Hello Friends and Happy Sunday,
Hope everyone is enjoying this lovely weekend and none of your children blew away (unless that was the plan, #Mabel). Mostly just boost reminders below, a few new things. Grab and go version of OU, here we go….
Schedule Stuff
Continuing the drum beating. Please default to opening Fegan when we (and nursing) have staffing if the main ED rooms are full. Even if “nobody to really go up right now” – if you build it, they will come.
IF there are a bunch of open rooms in the main ED AND the WR is single digity, certainly can pull back. Otherwise just makes sense and really hard to herd the cats at 8pm. Once we slow down a little can pivot on that general philosophy.
Follow-Up Phone
As mentioned in PEMA, the PERS have gotten a bit of the run around when trying to transfer a follow-up call. Please sign in to the phone if you are designated to do so on the daily schedule. If you are busy at the moment, it’s okay to have them take a message and call back. If you are not the follow-up person and they call you, it likely means the follow up person is not answering. So please try to help them and/or take the call if you are able. Open to other solutions and feedback!!
APP Sedation
We are piloting a small group of NP/PAs (Molly Connolly, Anna Gardner, Chrissy Metzmaker, Jess Surgenor, Andrea Baum) to perform ketamine only sedations in the ED. You can check with them (or the pharmacy) to make sure they have done their 5 supervised cases (i.e. attending in the room with them). Please help facilitate these experiences. Let Andy Miller know if issues.
New Construction
Over the next month you may see some new construction around the EPS office, room 11 and the quiet room on D. Psych is starting a new program that will allow them to follow up with ED discharged mental health patients. This is GREAT news and will hopefully allow us to dispo even more to outpatient. We are bundling this with creating a potential eating space!! More to come!
Vocera Phone Tips
See attached document from Andy Miller. Hit him up with questions, he’s dying to hear from you!
Blinatumomab Infusion (see attached)
Previously mentioned at PEMA, just a reminder about this new(ish) treatment for heme malignancy patients. Highlights:
- All of these patients will have a critical contingency plan in the EMR
- Do NOT flush the line or stop the infusion unless need for life-saving management or patient is seizing
- Page oncology fellow on call upon arrival to ED for guidance
My Eyes!
Thanks to Andy Miller – Wood’s Lamp (is it possessive?) is now located on the shelf above the portable otoscopes in charting area in ED Extension. So no more going downstairs to get it (still have to wait the requisite 60 minutes for the fluorescein strip J).
Chest Tubes
Small changes to the checklist (posted on BCHPEM) for placing chest tubes. Highlights:
- Can treat simple pleural effusions with smaller tubes
- Larger chest tubes can be more difficult to place and can downsize if needed
Okay, that’s it everyone. You can go back to mourning the loss of Carolina to Duke yesterday. But Celtics rolled the Lakers! Let’s Goooooooo!!!
As always, hit us up with questions, comments or concerns!
Andy, Ashley and Jason
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