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I believe most of us have, at one time or another, noticed that we cannot get the Tonopen to work. Well, apparently it does.

The Biomed rep went through the calibration process with me, to be done each time you turn it on:

1. Press the main button and hold it down for 15 seconds, you will hear a beeping sound.

2. Keep holding down the button, the screen will then say “Dn” which means orient the Tono-Pen downwards, for approximately 15 seconds while continuing to hold down the button.

3. You will then see the screen say “Up”, which means orient the Tono-Pen upwards for 15 more seconds while continuing to hold down the button.

Essentially, you will be holding down the button throughout the entire process and will be prompted by instructions on the digital screen.

After this process is complete, the Tono-Pen should work. If not, call Biomed.

The Tono-Pen is kept in Dr. Kessler’s office, in the cabinet above his desk.

You can ask Security to get access to it at night in cases of emergency.

-Ram

Hello Group,
We have battled in the past to get in touch with this service. I am told by the chair of peds to contact this person directly:
Tamiesha Frempong

212-241-0939

I have sent this information to AMAC so that when you call them they will reach out to Dr. Frempong directly, but I just wanted you to have it as well…
thanks,
adam

—
Adam Vella, MD

Optho residents want to be contacted for all patients that are referred to their clinic that aren’t booked in the computer. In the past on occasion we have given a discharge sheet with a f/u appt “according to/as per Dr. Eye Resident on call’s name” without that resident having been contacted. This was typically given for patients that they see the next day in clinic, i.e. corneal abrasions.
According to their residency site director the optho “residents are happy to see patients after hours.” So please call them. They feel a liability if their name is used without seeing the patient.

Please forward this to PAs and residents.

Sheree Givre

Procedure- Emergency Department (ED).

Stable Patients
I. For the ED patient that is stable and presents with a chief complaint of an eye problem and will also be discharged. The following referral process must be followed:
i. The emergency department will contact the ophthalmology clinic on 8east of the Center for Advanced Medicine (CAM) at 212-824-7653 or 7655.
ii. The ED will provide the clinic physician with pertinent information related to (1) chief complaint and (2) any actions and/or interventions undertaken in the ED.
iii. The patient will be discharged from the ED and directed to the CAM building with a consult form.

Emergent Patients
II. For the ED patient that requires an ophthalmology evaluation in the ED (i.e. trauma or eye injury) or is unable to ambulate to CAM. The following process will be followed:
i. The ED will contact the ophthalmology resident via beeper # 917-641-1556 during the hours of 8:30-5p Monday, Tuesday, Thursday, Friday and 12:30p-5p Wednesday.
ii. After hours, weekends and holidays, the ED will contact the page operator for the on-call ophthalmology resident.
iii. The resident will come to the ED and provide the necessary ophthalmology evaluation and treatment.
iv. The ophthalmology resident will transport the patient to Annenberg 2 if needed and return the patient back to the ED.

Admitted Patients
III. For the patient that present to the ED and is admitted for a diagnosis unrelated to ophthalmology but has an eye condition that requires an eye consult (i.e. CVA). The following procedure is followed:
i. The admitting physician will order an ophthalmology consult during the admission process.
ii. The referral will follow the inpatient ophthalmology referral /consult process outlined below.