UPDATE with new TIP Sheet. E-consults has gone live in the pulmonary division via Epic. Here is the attached E-Consults Tip Sheet v12> Tip Sheet to both generate and respond to an e-consult Important things to note: 5 business day specialty turnaround time (or better); this should be handled by the assigned checker on the date/time […]
MPM0 reference article (physiology score in the ICU)
Here is the reference article for the MPMO we use in the MICU Chest 2009; 136: 89–101
Sarcoid Tip – calcium
A nice review article on how to assess and manage calcium and vitamin D in sarcoid: Burke RR, Rybicki BA, Rao DS. Calcium and vitamin D in sarcoidosis: how to assess and manage. [Review]. Seminars in Respiratory & Critical Care Medicine. 2010;31(4):474-484
Issues with new outpatient referrals
When seeing a new patient there are times when the name of the PCP will be “none”. Other issues may include not entering the referring consultants into the “care team” and other administrative duties that should be done prior to the patient arriving. When this happens here are some contact names you can email to […]
ECMO care team (ECT)
There are now a core group of critical care physicians comprising ECMO rounding staff. These individuals will be primarily managing these patients with the critical care fellow and resident/APP as part of a ECMO Care Team (ECT). The process was started on 1/21/2019; the details are in this attachment. When the Team is needed, the caller will dial […]
Complex Contraception Clinic Referrals
Please see attached for screenshots on making referrals to the complex contraception clinic. referral entry for complex contraception clinic
Bronchoscopic Lung Volume Reduction
Inclusion: Ex-smokers (≥4 months) PFT: Post BD FEV1 15 – 45% TLC ≥100% RV ≥150% 6MWD ≥ 100 – <500 meters after pulmonary rehabilitation program BMI <35 Kg/m2 Completed pulmonary rehabilitation program (or is enrolled and completed 6-8 sessions) ABG: PaCO2 <60 Stable on prednisone <20mg/day Exclusion: Any contraindication to bronchoscopy and/or general anesthesia Lung findings: […]
Attestations Tip Sheet for Epic
The pertinent ones are in bold .CLINIC VISIT – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. @ME@ .INPATIENT SAME DAY – I saw and evaluated the patient on the date of my electronic signature and I agree with the findings and plan of the […]
Clinic medication issues when Amber is on leave – expected return 11/1/2019
If your patient requires a prior authorization, please send the request to Max If your patient cannot afford their medications or needs a switch due to formulary, please send back to the physician +/- Max if you think he might be able to help (please do not route or cc Amber during this time) Requests […]
LEAN clinic updates 5-2019
Posted for Dr. Ouellette from 5/30/2019 email: 1. The Lean Program is a system-wide initiative to improve the health care experience of patients, and the efficacy and safety of selected operations, for all clinics and other health care environments. A team from the Pulmonary and Critical Care division has been engaged in studying our clinic […]