For Ultrasound in Trauma –
- Place patient Baxter number, provider user ID and attending user ID
- Complete POCUS study
- Place order in Epic
- Open Q-path
- Find Baxter ID and replace with patient MRN
- Document Study
For Ultrasound in Trauma –
And finally, a general reivew for what to do if a lawyer contacts you: http://www.lustbaderlaw.com/articles/WhatToDoIfALawyerContactsYou.pdf
As a summary of the below corporate email –
1) E-Prescribe 100% of your discharge prescriptions.
2) You can E-Prescribe to the Elmhurst pharmacy which is open 8am-4pm M-Fri (closed weekends and holidays)
3) If a patient cannot fill a prescription from a community pharmacy after-hours; E-prescribe the medication to the Main Pharmacy then call them and let them know the script has been sent to their queue and ask them fill at least the minimum needed prescription for a safe discharge. The AOD can then be contacted to pick up the script.
As of today our e-prescribing waiver has expired, which means that all prescriptions must be transmitted to pharmacy electronically.
Electronic prescriptions for non-insured patients may be send to the facility’s Outpatient Pharmacy, which is open from 8:00 a.m. to 4:00 p.m., Mon – Friday (closed on weekends and holidays). During off hours, e-Rxs need to be transmitted to community drugstores and patients need to be advised accordingly. In urgent situations (when a patient is uninsured, must have his prescription filled and cannot access a community drugstore), the Main Pharmacy pharmacist can process the prescription from 4:00 to 11:30 p.m. provided:
Effective tomorrow, in order to comply with NYS law, we’ll have to discontinue the OPD med cart (see attached) and also remove from Pyxis the percocet packaged for outpatient use.
Please share this info with appropriate staff
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.
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.
Providers – please be sure to 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.
CVS PHARMACY OPEN 24 HOURS – Store #1113
89-11 NORTHERN BOULEVARD
JACKSON HEIGHTS, NY 11372
CVS PHARMACY OPEN 24 HOURS – Store #2057
100-02 QUEENS BOULEVARD
FOREST HILLS, NY 11375
CVS PHARMACY OPEN 24 HOURS – Store #2975
7960 METROPOLITAN AVENUE
MIDDLE VILLAGE, NY 11379
CVS PHARMACY OPEN 24 HOURS – Store #7576
31-01 DITMARS BOULEVARD
ASTORIA, NY 11105
Per Dr Kessler, the two sepsis order sets in Epic are ready for use.
ED Sepsis – full order set
ED Sepsis screen positive orders
*Remember to order blood cx and urine cx BEFORE antibiotics are given.