Paragon 14 went live at 6pm Sunday March 18, 2018.
Systems appear to be performing as expected.
Current known issues:
- Completed Physdoc notes are not crossing over to MPF. Items can be viewed under “Documents” in Clinician Hub. – issue resolved 3/19/18 at 9am
- MPF (medical records) opens in separate window- This is the new default starting in Version 14. The pop-up window will close (even if minimized) when the focus is changed from the current patient. Previous issues of an orphaned window leading to hanged state should not occur. – Issue closed 03/20/18
- Rounding report patients do not appear in sorted order by bed number. – Issue resolved 03/20/18
Last updated 3/19/18
Physicians and other healthcare professionals This live symposium is intended to benefit internists, cardiologists, family medicine physicians, podiatrists, oncologists, radiologists, NPs, PAs, APNs, RNs and other healthcare providers.
- Be aware of developments in revascularization techniques of coronary artery disease, both percutaneous and surgical
- Discuss the latest updates regarding antiplatelet therapies
- Utilize the latest strategies on the management of atrial fibrillation
- Compare anticoagulation options for thromboprophylaxis for atrial fibrillation, including left atrial appendage closure devices
- Be familiar with screening, diagnosis and treatment options for carotid artery disease
- Be familiar with screening, diagnosis and treatment options for abdominal aortic aneurysms
- Be aware of the latest developments and techniques to tackle structural heart disease, including identifying patients suitable for Transcatheter Aortic Valve Replacement (TAVR)
- Review the screening, diagnosis and management of peripheral vascular disease, including lower extremity arterial and venous disease
Centegra Hospital – Huntley
10400 Haligus Rd.
Huntley, IL 60142
Wednesday, April 25th, 2018
4:30p – 9:30p
Thursday, April 26th, 2018
7:30a – 12:30p
Online registration receives a $10 discount
VISA & MasterCard accepted as well as a CHS Cost Center.
To register, please click here.
For additional information, please contact Edie Best.
From: Alan Mader, PharmD, BCPS
Pharmacy Clinical Coordinator
Centegra Health System, Pharmacy
Date: March 14, 2018
Re: Bacitracin 50,000 Unit SHORTAGE
This is to alert you to the current shortage of Bacitracin 50,000 units which is used for irrigation. One manufacturer indicates that supply may become available at the end of March. Others indicate June. At this time, Pharmacy anticipates depletion of our stock within one week. Please consider the use of other products for irrigation, such as cefazolin or plain saline irrigation.
Please join us for our Doctors Day Lunch April 3rd-5th 2018.
Paragon will be upgraded from version 13.x to version 14
Saturday 3/17/18 at 10p to Sunday 3/18/18 5p
What will be unavailable?
All Paragon applications including Clinician Hub (physician access) and Clinical care station ((nursing access)
What will be available?
PACS, MPF (medical records), T systems, OB and anesthesia Centricity, MUSE and CVIS
For instructions on accessing MPF during downtime see here.
What about labs?
Labs will be printed and placed in the paper chart.
What about notes?
Physicians will dictate notes during downtime.
What about orders?
Paper order sheets and prescriptions will be used during downtime.
What are the new features in Paragon 14?
- Updated Patient Card: Patient demographics are easier to see in the upper left hand corner.
- Patient Profile (NEW): Report containing information such as advanced directives, allergies, demographics, family history, implants, home medications etc are now available in a single report. This report can be customized by the end user for their practice
- New flowsheet search capabilities: Some flowsheets such as Lab can get very difficult yo navigate especially on long admissions. This new search function will allow the user to quickly scroll the needed row. In this example I searched for “chest”. I was taken to the Chest X-ray row with the specific row highlighted.
- Prescription writer: Now allows for secure electronic submission of controlled substances
We have been alerted by Pfizer Inc. that Potassium Chloride Injection will experience a supply interruption due to Hurricane Maria and the inability of their other manufacturing plants to keep up with demand. The Pharmaceutical Purchasing Group at CHS checks for supply on a daily basis. While we expect some supply to arrive this week, our stock is very low at this time. Please consider the use of oral potassium products wherever possible. Potassium Acetate and Potassium Phosphate riders are an alternative in appropriate patients. In addition, Large Volume Parenteral Products (D5% – 0.2% NS with KCL, D5%-0.45% with KCL and D5% – 0.9% NS with KCL) are other alternatives.
Thank you for your assistance during this shortage.
In order to address our interpreter needs across campuses, we are going to test a new interpreter device that will better serve our community. We have 3 Interpreter on Wheels (IOW) devices that we will pilot for 2 weeks, beginning 11/8/17. The device will allow us to meet Joint Commission standards as hospitals are required to use a qualified interpreter when communicating with patients & families who have limited English proficiency.
You simply choose from 35 different languages including American Sign Language and a qualified interpreter will join you via IPad Video Web Camera. In caring for patients 24/7 this will provide a more personalized approach in comparison to the phone service we currently use.
ED Specialists, Chaplains and Interpreter Team Lead will be trained as super users for your convenience on 11/8/17. However, the intuitive product will have written instructions attached. We can begin to use the devices 11/8/17.
The IOW will be stored in the ED of CHM, CHH & CHW. If you would like to use the device, please contact ED and sign out the IOW. There will be a log sheet which will ask you to provide some feedback as we consider using this tool for patient care. After usage the device will ask you to rate it 1-5.
Starting Feb 2018 we will move to a three tiered system of antimicrobial stewardship. For all the details go to Clinical -> Infection prevention -> Antimicrobial Stewardship.
IDSA and SHEA have updated guidelines for 2017. Please see here for details.
For other guidelines