From Dr. Marie Romney, VP of Operations at Columbia:
In follow-up to our Town Hall on Tuesday, I’d like to share an update on nursing staffing for the Milstein ED. In addition to the 24 RN FTEs we discussed that were recently added to the area E nursing pool, we were granted an additional 15 RN FTEs and 31 ERT FTEs. These additional 70 FTEs will result in approximately 7.5 additional RNs and 6 additional ERTs on every shift, 7 days a week. Knowing that it will take some time to hire and train these new team members (approximately 9-12 weeks), we are pursuing an equal number of travelers to help support the department until their arrival. Separate from this, we have several new nurses joining our team in the coming weeks and we continue to fill our remaining vacancies. In the month of November we have 25 new nurses joining the department-18 new orientees and 7 agency nurses. In the interim, as staffing remains a challenge, our nursing leaders will continue to communicate the staffing plan for each shift, via email, after huddle.
I know how challenging these past few months have been, particularly on the heels of our COVID battle. Please know that everyday Vepuka and I are doing everything we can to amplify the need and advocate for the resources you require to continue delivering high quality care to our patients. There’s still much more to be done, but this additional staffing support, while long overdue, is a significant step in the right direction.
We will continue to communicate updates as they come, but please reach out with any new concerns or questions.
I am the new Chair at Ochsner Medical Center in New Orleans, LA, recruited here to build an academic department. Things are really taking off with gusto as there was already a really fantastic group of faculty physicians in place; we are a tertiary referral site for a large network of hospitals and see ~70,000+ patient visits/year through our ED; we are already in our second year of our EM residency and the institution has ~30 residency/fellowship programs in total (robust GME presence); and we are the home of the UQ-Ochsner Clinical School (our medical students spend the first two years at University of Queensland and the final two years here with us). We have set our foundation, and now we are working on adding depth to our niches and adding an Associate/Assistant Residency Program Director. It is a really exciting time of growth here. I have a passion for education (was the Vice Chair for Education / Residency Program Director at Vanderbilt before taking on this new opportunity). So, if you have any faculty who are also passionate about resident/fellow education and looking for a really great new opportunity, please send them my way. Posting is below and attached as well for a more formal description.
Former Columbia APD and now Baylor PD Aleksandr “Sasha” Tichter posted that “Baylor College of Medicine in sunny Houston, TX has openings for full-time faculty of all academic ranks to join our growing department.”
Volunteer with Adam Blumenberg at the NYC Marathon
Indications for this device include:
-urinary incontinence without retention
-need for strict I/O without retention
-pressure injuries and or incontinence associated dermatitis
Contraindications for this device include:
-patient able to get out of bed independently
-patient able to use a bed pan
Regarding staffing shortages at Columbia:
If you have any issues you would like to escalate, feel free to reach out to the chiefs (on shift or post shift) so we can help escalate appropriately.
Nothing else will be changed other than the name of this tab, continue to use as normal!
This is an important patient safety initiative to prevent test results from being missed before the patient leaves the ED.
You must review all results and mark them as “Reviewed” to successfully place the “Discharge Patient” order.
If you have not marked all results as “Reviewed” in Epic and attempt to place a “Discharge Patient” order, a hard stop will appear.
This is similar to the existing hard stop for “No Clinical Impression Entered” when you attempt to place a “Discharge Patient” order.
4. Transfer orders are now a little easier to place. The proper options will be defaulted for the “Close Visit” orders for ED transfers.
5. FOR PEDS SEPSIS Only: The Pediatric Sepsis BPA has been updated to include an option for “Not Sepsis.”
6. Violent Flag Reminder
EPIC USER TIPS
Now live! – ED-to-VUC Referrals for Monoclonal Antibody Infusion – (attached job aid and criteria for eligability)
From Dr. Robby Tanouye: Long IVs are now stocked in IV carts
From Cornell leadership: Reminder about Community Para-Telemedicine program
NYPEM PGY 3
WCMC Attending and NYPEM APD
NYPEM PGY 4
-Tintinalli’s Emergency Medicine 9th Ed – Chapters 223-224 (WCM Library for residents)
-Management of DKA (attached)
CONFERENCE ATTENDANCE AND EVALUATION
Meeting ID: 961 1802 6516