Clinical Education Database

MD & Practitioner News

QI Summary 2nd Quarter – April 19, 2022

QI Summary2nd Quarter – April 19, 2022 Please remember that QI is meant for educational purposes. We review these cases so we can try to improve our patient care. Remember that our field is dynamic and patient histories and physicals often change. Discussion of a case...

PI Case Summary

PI Case Summary – April 20, 2021 13 y/o female presents with ovarian torsion. There was debate as to who takes to OR - so we have referred to OB-gyn and peds surgery so they can define age criteria similar to our peds appendicitis cases. Patient was sent home...

Procedural Sedation

Minimum face time is 10 minutes. Use the dot phrase: .PRCPROCEDURESEDATIONLCMTED All procedural sedations must have both the pre-sedation assessment Use the top button under the Admit navigator, and the procedural sedation note. Procedural Sedation Note Indication:...

Main T Nurse Practitioners

PLEASE NOTE: In 2/2017 NP's are to start working in Main T from 4pm-12am on Mondays NP's to see patients on their own and present each case to MDs to sign off on. MD still sees the patient briefly and write a brief supervising note. MD to use the dot phrase...

Medical Articles
PROVIDENCE WIDE TRANSFER PROTOCOL

Pediatrics

PEDIATRIC CONSULTANTS

Peds Surgery – use call panel Peds GI Dr. Stephanie Abrams Dr. Roy Nattiv LBMC GI – (562) 666-6820* Peds Cardiology Dr. Chris Tan/Francesca Bryne group Dr. Saar Danon Peds ENT Dr. Rose Eapen Dr. Steven Davis – adult ENT, but is comfortable with peds Peds Neuro Dr....

Torsion of The Testicle

Abstract: In this review, long-held myths and misperceptions about the evaluation and management of testicular torsion are discussed, and recommendations for the management of patients who present with acute scrotal pain are presented. Key Words: testicular torsion,...

Pediatric Oral Rehydration Guideline

Purpose: To optimize the treatment of patients, presenting to the ED with Nausea and Vomiting, from the moment they arrive in the ED. Evidence: Current Medical research indicates that the most rapid and effective method of hydration continues to be by mouth in those...

Stridor

High-pitched sound resulting from turbulent flow of air in setting of partial airway obstruction Differentiate from low-pitched noise from snoring or nasopharyngeal obstruction Differentiate from wheezing (predominantly expiratory and thoracic) Timing of stridor...

Pediatric Transfers Miller’s

For Miller Children's transfers call 877-MCH-QUIK directly, and quickly - as soon as you know you'll need a higher level of care, even if labs are pending. You'll get immediate doctor to doctor sign out and quicker transport. Please don't have the secretary call and...

HYPERGLYCEMIA/ DKA IN OUR PEDIATRIC POPULATION

Hyperglycemia/ DKA Guideline: HYPERGLYCEMIA/ DKA IN OUR PEDIATRIC POPULATION Goals: Restore adequate perfusion. To gradually correct the metabolic derangement without precipitating a complication. Prepare pediatric patient to transfer to a “higher level of care”. What...

Process for needing a Pediatric SART exam

Notify ED social worker DCFS report must be made- 1-800-540-4000- (SW will report for you. If they are not here they must come in.) Call police department in city where crime took place. Explain the situation and have them come to the ED to file a report. (do not send...

Adult Patients

Culture Callbacks

Click For Culture Call Backs PDF Version Review the lab results folder at the beginning of your shift and periodically throughout your shift. The folder should be up to date at the end of your shift. Go to your ‘In Basket’ and then ‘Results’ Click ‘Reviewed’ if...

Needle Stick Injury Packet

Two PDF documents with details CLICK A TEXT LINK BELOW TO OPEN THE PDF EXPOSED CAREGIVER INSTRUCTIONS SOURCE PATIENT

Preeclampsia Guidlines

Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department

HIV Post-Exposure Prophylaxis (PEP)

1. Questions to ask: Did a puncture, mucous membrane or sexual exposure to potentially HIV-infected fluid occur within 36hrs? If yes to any offer PEP. 2. Baseline Testing: Source person: HIV Test, If results not available start PEP and order HIV RNA Assay. Exposed...

HIV Pre-Exposure Prophylaxis (PrEP)

1. Sexual History: Multiple Partners?, Intermittent condom use?, Unknown HIV status of partners?, Ever had an STD?, Do you inject drugs? If yes to any of these questions offer PrEP 2. Obtain Lab Tests: 3rd or 4th generation HIV test. Perform NAAT/viral load if...

Medical Device Training

Chest Tubes

We are consolidating our procedure trays. Please review the trays below. We will have 3 pneumothorax trays available plus the standard chest tubes. 1: Uresil Thoravent: It has a self contained Heimlich valve with a simple trochar application 11 F. Good for discharged...

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