From the Chiefs: Residency Deadlines
To help consolidate many of the important residency deadlines and dates, the chiefs and PMs have created a new addition to the weekly update and main page. Please refer to the following spreadsheet each week to make sure you’re compliant with all residency/NYP logistics. FYI: while we will do our best to keep this spreadsheet up to date, it is not a substitute for checking NYP email daily. And if you see something important missing from this list, please let us know!
From Dr. Betty Chang: Peripheral Norepi, RAPID Outpatient MRI, and FYI’s
1) Peripheral norepinephrine approved by Medical Board : GO LIVE, March 8th. Please refer to handout from Dr. Chang’s email.
Max 72 hr. Max dose 15mcg/min. Use at 20G or larger. Have another IV access as back-up. Use the 4mg/250ml concentration.
2) We have collaborated with Radiology and Neurology to arrange outpatient MRI on ED patients who do not need emergent MRI. They usually get a MRI appt within one week’s time and sometimes in a day or two.
Get Neurology consult involved. They will identify patients who meet criteria. Unfortunately, at this time, patients will need to have insurance. Neurology will arrange outpatient Neuro follow up.
ED will consult CM/SW and Navigators – CM/SW will confirm pt info, address the MRI appointment with Call Center, Call Center to work on pre-authorization, and navigators (Gabriela Reda & Luisa Santos, the navigator supervisors) to work on follow up with PMD.
3) Patient with ESRD on Dialysis, who missed dialysis. We hope to mitigate any issues that caused the patients to come to ED for missed dialysis. PLEASE get SW/CM involved upon patient arrival. You can easily find them via group secure chat “CUIMC ED SW& Care Mgr Consult”
4) Watch out for FYI’s!
Please note that there is a little flag that shows up by patient’s name that acts as an alert for clinical staff. It often contains very important information that is relevant from prior visits (ie. staff safety, violence, etc.)
From Dr. Nick Gavin: Sedation Options at Columbia
As of Monday, February 22, fentanyl and midazolam drips will be available for post-intubation sedation. Please consider prioritizing these medications over precedex in the appropriate patient population going forward.
From Drs. Emmagene Worley and Peter Wyer: EBM Survey
MCB Message of the Month
Congratulations to Jamie Lee, Ryan Latulipe, Chris Hennessy, and Emerson Floyd for being elected as the new EM Chiefs!