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BOMImed Extended Use Breathing Circuits
Sent on behalf of Dr. van der Vyver, M - November 6, 2023 We will be moving to extend the use of breathing circuits to 24h in most cases as of Nov 7. What do Anes need to do at Bayview: Assemble new viral filter at the patient Y with flex tube and m...
Sunnycare APS Admission Notes - Same Day Discharge
sent on behalf of Dr. Martin van der Vyver Entering notes on patients (not admitted as an inpatients) has been a challenge for some (especially those wanting to enter APS admission notes) Following the steps bellow should solve the issue. You only need...
Defibrillators at Holland Centre
Sent on behalf of Dr. M van der Vyver PLEASE NOTE that ALL defibrillators in use at the Holland centre is DIFFERENT from the model in use at the Bayview campus. See infographic below regarding how to switch to manual mode (default mode = AED)
Exclusion Criteria For Surgery At Holland Center
Exclusion Criteria For Spinal Surgeries At Holland - Dr. M van der Vyver revised June 14, 2024 In addition to the general exclusion criteria (see above) Patient-specific: • BMI > 45 • Pacemaker dependent (if surgery done prone) Surgery specific: ...
Blood Products Wastage
Sent on behalf of Abdulwahab, Widad (Transfusion Medicine and Tissue Bank) on Jan 17th, 2024 ...discarded RBCs and Frozen Plasma (FP) in the ORs due to improper storage and the return of blood units > 60min from issue time from blood bank. Apparently, staf...
Holland Centre Patient Transfer To Tertiary Care Policy
Posted on behalf of Dr. van der Vyver on Jan 18, 2024
Jan 25, 2024 iPro Update (ver 2.6.2)
Sent on behalf of Kim P. Duong iPro was upgraded to a new version (2.6.2) last night. This fixes the issue that we’ve been having with generating PDF [upon finalizing the chart]. I have tested out with couple of records that everything are working accordin...
How To Chart Trauma Note?
There are 3 iPads in the ER trauma bay You can use those iPads for documentation in the Trauma Bay. Tap on Trauma Note tab to open up the trauma note page. Upon finishing the note, please make sure to check off the check box title ‘This is a Trauma Case’ and ...
Patients With Complex Pain Issues Identified at PAC
Sent on behalf of Dr. H Meng - Feb 25, 2024 Complex pain button in PAC Bayview Complex pain button in TrackPAC is available to identify patients with complex pain for OR. There is currently not a set criteria for selecting this option. In consultation with...
Criteria For Peripheral Nerve Block For Burn Injuries
Sent on behalf of Dr. H Meng - Feb 25, 2024 Peripheral nerve catheters have been in use in RTBC since summer 2022. There have been a handful of catheters inserted without any issues. After discussion at Pain Committee and in consultation with APS NPs, see b...
Malignant Hyperthermia
Contact the Malignant Hyperthermia Investigation Unit Toronto General Hospital, University Health Network Malignant Hyperthermia Investigation Unit 3 Eaton North-323 200 Elizabeth Street Toronto, ON, M5G 2C4 Canada Phone: (416) 340-3128 Fax: (41...
Educational Videos (Neuraxial / Truncal)
A selection of instructional videos of ultrasound guided neuraxial and truncal blocks Spinal Erector Spinae Plane (ESP) Block Tranversalis Fascia Plan (TFP) Block
Difficult Intubation - Patient's Letter
Online Communication - Slack Workspace & WhatsApp
All communication and announcement related to the Regional Anesthesia rotation at Holland Centre are conducted on our Slack workspace. Please use this invitation link to join our workspace. To sign up for a Slack account, please use your email address; do NOT ...
Spinal Drainage System
Sent on behalf of Philip Lau - April 2, 2024 Situation: · All Medtronic DUET spinal drain systems have been removed due to safety recall. Background: · Inadvertent disconnections of the Medtronic DUET spinal drain system have been re...
OR to PACU Transfer of Accountability (TOA) / Handover Checklist
The following template was provided by Dr. J Helman - April 17, 2024
APS Pearls & Reminders
Sent on behalf of Dr. H Meng - April 2024 Home analgesics re-ordering – there continues to be patients missing their home dose of analgesics on the APS orders at the Holland Centre and at Bayview. This results in unnecessary pages to the APS NPs and can...
Lower Extremity Single Shot PNB At Holland - Risk of Motor Weakness & Fall
Sent on behalf of Dr. van der Vyver - April 2024 • PT/OT and ward nurses DO NOT read APS notes on Sunnycare. • They rely on paper orders (APS) to review what blocks were done. • No information regarding single-shot blocks is available in the paper chart. ...
After Hours Scheduled C-Sections
Sent on behalf of Dr. D. MacLean - April 2023 Scheduled C-sections after hours on weekdays Typically, a maximum of 4 C-sections are allowed to be booked per day I actively work with Drs. Janet Bodley and Jamie Kroft in the background to reschedul...
Nitrous Oxide At Holland Centre
Sent on behalf of Barbara McArthur - May 6, 2024 Hi Everyone, In an effort to reduce our carbon footprint, we conducted a pilot to reduce Nitrous Oxide leakage at the Holland campus. Nitrous Oxide is a harmful greenhouse gas that causes 300 times more glo...