-site VNS staff person will either come down to the ED or will call the ED to speak with the treating resident or attending, giving them the VNS-NY team manager’s name and phone number in the event additional information is needed by us. If the patient is TBS, they will call AMAC and leave a call-in note in EPIC.

During all other hours, the VNS-NY Clinical Care Center will be performing the same duties, so this service will be running 24/7.

If you receive a call from VNS-NY and you need additional information please call the patient’s team manager. If you feel that you do not need any additional information, please thank them for calling, take down the VNS-NY contact information, and enter it in the patients chart in case it becomes helpful at a later stage.

The normal volume of VNS-NY patients presenting to our ED is 4-5 per day, so there should not be a significant burden of increased calls on us, and in some instances this might actually help improve care or safetly dispo a patient home who would otherwise have been admitted.

Your help in making this pilot program a success is greatly appreciated. Please let me know if you have any questions.

Thank you,
-Jason

Written by reuben

November 18th, 2011 at 5:47 am

Posted in HEALTHIX

Cisco Zone Phone Reference

Written by reuben

November 16th, 2011 at 6:35 am

Posted in Phones

Homeless cold weather emergencies

Written by reuben

November 16th, 2011 at 5:37 am

Posted in Social Work

EHC Optho Cases

Optho residents want to be contacted for all patients that are referred to their clinic that aren’t booked in the computer. In the past on occasion we have given a discharge sheet with a f/u appt “according to/as per Dr. Eye Resident on call’s name” without that resident having been contacted. This was typically given for patients that they see the next day in clinic, i.e. corneal abrasions.
According to their residency site director the optho “residents are happy to see patients after hours.” So please call them. They feel a liability if their name is used without seeing the patient.

Please forward this to PAs and residents.

Sheree Givre

Written by reuben

November 14th, 2011 at 6:57 pm

Pregnancy does not need to be ruled out before most xrays

In case you missed this info from the Medical Board, approved September 2011-

Pregnancy screening NOT required for extremity films, chest x-ray, and some other commonly ordered studies from the ED.

>From the policy, these are the procedures that DO REQUIRE pregnancy screening:

The following is a List of Procedures that require pregnancy screening for female patients age 11-50
1. All diagnostic studies involving intravascular contrast
2. All MR studies
3. Studies employing ionizing radiation (fluoroscopy, radiography or computed tomography) that might be expected to expose the uterus to significant radiation:
a. Abdomen (all views)
b. Pelvis (all views) including
Sacro-iliac joints
c. Hips, including
Femoral heads
Fluoroscopy-guided groin catheterization
d. Segments of spine in the primary beam, including
Thoracic Spine
Lumbar Spine
Sacrum/coccyx
e. Bowel Series, including
GI Series
Small Bowel Series
Barium Enema

Written by reuben

November 4th, 2011 at 5:33 pm

Posted in Radiology