NYP
NYPS CORE COMMITTMENT
Hint: Its a phrase
WHAT IS "WE PUT PATIENTS FIRST "
MEDICINE FLOOR UNITS WITH VENT CAPABLE BEDS
BONUS: LIST THE ROOMS
WHAT ARE 6GN ( 34/38/46/48 ) AND 7GS ( 46 AND 48)
When can you use the 5th bed at CHONY?
1. Anytime you can place a patient there without going over the unit census OR 2. During surge when it is confirmed staffing can support going over census.
When do you hold a crash bed on 2RE ?
We do not need to hold a crash bed on 2RE when AICU has at least one ICU bed
We should not put these types of patients in a positive pressure room.
What are patients with a respiratory virus .Droplet or airborne isolation patients.
This hospital program provides emotional support and strategies to help with challenges you may be facing.
Staffed by licensed mental health professionals from Weill Cornell Medicine's Department of Psychiatry,
What is COPE NYP
Criteria for a cirrhosis patient go to Gen Med 2 (Take your best shot!)
What are patients that have decompensated cirrhosis, concern for active liver disease, or is listed for transplant/status post-transplant should go to Gen Med 2. These patients have noticeable signs and symptoms of advanced disease such as jaundice, abdominal swelling, esophageal varices (think GI bleed!).
How often can a patient requiring non-invasive positive pressure ventilation receive albuterol if they are accepted to PCU?
They can receive albuterol at a maximum of q3h if they are on non-invasive positive pressure ventilation. PCU cannot accept patients requiring continuous or q2h albuterol AND non-invasive positive pressure ventilation.
What do you say when the Allen ticks you off??
Hint. PPOC catch phrase ( Best answer )
NOTED!
KIDDING WE NEVER SAY NOTED
REAL QUESTION:
Which unit at the Allen take patients requiring peritoneal dialysis?
Can two patients with HMPV be cohorted together
Can two patients with MRSA of different origins be cohorted ( for example MRSA of the Nares vs wound)
YES
Two patients with MRSA can be cohorted if both patients’ only reason for isolation is MRSA.
Isolation: Patients are placed on contact precautions when they are currently or have in the past 12 months been colonized or infected with MRSA.
NYPS CEO AND COO
Who are Steve Corwin and Brian Donley
Endoscopy patients go here if the endoscopy suite and/or the recovery room do not have capacity to care for patient post-procedure as PPOC works to secure a bed
What is the ED. This is not IDEAL, so we must prioritize a bed/team as soon as we are aware of patient's pending GI procedure.
This unit accepts liver transplant patients
When would Liver transplant patient require a single room
What is 4T
Shared room if pre transplant or 1 yr post transplant and not in rejection.
3 services not supported at the Allen
Admitting services not available at NYP/AH (consultation may be available) i. Breast surgery ii. Bariatric surgery iii. Colorectal surgery iv. Cardiac surgery v. Endocrine surgery vi. Hepatobiliary pancreatic surgery vii. Neurology viii. Neurosurgery (non-spine) ix. Oncology (Medicine) x. Otolaryngology (ENT) xi. Pediatrics xii. Thoracic surgery xiii. Plastic surgery xiv. Vascular surgery. Patients presenting to NYP/AH with diabetic lower extremity ulcers may be admitted to either Internal Medicine or Family Medicine. xv. Urology
When do ED patients require a Covid swab or RPP
Can a patient be sent from the ED to the floor with a RPP pending?
Resp PCR is not required for asymptomatic patients. If an order is placed for a patient that is not symptomatic patient can still be transferred to the room as stipulated by the Infection Prevention and Control team
No Swab is required for:
Fever with no respiratory symptoms
Isolated GI symptoms - vomiting/diarrhea
Any other swabbing would be at the discretion of the ED provider as part of their work up but not required for admission and it should not delay admission if the inpatient team chooses to order one outside of these requirements.
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3 of the 7 Core Actions Of NYPS Culture
What are....
Build Relationships
Communicate Effectively
Inspire Others
Think Critically
Be Accountable
Develop People
Influence Change
These units can take Donor nephrectomy patients
These units can take Transplant service patients
What are 9HN and 9GS isolation rooms
What are 7HN and 9HN
According to the Triage Algorithm, all trauma patients should be targeted to this PICU FIRST if there is availability.
What is 11C
What is your next course of action if you have a OR patient who needs recovery after hours ( off shift ) and there are no Allen ICU Beds.
Who should be involved in the discussion.
Consider transferring one of the most stable ICU patient to Milstein ICU
if the only stable patient is the fresh post op patient consider transferring this patient to Milstein ICU or PACU or extending PACU coverage.
Begin the discussion ASAP including nurse admin, anesthesia, ICU charge, AOD AICU Fellow
What isolation is needed for 11-year-old child with Streptococcus pyogenes (Group A Strep) pharyngitis?
Standard isolations. Group A strep pharyngitis or (sore throat) only requires isolation in children LESS THAN 6 years old.
3 of the 5 Core Values of NYP
What are...
Integrity, Empathy, Respect, Teamwork, Innovation
This service accepts patients with Glioblastomas.
What is the Neuro ONC service
Per policy, these therapies MUST be maintained in the PICU? (Three choices, can answer 1).
1. Bair hugger for thermoregulation, 2. Diabetic ketoacidosis, 3. Restraints. 4. Vent
If a pediatric patient is considered for transfer to an adult hospital they may be transferred without the approval of the CMO if the following conditions are met...
1. The patient is at least 16 years of age or an emancipated minor
2. The patient weighs at least 40 kg
Do immunocompromised patients require isolation
Immunocompromised patients do not require isolation as per IPC. However we should be mindful of these patient assignments.