Operational Update – June 2026

Hey folks,

A day late and a dollar (at least) short – here is your 4th Thursday Friday of the month Operational Update for June.

Enjoy!

 

Schedule Stuff

I’ll send my normal clever (insert eye roll) calendar invite, but refreshing everyone’s memory that next schedule block will include Oct 1 – Jan 3. So don’t forget to put in those off requests in through the January date!  A refresher of the rules:

  • No more than 72 hours off for 3 day holiday
  • No more than 120 hours off for 5 day holiday
  • Need to leave 2 full days open between Christmas and NYE

Standard email from me coming asking for Christmas help and trades!!

 

Supervision of New Faculty (for PEMA)

As most of you know, whenever we have a new PEMA faculty start, there are a minimum number of shifts that are “supervised” per hospital policy.  This is NOT the same as supervision of a trainee.  Here are some guidelines/rules:

  • New faculty member should not be precepting a trainee/APP during those shifts
  • You must have general awareness of the patient, but you don’t technically need to do an exam
  • You must write a note and bill (note can be very brief, not a trainee supervision note)
  • TYF’s cannot be supervising physician.

 

Consult Orders

Please, please, please continue (or start 😐) to put in consult orders any time you are consulting a service. This does not replace the need to page those services, but this is vital for tracking consults. And, once we show we are using this order, there is future potential for a more streamlined process.  In the meantime, that was 3 pleases. ‘Nuff said.

 

Adolescent Referrals

The adolescent team has asked us to NOT guarantee quick (<1 week) appointments for eating disorder patients if they are new to their service.  They will triage the urgency and decide, but I’m told usually can get them in within 2-3 weeks.  Probably true for most services as clinics are tight around the hospital, so proceed with caution when guaranteeing a time unless you have insider info!

 

Seizure Management

The Guideline for Initial Management of Seizures has undergone multidisciplinary review with significant changes. This guideline is also linked in the Seizure, Acute and Status Epilepticus Management Clinical Pathway. Highlights are:

  • Intranasal midazolam has been moved to the first line choice for benzodiazepine therapy
  • Rectal diazepam has been removed from the benzodiazepine options
  • Levetiracetam has been moved to the sole secondary agent
  • D25W has been removed due to chronic backorders, replaced by D10W and D50W

 

DYS Patients

This comes up from time to time, so figured I would send out the attached info sheet for those interested.

 

 

Okay, that’s it folks! Happy Graduation to all the graduating fellows! And a HUGE HUGE HUGE thank you to those working tonight so that the rest of us can celebrate!!!

 

Jason

 

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