CRITICAL EPIC UPDATES
1. FOR PROVIDERS: ED Course is coming to Epic by June 20th!
Many of you have been asking for this ever since we switched to Epic, and now it’s finally here! For the past 2 years, we’ve been waiting for an Epic upgrade that would enable us to use ED Course at NYP. The moment has finally arrived!
ED Course allows any provider to quickly document ED updates from the ED trackboard, Workup tab, or Storyboard without needing to open a full note.
ED Course updates will automatically flow into the ED Provider Note, even after the note is signed. This ensures that no information is ever lost.
By June 20th, we will switch to a “one-note” system by using ED Course for updates. The initial MDM, subsequent updates, and handoffs will all appear in the ED Provider Note. In general, you should stop using ED Progress Notes to document updates and handoff and use ED Course instead.
For more details, see the attached ED Course presentation and tipsheet (sent to your email).
Fundraiser to Uvalde Memorial Hospital
I hope you’re all having a good week. The newbie attending crew has been fundraising to send food to Uvalde Memorial Hospital that received 13 GSW patients in the wake of the recent shooting at the local elementary school. We have a pretty good start and are hoping to raise $3200-$3400 to be able to provide a nice meal for the roughly 200 staff from a local favorite down there. If you’re interested in participating, you can Venmo @liza-hartofilis or we can figure out another way if Venmo doesn’t work for you, and we’ll keep you all posted when we reach our goal.
Thanks so much,
Medical Student Mentorship Opportunity
See message below from Spencer Dunleavy (Equity/Justice Fellow at Columbia)
I wanted to reach out to you to see if you could help recruit EM residents to potentially mentor students.
The goal is to create a database of resident mentors of all backgrounds across all residency programs at NYP-Columbia to help guide medical students from traditionally less supported backgrounds (with respect to race/ethnicity, socioeconomic upbringing, gender, and sexuality) toward the specialties they wish to pursue. As someone who came from a background where no one in my family had gone to university, I know it has been very challenging to find people with similar experiences to help me on my path through medical school. Our hope is that we can create a sustainable system for students of varying backgrounds to help find role models and mentors.
Would you be able to help us recruit residents in your program? A sign up form for residents can be accessed here. I would be happy to discuss further with you if you have any questions, concerns, or suggestions.
Stroke Reminders at Columbia
- There has been some confusion regarding activation stroke for TIA (stroke like symptoms that resolved) within 6 hours of onset. These patients need an activation since we still need to report our time metrics for TIAs< 6 hours to New York State. Furthermore, sometimes there are subtle findings on their neuro exam or have stuttering symptoms which would make them a stroke patient rather than TIA. Activate Stroke Code for these patients and neurology is aware of this as it is part of our hospital stroke policy
- Activate Stroke Code for patients who presents with symptoms concerning for SAH or ICH within 6 hours. This is also per our stroke policy and we are required to report out those metrics. It will expedite getting the head ct on time and utilize the appropriate resources to take care of these patients.
- Use ED Adult Stroke Order set for patients that a code stroke is activated for. This order set have key elements that trigger multiple departments to expedite results for stroke patients as all these results are time sensitive. In addition, the [Head CT Acute Stroke Team Activation] order triggers the radiologist to be on standby to read this CT scan and expects someone in the CT scanner to communicate the results to. In addition, the CT scanner is usually placed on standby till the patient arrives. As one can imagine, if it is used for a 6/24 that does not meet criteria for LVO, it can lead to delays in other patients’ care when it is not warranted and may hold up valuable resources such as CT scan room as well as radiologist.
Area A Open!
Please report back to the area you were assigned NYPEM.net
4 North Transportation
Transport to 4-North (Cardiac Stepdown) at Cornell is supposed to be supplied by Cardiology. Our providers should not be transporting admissions to 4N. Their department has agreed to this and it is documented in Nexus (in the event that you get push-back).
Medical Education Research Opportunity
CONFERENCE SCHEDULE 7/6/22
Core Content: Aortic Dissection (Lauren Kaplan, MD PGY-2)
QI, Patient Reviews (Allen Giles, MD PGY-3 and Christie Lech, MD)
BRUE (Kara Meznick, MD)
NIPPV (Angela Barskaya, MD and Matthew Kennedy, MD)
Cardiac Tamponade (Sam Senturia, MD)
Columbia Morbidity and Mortality (Michael Stone, MD PGY-3)
Shout out to the sim wars team for winning on Wednesday. Great job Rana, Matt, Shriman, and Tyler!
Chief On Call
David Chu, 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