Saskatoon ED On-Shift Resources

Discharge

• Discharge Instructions: dchome.ca/yxe (Saskatoon site) — General site: dchome.ca (general)
• CPSS List of Saskatoon Physicians: Website — Contact info for referrals
• Pharmacy Finder (Saskatchewan College of Pharmacy Professionals): Website — Option to search for compounding pharmacies

Workflow

• CT scan availibilty at SPH: PDF — SPH Medical Imaging Reception: 306-655-5140
• CT scan pre-approved list: Per-site — RUH (Google Docs), SCH (Google Docs), SPH (PDF)
• Saskatoon Emergency Department (ED) Fax Numbers: RUH 306-655-1011, SPH 306-655-5963, SCH 306-655-8759
• Shift Times/Zones, Phone Numbers, Handover, Vocera Colors/Colours: Website (Google Sheets)
• Shift Trade Rules: Google Docs
• Printers: Click path in table to copy, ⊞ Win+R, paste (Ctrl+V), Enter or OK, Printer › Set As Default Printer; open SCM after

  Printer Location	Path
  RUH A/B	\\print.sktnhr.ca\PR00002
  RUH C	\\print.sktnhr.ca\PR00003
  RUH MAC UA/203	\\print.sktnhr.ca\PR00779
  RUH MAC 201	\\print.sktnhr.ca\PR00004
  RUH Trauma	\\print.sktnhr.ca\PR00182
  RUH Doc Room	\\print.sktnhr.ca\PR00217
  SPH Pink	\\print.sktnhr.ca\PR00560
  SPH Yellow	\\print.sktnhr.ca\SP1CZ1
  SPH Yellow Doc Room	\\print.sktnhr.ca\PR00849
  SPH Trauma	\\print.sktnhr.ca\SAMBZ1
  SPH Triage	\\print.sktnhr.ca\PR00320
  SCH Registration	\\print.sktnhr.ca\CERZ1
  SCH Triage	\\print.sktnhr.ca\PR00711
  SCH Blue	\\print.sktnhr.ca\CERZ3
  SCH Pink	\\print.sktnhr.ca\CERZ4
  SCH Yellow	\\print.sktnhr.ca\CAMBZ3

Clinical Resources (Many Need SHA Network or SHA Library Proxy)

• SHA Library EM Resources: Website — To use resources behind library proxy: Register with the library (website)
• BMJ Best Practice: Website
• Bugs and Drugs: Website
• Firstline: Website
• LexiDrug: Website
• Micromedex: Website
• Poison and Drug Information Services (PADIS) Guidelines: Website
• RxFiles: Website (Drug Comparison Charts) — See also: RxFiles Main Website
• STATdx: Website
• VisualDx: Website

Forms On Demand and Order Sets (Many Intranet Only)

• Acetylcysteine (NAC, N-acetylcysteine) for Acetaminophen (Tylenol) Overdose: PDF
• Addictions: Alcohol Withdrawal Order Set, BAWS (Benzo or Phenobarb): PDF — For convenience (pages 5-6 of order set): Rx for Diazepam Taper (PDF), do not use with phenobarb pathway
• Addictions: Alcohol Withdrawal Order Set, CIWA (Benzo): PDF — Also: PDF for RN
• Addictions: Opioid Use Disorder / Withdrawal (Buprenorphine-Naloxone [Suboxone] Macrodosing Initiation Order Set, COWS): PDF
• Animal Bite: PDF
• Atrial Fibrillation/Flutter (AF/AFL), Recent Onset : PDF
• Blood and Body Fluid Exposure (BBFE) and HIV Post-exposure Prophylaxis (PEP) Order Sets: Exposed (PDF) and Source (PDF) — See also: Source Risk Assessment (PDF), Exposure Risk Assessment (MDCalc), Patient Follow-up Info (PDF), HIV PEP Patient Info (PDF)
• Cardiac Telemetry: PDF
• Cardiology, Non-invasive (Noninvasive) Procedure Requisition (ECG, Exercise/Stress Test, Holter): PDF — Alternative: can refer for less urgent (>1-week) risk stratification (send as usual consult via fax) to Dr. Idris Bare or Dr. Tony Haddad
• Client Patient Access Services (CPAS) Referral: PDF
• Community Home IV (Intravenous): PDF — Coordinator: 306-655-5333. Also wound care and other orders (Page 1 of PDF).
• Consent for Blood Products/Transfusion: PDF
• Consent to Surgery and Diagnostic Treatment Procedures: PDF
• Diabetic Ketoacidosis (DKA) Management: PDF (Initial Order Set) — See also: PDF (Maintenance Order Set)
• Early Pregnancy Assessment Clinic (EPAC) / Early Pregnancy Clinic (EPP): PDF — GA 6-14 weeks only; see Clarification of Referral Criteria PDF. Also: Patient Self-Referral PDF Sheet (Termination of Pregnancy, TOP). Info: 306-655-7637, fax 306-655-7451, Mon-Fri 8am-4pm at SCH Women's Health Centre
• Gunshot and Stab Wounds Mandatory Reporting: PDF
• Heparin: Cardiovascular Indications Low-Intensity Heparin Nomogram: PDF
• Heparin: DVT and Pulmonary Embolism (PE) Heparin Nomogram: PDF
• Insulin Sliding Scale: PDF
• Intubated Adult Patient, Sedation and Pain Management: PDF
• Nicotine Replacement: PDF
• Pain Order Set (Severe, Acute): PDF
• Palliative Terminal Neurological Illness Order Set (EOL): PDF
• Practitioner's Orders: PDF
• Progress Notes: PDF
• Psychiatry Rapid Access Clinic (RAC) and Transition Team (TT) Referral: PDF
• Saskatchewan Medical Order Set for Scope of Treatment (SMOST) Adults (Code Status): PDF
• Venous Thromboembolism (VTE) Prophylaxis Order Set Adult Inpatients (Tinzaparin): PDF

Radiology

• Imaging at SPH or SCH (CT, Ultrasound, Angio, XR): PDF
• MRI (Inpatients Only): PDF — Use for inpatients or patients actively registered in ED
• MRI (Outpatients Only): PDF — For MRI L-spine, MRI may also request MRI of Lumbar Spine Checklist (PDF)
• Associated Radiologists (Ultrasound, XR): PDF
• Saskatoon Medical Imaging (SMI) (Ultrasound, XR): PDF
• Ultrasound Centre (Ultrasound): PDF

Specialist Referrals

• Addictions: Overdose Outreach Team (OOT): PDF — See Website for more info
• Addictions: Rapid Access to Addictions Medicine (RAAM) Referral (Saskatoon): PDF — See Patient Info Sheet (PDF); other clinics on Website (Regina, Prince Albert, North Battleford)
• Allergy Referral (Calgary): Allergy Physicians Calgary: Fillable PDF — Located in Calgary, AB; see Website for info
• Allergy Referral (Edmonton): The Allergy Clinic: PDF — Located in Edmonton, AB; see Website for info
• Breast Health Centre Referral: PDF — See High Risk Referral and Provider Info; see also: Protocol for Breast Abscess/Infection (PDF)
• Cardiology Referral, Non-urgent Pooled (Saskatoon): PDF — PDF partially prefilled: PDF for RUH Mailboxes, PDF for SPH Mailboxes; alternative: can refer for less urgent (>1-week) risk stratification (send as usual consult via fax) to Dr. Idris Bare or Dr. Tony Haddad
• Cardiology Referral, Urgent (Horizons): PDF — Patients without a cardiologist; patient to take form and make own appointment; form only needs patient sticker, referring provider, 2-word reason (e.g., "see note"); do not need to include anything else (they will look up info in SCM)
• Cardiology Referral, Urgent (Rapid Heart Assessment Clinic, RHAC, formerly CRAC): PDF
• Dermatology: Saskatoon Dermatology Centre Referral: PDF
• Dermatology: Walker Dermatology: PDF
• EMG / Nerve Conduction Studies Referral (Physiatry/Rehab): PDF — Alternative: Neurology Pooled Referral under "Neuromuscular & EMG"
• ENT (Otolaryngology, Ear, Nose, and Throat) ACS Urgent Referral: Fax to 306-655-6061 — Triaged by RN navigator; ENT will contact patient for appointment
• Geriatric Evaluation and Management (GEM) Clinic: Fillable PDF
• Hematology (Heme) Pooled Referral: Fax to 855-809-3068 or 306-655-1809
• Hepatology Clinic (Abnormal Liver Tests): Fax to 306-844-1500 — Abnormal liver function tests (LFTs), abnormal liver enzymes >6 months (ALT or AST 2x normal or ALP or GGT 1.5x normal), suspected hemochromatosis, Hep C, Hep B, liver disease or lesions
• Inflammatory Bowel Disease (IBD) Clinic: Refer to any of Drs. Sharyle Fowler, Anil Bedi, Tomasz Guzowski, Edward Ha, or Peter Porostocky; mention clinic specifically
• Lumps and Bumps Referral: Saskatoon Minor Surgery Centre — Also: Dr. Tom Gabruch (Family Medicine)
• Methadone, Suboxone (buprenorphine-naloxone), Sublocade on-call doctor: Switchboard
• Neurology Referral, Pooled (Saskatoon): PDF
• Neurology, Single Seizure Clinic: PDF — Also complete: SGI Reporting
• Neurology, Stroke/TIA Clinic: PDF — Also complete: SGI Reporting
• Neurosurgery Referral, Pooled (Saskatoon): Fillable PDF
• Obstetrics and Gynecology (OBGYN), Pooled Referral: PDF
• Ophthalmology Urgent Referral: Fax to 306-655-8119 — Triaged next day by on-call ophthalmology resident
• Oral Surgery: Call Switchboard
• Orthopedics Hip & Knee Arthroplasty Referral, Pooled (Provincial): Fillable PDF
• Pain: Saskatoon Interventional Pain Centre (SPIC): PDF — Consults for: pain of back, neck, shoulder, hip, knee; radicular pain, post-surgical spine syndrome, spinal stenosis, or cervicogenic headaches. Procedure Referral for various procedures (e.g., injections, blocks)
• Pain: USask Chronic Pain Clinic: PDF — Online Referral; Info about the clinic
• Pelvic Floor Pathway Referral: PDF — See Provider Info
• Physiotherapy (PT): Vestibular, Balance, Dizziness, Concussion Therapy: North 49 Physical Therapy
• Physiotherapy / Occupational Therapy (PT/OT): Kinetic Rehabilitation General Referrals: Fax 306-655-8951 — For for Pelvic Floor Therapy, Disability Assessment, Driver Evaluation Program, Vestibular Rehabilitation Program, Lymphedema Services; see Website for info or FAQ for Driver Evaluation Program
• Physiotherapy / Occuptational Therapy (PT/OT): Kinetic Rehabilitation: Hand Therapy Referral PDF
• Plastic Surgery: 07:00-22:00: call on-call surgeon; 22:00-07:00: call if emergency, otherwise fax to 306-655-6061 (triaged next day, Plastics calls patients in); non-urgent: fax consult to individual surgeon
• Psychiatric Liaison Nurse (PLN): RUH 306-514-8098, SPH 639-471-9119
• Psychiatry (Adult) Referral, Pooled (Saskatoon): Fillable PDF
• Respiratory Support Referral: PDF — Home oxygen testing or pulmonary function tests (PFTs) for COPD/Asthma
• Respirology Referral, Pooled (Saskatoon): PDF — For pleural effusions and pulmonary nodules, specify: Dr. Nathan Janzen or Dr. Anderson (Chung-Chun) Tyan; for Cystic Fibrosis (CF) or Bronchiectasis, specify: Dr. Kristina Watt or Dr. Julian Tam; for Insterstitial Lung Disease (ILD), specify: Dr. Veronica Marcoux or Dr. Stacey Lok
• Sexual Assault (SA) Nurse Examiner (SANE): Switchboard or 639-480-7998 — Hours: Tuesday and Wednesday 11:30-23:30, Saturday and Sunday 7:30-19:30; Clinical Resources (Website), RCMP Health Practitioner's Guide for forensic kit (PDF)
• Specialist Referral Management Service (RMS) via eHealth: Website — Links to pooled referral forms and fax numbers; per-specialty links generally already appear here in the SKEM list
• Spine Pathway Referral: PDF — Patterns of Low Back Pain Algorithm; Exercises for Pattern 1, Pattern 2, Pattern 3, Pattern 4; Provider Info
• Thoracic Surgery (Thoracics) Urgent Follow-up: Fax to (306) 655-5771 — For masses/nodules or spontaneous pneumothorax (PTX)
• Vascular Surgery: Dr. Bruce DuVal has retired; his patients (including diabetic foot) presenting to ED should be referred if appropriate to the on-call Vascular Surgeon
• Vascular, TIA with Carotid Stenosis >50% for Possible Carotid Endarterectomy: Dr. Sreedharan Kannathasan (Vascular Surgery) — Contact via switchboard during business hours and, for all hours, fax consult; consider starting ASA + Plavix + high-dose statin; also refer to Neurology Stroke/TIA clinic

Other

• Acetaminophen (Tylenol) info in pregnancy: Health Canada advisory (website) and SOGC Position Statement (PDF) — Re: no autism or other neurodevelopmental disorder risks
• Airway Cart, RUH (Contents): PDF
• Community Lab Requisition: PDF
• Community Supports Resource List for Saskatoon (including Mental Health, Psychiatry, Online, and others): PDF
• Delirium Order Set: PDF
• Electronic Death Registration and Notification (EDRN): Website
• Form A (Psychiatry): Fillable PDF
• Frostbite Treatment Order Set: PDF
• Gynecological Swab Reference Chart: PDF
• Iron IV (Intravenous/Infusion) for Iron-deficiency Anemia (IDA): PDF
• Mental Health (Psychiatrac) Resources, Saskatoon (Mobile Crisis, MH Services Centralized Intake): Website (can print) — Text to patient: choose "Saskatoon Mental Health Resources" on dchome.ca/yxe
• Pharmacy Contacts: SPH: 306-844-3015, RUH: 306-655-6261
• SGI Medical Reporting Form: PDF

Public and Primary Health

• Acquired Brain Injury (ABI) Program Referral: Saskatooon Fax 306-655-8454, Regina/South Fax 306-766-5144, North Fax 306-765-6657 — Website and PDF Pamphlet; patients can also self-refer
• Bridge Clinic: PDF — EDP or CPAS can send; outpatient Family Medicine follow up for: (1) unattached patients 17+ year old requiring follow-up, or (2) unattached low-risk prenatal patients for prenatal care only; questions to Bridge Clinical Coordinator at 306-655-4287
• Communicable Disease Resources and Reporting: Website — see also: Communicable Disease Control Manual (Website)
• Community Health Centre at Market Mall: PDF — For adults 50+ years old with non-life-threatening complex care needs not requiring full Geriatric Evaluation Management (GEM) clinic consult. See Website or PDF Info Sheet
• Community Paramedicine / Harm Reduction: Fillable PDF — See info Website
• Community Programs for Families with Young Children: Webpage — Early Years Family Resource Centres (resources for families with young children), Early Child Intervention Program (children with developmental delay or disability), Kids First Targeted (home visits for families with children three years or under), Mobile Early Learning
• Constipation, CHEO Protocol: PDF
• Dental Clinics, USask (Saskatoon, Prince Albert, La Ronge): Website — Saskatoon West Dental Clinic (Westside Dental) patients directed to USask Saskatoon Dental Clinic
• Dental Service for Vulnerable Children: 306-655-4462
• Early Years Wellness Team: Fillable PDF — Speech and language services from birth until school entry
• HIV Referral (Positive Living Program): PDF
• Immunizations (Vaccinations), Adult: Website — Patients can call their local public health office (Website)
• Immunizations (Vaccinations), Childhood: Website — See also Saskatchewan Immunization Schedule
• Live Well Chronic Disease Management Referral: PDF — Nutrition, Pediatric Obesity, Cardiac Rehab / Exercise Therapy, Diabetes, Exercise, Chronic Pain/Conditions, Respiratory (COPD, Asthma, Pulmonary Rehab), Rheumatology
• Measles, Exposure Locations and Dates (SHA): Website
• Medication Assessment Centre (MAC): PDF — Online Referral; comprehensive medication assessment by pharmacists; also provides insomnia assessments
• Prenatal Classes: Fillable PDF (patient to complete) — See Website for info
• Prenatal Outreach Team (Sanctum Care Group, Sanctum 1.5): Sanctum 1.5 Referral Form (Inpatient Care) and PORT Referral Form (Outpatient Care) — Contact named contact person at top of form prior to sending (may be able to arrange in-ED visit); for pregnant women actively using substances, HIV positive and not engaged in care, and at-risk for infant apprehension at birth; PORT Referral Criteria and Website for info
• Prenatal Support Programs: Website — Healthy Mother Healthy Baby Fillable PDF
• Psychology, Early Childhood: Fax 1-855-753-0106
• Public Health Reporting: Chlamydia and Gonococcal (Gonorrhea): PDF
• Public Health Reporting: HIV: PDF
• Public Health Reporting: Syphilis: Fillable PDF — See also: Staging, Treatment, Patient Info Sheet, and Provider Checklist
• Saskatchewan Bleeding Disorders Program (Hemophilia, Von Willebrand Disease [VWD]): Fax 306-655-6426 — See Website for info
• Saskatoon Breastfeeding Centre: Call 306-655-4806
• Saskatoon Sexual Health Clinic: PDF Info Sheet — STI, pregnancy, Pap testing; early pregnancy options (includes medical termination of pregnancy, TOP); PrEP; contraception (including emergency contraception)
• Wellness Bus: Website
• White Buffalo Youth Lodge (Dental and NP): Website — Patient to call 306-653-7676. See Hours of Operation