Weekly Update – December 12th, 2022

ITE Review Sessions

We have 12 Wednesday Evening Sessions (8:30-10:30PM) lined up from this Wednesday 11/30/22 to 2/15/23.  Most sessions will cover two topics.  The content will be delivered by faculty members. 

We encourage you to participate if you are available.  Faculty are encouraged to attend if they are available.  The sessions will be delivered on Zoom eliminating the need to travel anywhere.  Please attend as, from past experience, the more the merrier!

Join Zoom Meeting

https://columbiacuimc.zoom.us/j/94213727415?pwd=SCtFYWVacnRqREtYcDFacnpTMjdqZz09

Meeting ID: 942 1372 7415

Passcode: 290100

Interview Social Sign Ups

Please sign up to with socialize applicants both during the interview day and the night before! Applicants love meeting you all 🙂 !

Sign-Up Links: 

Resident Interview Sign-Up

Resident Interview Social Sign-Up

Shift Trades

As the holiday season approaches, a few reminders regarding shift swaps (to get them approved quicker!)

-Within the email, please include the block and campus for each shift  you are requesting to change.

-All participants in a swap need to confirm their agreement with the swap prior to approval

-All swaps need to adhere to duty hour guidelines:

  • <60 hours in a week, measured Sunday-Saturday
  • 12 hours off between 12 hour shifts, 8 hours off between 8 hour shifts
  • >70% conference attendance, averaged over the year

Discharge Workflow

As volumes increase and our bay’s get busier, quick reminder to ensure that you close the loop with the attending prior to placing a discharge order.

PGY4s, please ensure the attending has seen the patient prior to having juniors place discharge orders.

 

Campus Announcements

Procedure Lab Teaching

We are looking to recruit EM Residents to assist with CUIMC-Medical Student Procedure Labs in VEC on the following dates from 2-6:15pm.

Monday, 12/5

Thursday, 12/8

In these labs we teach the skills of IV, ABG, NGT and foleys to students who are about to enter their Major Clinical Year (3rd Year) in January.

Residents do NOT need to commit to the full-time frame, would not be responsible for running their own rooms, and would be in addition to a faculty instructor.

Detailed instructions attached (no true prep work, you already know all these procedures!) Please email or text me 908-581-3988 if interested.

Thank you for considering!

Lauren Curato

 

DOH Naloxone Intranasal Kit Job Aid

 WC ED is enrolled in the NYS DOH Opioid Overdose Prevention Program (OOPP)

 Goal of the program is to decrease opioid deaths by training non-medical community members

to recognize and respond to opioid overdose events

 Physician champion and program director: Dr. Jonathan Avery, MD

 Pharmacy representatives: Elizabeth Getselevich and Vivian Kum

 Only staff who have undergone DOH Naloxone Training of Dispensers (TOD) program are

permitted to dispense a naloxone kit

Update

 Naloxone intranasal kits have been moved to the Omnicell to standardize workflows across the

enterprise and improve inventory management

How do I order and dispense a kit?

Place an order in Epic for a “naloxone intranasal kit (discharge or outpatient use only)”.

 

Up-triage from Urgent Care (D)

We would like to remind you of the appropriate workflow when up-triaging a patient from D bay to a main bay for their evaluation:

  • Ensure we are not in surge protocol, when Area D takes stable ESI 3’s
  • D bay attending should give verbal sign out to the receiving bay attending
  • D bay provider team should complete an MSE note and place pertinent orders prior to transfer
  • Please let AA and triage nurse know of your plan to up-triage a patient

Busy surge days typically means D bay takes stable patients requiring more complex, main bay work ups. The AA should be communicating this is real time to the D bay team.

Conference 12/14/22

Dear EM Family,

 

Please join us for our next residency conference via zoom. This is the second week of our Environmental module. We will begin with a Core Content lecture by PGY-2 Christian Davidson on Environmental Hyperthermia.   Next, Dr. Adan Blumenberg, EM-SIM-Toxicology faculty from Columbia will discuss Dysbarism.  Following this, Division Medical Director from FDNY, Dr. David Ben-Eli will discuss Aeromedical Transport. At 10:30AM, PGY-4 Dr. Rana Abualsaud will present her grand rounds talk on US use in Critical Care. Finally, Mert Keceli will present an M/M from the Cornell Campus. We hope to see you there!

 

8:00 AM

Core Content – Environmental Hyperthermia (Christian Davidson PGY2)

8:30 AM

Dysbarism (Adam Blumenberg)

9:30 AM

Aeromedical Transport (David Ben-Eli)

 

10:30 AM

PGY4 Grand Rounds: US in Critical Care (Rana Abualsaud)

 

11:00 AM

Cornell Morbidity and Mortality (Mert Keceli)

 

 

 

Joe for placing a blind subclavian central line in GI bleed!

Matt for advocating his patient with subtle EKG findings who had 100% RCA occlusion! 

Chief On Call

David Chu, MD

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.

 

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