Elmhurst Updates February 2017

1) Psychiatry Consults:

a) Providers – please place an order for psych consults.  This should be done whenever a psych consult is going to come to the ED to see a patient.  Dr. DePena-Nowak and Dr.Givre will be monitoring the time is takes from calling for the consults to transfer to CPEP.  We will be working together to improve communication and patient care between the ED and CPEP.   Let me know when you have any issues.

b) Consult Call pager –
Daytime (8AM to 5PM), Monday to Friday – (Consultant is an attending) — Pager: 40524
Nighttime:   (Consultant is a resident) Pager: TBD

If you have any issues reaching the consultant, please let your attending know who will reach out to Dr.DePena-Nowak

2) Overnight CT:
We now (apparently) have proper full time nursing on overnights for CT nursing to push IV contrast; barring any other unscheduled sick-call, or emergent IR cases. Please let your attending know if this is not the case

3) Central Lines:
When charting all central lines, please document how the line was placed as either FULL STERILE or NOT.

4) Trauma

a) Trauma Patient Admissions:
Almost all Trauma Patient Admissions MUST GO TO A SURGICAL SUBSPECIALTY.  The Goal is <10% to go to non-surgical specialities.   Despite any argument from a surgical resident, these patients MUST go to surgery.     Any sicker patient who requires care can be admitted to their step down beds, or if needed to the SICU.  If there are any issues, please address with the attending who will discuss with the Director of Trauma.   Example:elderly patient who syncopized and found to have a non-op arm fracture

b) Trauma patients and alcohol levels

An ALCOHOL LEVEL must be sent for ALL patient who get admitted with a trauma diagnosis ( these must go to  surgical service even if the main reason for admitting is non-surgical, such as the elderly patient with syncope with a ulnar styloid fracture).  This is a directive from Dr Agriontonis.