Menu
Reminder: All NYP employees must have COVID vaccine by August 1
Dear Colleagues:
Thanks to all of you, NewYork-Presbyterian is one of the leading health care providers in the nation in the fight against COVID-19.
We continue to have a responsibility to protect the health and safety of our patients, their families, and each other. Having witnessed the devastation of the pandemic, we know how important it is for all of us to be protected against this deadly virus and its unpredictable and alarming variants. Our commitment to the well-being of every NYP patient and employee is unwavering, and all employees, physicians, students, clinical rotators, volunteers, and vendors are required to participate in the NYP COVID-19 vaccination program. This means that everyone must have received their first dose of the vaccine, or have an approved exemption, no later than September 1, 2021.
Reminder to complete the monthly ChIP forms by the end of the month – see e-mail from Dr. Mark Curato
From Dr. Trudi Cloyd: Critical Care Cuts
Our critical care team at Columbia (led by a former EM attending) is leading an exciting new project designed to push you bite-sized tidbits of critical care knowledge on weekdays this academic year. The plan is to push these messages to your phone, likely in WhatsApp messages, to review at your leisure (read: shuttle/Lyft ride home after shift). Who doesn’t need a little more knowledge on vent management, blood gas analysis and CVL tips & tricks? Best of all this is being led by some great educational faculty who already have an EM background!
If you are interested, please fill out this short survey on your comfort level with critical care skills.
Campus Announcements
From Dr. Betty Chang: Columbia Ops updates
1) REMINDER: Transfer of patients to Area D
-Recently, we are seeing a communication gap within members of clinical team when there is a patient being transferred to Area D.
-For safety reasons, before a patient is transferred to Area D, both the transferring attending and the receiving attending must be made aware. This is the responsibility of everyone in the care team.
-Please make sure proper documentation is done. Including Observation orders when indicated.
2) LAB REFERENCE
- The new aPTT heparin therapeutic range will be 51-83 seconds.
- D-dimer results will be reported in ng/mL in D-dimer Units (DDU), as opposed to the current assay that reports results in µg/mL in fibrinogen equivalent units (FEU). Reference range will cut off at < 230ng/mL.
- HIT (Heparin induced thrombocytopenia) assay results will be reported in U/mL and are interpreted as either negative or positive based upon the assay cut-off of 1.0 U/mL.
3) WANTED: PROVIDER CHAMPION — Visitation in the ED – Patient Experience
-We are looking for someone to work in this interdisciplinary group to enhance patient experience as related to visitations in the ED.
-During DBD (Direct Bed Deferral), visitation by family is suspended leading to poor patient satisfaction/experience. However, we also need to consider space constraint and distancing. Looking for a solution that is conducive to both issues.
–If you are interested in joining nursing, patient services and security officers, to lead in this initiative, please email me.
4) COMING SOON – mid JULY (anticipated date July 18): Navigator to Return to Milstein ED in a hybrid form
– 2 Patient Navigators on site on weekdays
– 1 Patient Navigator (either morning or evening shift) on site on weekend.
On site: a morning navigator (7a-3pm or 8am-4pm) and an evening navigator (11am-7pm or 12pm to 8pm) will be available
Off site: we have the rest of the navigators working from home working morning and evening shifts so all orders placed will be taken care of
For in-person navigators: just place an AMB referral to Patient Navigation as usual. The team knows that when they are on site they will be assisting a minimal of 5 patients each who are only at bedside. In-person navigators will not select discharged patients as those patients will be assisted by the navigators that are working from home.
If a provider needs an in-person navigator immediately they can send a secure chat to our group: CUIMC ED Patient Navigator Team.
**Please use the Patient Navigator services for patients who you think will have difficulties making appointments on their own.
1-833-ED-RELAY
Please remember, for any patient who presents with an overdose where opioids played a role and especially whenever Narcan was given appropriately,
CALL 1 833 ED RELAY.
RELAY workers are able to come in and help patients overcome the many obstacles to REHAB as well as train patients (and family or friends) in the use of Narcan Kits
Even if patients are unresponsive in ED,the RELAY team wants to be called as soon as possible and they will wait near ED until patient is awake to make a connection.
If on rare occasions the patient is COVID positive there is still an option for a telephone connection.If there are any problems or concerns, please do not hesitate to call me.
Thank you
Jordan
From Dr. Angela Mills: New clinical leadership fellowship launched by NYC H+H
LEADERSHIP FELLOWSHIP: New York City Health + Hospitals has opened applications for a one-year clinical leadership fellowship geared toward post- residency graduates interested in administrative roles, the system announced Monday. Fellows will be assigned to the offices of quality, population health, ambulatory care, managed care and patient growth or medical and professional affairs. The application deadline is Oct. 29.
From Dr. Sara Zaidi:
To whom it may concern,
Researchers from the Departments of Psychiatry and Emergency Medicine are carrying out a study that will explore oral history accounts of experiences sustained during the COVID-19 pandemic by front-line medical providers (March 2020- January 2021). This is being done with the larger goal of identifying professional and emotional needs, and therefore informing ways to reduce burnout in this population.
Moral injury arises from an act of transgression that creates dissonance and conflict by its violation of assumptions and beliefs about right and wrong and personal goodness. Within the healthcare field, it refers to “the challenge of simultaneously knowing what care patients need but being unable to provide it due to constraints that are beyond a provider’s control”. When left unaddressed, these experiences can lead to burnout in the professional setting, therefore supporting the rationale to explore it in our providers.
Title: Exploring the effects of morally injurious experiences on medical provider identity during COVID-19.
Co-Principal Investigators:
- JoAnn Difede PhD (Director of Post-Traumatic Stress Disorder Studies, Department of Psychiatry, Weill Cornell Medical College)
Sara Zaidi MD (Assistant Attending of Emergency Medicine, New York Presbyterian-Weill Cornell)
If you are interested in learning more about the study and participating in an anonymous, single 45-minute interview and brief questionnaire, please contact Giselle Appel MS (gia9026@med.cornell.edu).
July 21, 2021 - Resuscitation Theme Day
Time
Topic
Speaker
- 08:00 - 12:00
- Theme Day
Drs. Alex Wang, Dino Munoz, David Chu, Allen Giles, Cameron Callipari, Denise Marte
**NOTE: Conference this week is in-person. Report to the Columbia Res Room for your room assignment.
ASYNCHRONOUS LEARNING
Tintinalli’s Chapters 30-34, 18-20 & 23
Shout out to Mike Stone from the NICU
"We wanted to give a shout out to Michael Stone, the ED resident. He has been awesome, Team player, works hard, and even was help training our new PA." Great work Mike!
Chief on Call
Ryan Latulipe, M.D.
EM Chiefs’ Cell: 917-410-1056
- Please call and do not text/ email so we can address issues promptly.
- If you do not hear back within 10 minutes, then call any of the other chiefs