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NYGH CLINICAL PATHWAYS

Code STEMI

IMPORTANT: Phone contact with the interventionalist is required prior to all STEMI transfers and initiation of antiplatelets or heparin.

DO NOT GIVE TICAGRELOR until the patient is confirmed for PCI.

Please note: Sunnybrook is using one table for PCI for STEMI so there may be delays, redirect to UHN and then St.Mikes is still available.

Relevant PowerPlans (order through Firstnet):

  1. CrCU/ED Tenecteplase/TNKase for Myocardial Infarction/STEMI

  2. Enoxaparin for Myocardial Infarction/STEMI: Thrombolytic Given

Supporting documents linked to the PowerPlans and IV guidelines with their links on ERIC (links only active while @ NYGH)

  1. Thrombolysis for Myocardial Infarction: Inclusion and Exclusion Criteria  (Link) (PDF)

  2. Enoxaparin Dose Banding Table for Myocardial Infarction (STEMI) with Thrombolytic (Link) (PDF)

  3. IV Tenecteplase guidelines (Link) (PDF)

  4. IV enoxaparin guidelines (Link) (PDF)


COVID-19 Follow Up Clinic

A primary care provider will call the patient to follow up and provide test results. Order through Firstnet: COVID-19 High Risk Follow Up.


Examples:

a) Patients with unclear access to a primary care provider

b) Patients without internet access

c) Suspected COVID patients who do not require admission


Gynecology

Acute Care Gyne Clinic (Sr Resident Clinic) Referral Guidelines


Oral Maxillofacial Service

OMF Sunnybrook Referral Guidelines

OMF Sunnybrook Patient Handout


Pediatrics


NYGH Peds Ambulatory Clinic

  • Telephone visits, document 2 phone numbers on the chart

  • If the MD determines that they need to be seen in person, the clinic will arrange for them to be seen in person for non-febrile respiratory issues

  • Clinically worsening febrile respiratory pts, suggest ED visit with Peds consult

  • As of June 8, 2020: If the emergency physician feels a patient must be seen in-person, then please fax the referral indicating the physician’s recommendations and we will make arrangements.  Please do not directly book these patients into the schedule

Kindercare Pediatrics

  • Eglinton Ave W & Avenue Rd

  • Specialty pediatrics clinics including: breastfeeding and lactation, circumcision, allergy, rheumatology, dermatology, etc...

  • Kindercare Pediatrics Referral Form


Rapid Cardiac Clinic

For patients presenting in Atrial Fibrillation please see current NYGH ED protocol


Tuberculosis

Refer stable suspected outpatient TB patients to West Park Health Care (Jane/Eglinton), they will not be seen in Baruch-Weisz Clinic. Please fax all relevant records and investigations along with referral form.


Urology

Acute Care Urology Clinic (Baruch-Weisz) Referral Guidelines

CCAC form pre-filled with trial void orders

CCAC form pre-filled with home foley care orders


Vascular Surgery

Refer to NYGH/UHN Vascular Surgery Collaborative Algorithm (Mar 26, 2019)

North York General Hospital Emergency Department