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Please peruse the two following new policies:
- Use of Erect Plain Films in Assessing Stability of Vertebral Body Fractures in the Emergency Department
- Guide for Commencing Palliative Care Medications in the Opioid Naive patient in the Emergency Department
The second is a guide to using the iEMR powerplan prescribing for palliative patients. If your patient is being actively palliated (after discussion with your consultant) please ensure they have adequate PRNs and a NIKI infusion pump if appropriate.
There are new procedure documents for Direct Admissions. These reflect what our current process is. They are available on the G Drive and EmergPA. They will be uploaded to the intranet shortly.
The new documents are:
- Direct Admission from the Emergency Department
- Referral for direct Admission of General Medical Patients from the Emergency Department
If a specialty has a specific policy (eg. Orthopaedics, General medicine & Cardiology) then this will supersede the generic Direct Admission from the Emergency Department procedure.
The PAH ED RSI Checklist and Failed Airway Algorithm have been updated.
These will be both on the wall of the Resus/Procedure Room bays and attached to the side of the Airway Trolleys.
How you use the checklist will depend on the Clinical Situation, but if you like there will be a laminated copy that you can check with the attached sharpie on the Airway trolley. Clean it off afterwards with an Alcowipe.