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Centricity Downtime 11/17-11/21

Please be aware that Centricity DMS (Cardiology application) will experience downtime this weekend for a system upgrade.  Users will NOT be able to log into Centricity DMS and/or send images to Centricity.  A hard  copy of the Downtime Resource Guide is always available on each unit as well as an electronic copy is located on the Centegra Portal.

When will Centricity DMS go offline?
Friday, November 17th @ 5p

When will Centricity DMS be available again?
Tuesday, November 21st @ 5p

What will this affect?

  • Images can still be viewed by clinicians on ZFP Cardio Images
  • Medical Imaging will fax a form to the floors with preliminary findings from the Cardiologist’s readings
  • No official reports until Tuesday (this includes echo, cath and stress)
  • Preliminary reports will be available for EMERGENT echoes ONLY.  This report will only have pertinent findings and will be faxed to the patient’s POD.

Who will this affect?

  • Anyone that uses Centricity DMS
  • Anyone that needs a Cardiologist’s reading (echo, cath and stress)

Who can i contact for help?

  • For report issues please contact the reading Cardiologist directly
  • For all other questions, please contact the department

 

We apologize in advance for any delays this may cause.  We ask that you please be patient with this process as there will be likely delays in viewing echos in particular (due to a lengthy/cumbersome viewing process).  Please be sure to adjust your clinical care accordingly.

DOBUTamine Shortage 11.15.17

Physicians,

There is a nationwide shortage on DOBUTamine 500 mg/250 mL IVPB.  At present consumption, we expect CHS has about a 12 day supply.  We may continue to receive backordered quantity, but we cannot rely on this.  Please be aware of this shortage and consider alternatives as our supply depletes.

Thank you,

Alan Mader, PharmD, BCPS

Clinical Coordinator

Department of Pharmacy Services

Centegra Health System

815-759-4407

Did you know you can get ABIM MOC credits with Uptodate.com?

ABIM MOC completion can be done through Uptodate.com 

Please see here for more information on the program.

Centegra offers access to uptodate.com for all providers in the health system. Just login from any network computer in the system.

Instructions on remote or mobile access can be found here.

Morphine Injection Shortage

Morphine Injection Shortage 10.18.2017

There is a nationwide shortage of morphine injection that expected to last until early to mid-November. The Pharmacy Department is running very low on supply and expects that the drug will become unavailable.  Please consider ordering an alternate injection product for pain management.  An opioid dose conversion chart is included below for your convenience.

A

Analgesic

B

Oral

C

Parenteral

D

Oral: Parenteral Ratio

E

Oral Morphine: Analgesic Ratio

F

Analgesic Duration

G

Half Life

Morphine 30 mg 10 mg 3 : 1 1 : 1 4 – 6 hrs 3 hrs
Oxycodone 20 mg 1.5 : 1 3 – 5 hrs 4 – 5 hrs
Hydromorphone 7.5 mg 2 mg  4: 1 4: 1 3 – 4 hrs 2 – 3 hrs
Fentanyl 100 mcg See Table B on page 2 1 hr 3 – 12 hrs
Methadone 20 mg 10 mg 2 : 1 See Table C on page 2 4 – 12 hrs 15 – 50 hrs
Codeine 200 mg 130 mg 1.5 : 1 1 : 7 4 – 6 hrs 3 hrs
Hydrocodone 30 mg 1 : 1 3 – 6 hrs 3 – 4 hrs
Meperidine 300 mg 75 mg 4 : 1 1 : 10 2 – 4 hrs 2 – 3 hrs
Nalbuphine 10 mg 1 : 1 3 – 6 hrs 5 hrs

Printing Facesheets

Multiple facesheets can be printed from Paragon Clinician Hub V13.x

Continue reading

How to sign off on another physicians orders

Works with Paragon version 12.x

Did you know that a provider can sign off on another physicians verbal orders? This can be useful to sign off on verbal admit orders entered under another provider.

  1. Open a specific patient chart.
  2. Go to the “More” drop down on the tab list.
  3. Load the list of unsigned orders for all providers on that patient. It may take a few moments.
  4. Check the boxes for orders that need to be signed or click the check mark at the top to check all the orders. 
  5. All the orders will be checked. 
  6. Go to the bottom of the list to click to “sign-off” button.
  7. The unsigned orders will now be signed.

Ordering Pharmacist Dosing of Antibiotics

Paragon version 12.x

Antibiotics can be dosed by a clinical pharmacist for all inpatients. Dosing is done through P&T approved protocols.

To order:

  1. Go to Paragon clinician hub
  2. Ordering tab
  3. Order Queue
  4. Search for “antibiotics”
  5. Select RX formulary oral & injectable antibiotics

Please DO NOT order in any of the following

  1. As a miscellaneous nursing order
  2. As a message to the pharmacist
  3. In the comments section of an antibiotic order

New PTT Goal Range for All Campuses

Starting at 00:00 on Monday, October 2, 2017, the PTT Goal Range for patients at all Centegra hospital campuses will be 45 to 70, with alerts being triggered for values greater than 100.

All “Per Pharmacy Heparin” will be adjusted to the new range with PTT draws after this time.

Centegra Hospital – McHenry Blood Drive

Please join us for our blood drive.

4201 Medical Center Drive (Classrooms)
McHenry, IL 60050

Thursday, September 28, 2017

11:30 am – 3:30 pm

Appointments are encouraged.  Please click HERE to schedule your preferred donation time or contact Volunteer Services at 815-759-4334.

The need is constant.  The gratification is instant.  One in three people will need a blood donation in their lifetime.

Your donation is a lifeline to patients in local hospitals.  Every donation saves lives.

Please consider becoming a donor today.  Go to www.heartlandbc.org to see how easy it is to help save a life.

All donors will receive a $10 Colonial Café Gift Certificate

Donate blood during September and October to receive a FREE ENTRY voucher for

Siegel’s Cottonwood Farm Pumpkin Fest. 

The voucher is valid opening day on September 23rd through October 31st.

Don’t forget your Photo ID     ~     Walk ins Welcome

New Psychiatric Provider Answering Service

AlertMD On-Call number for Psychiatry: 815-206-3437

Effective Wednesday, September 13, 2017

Situation

There is no single point of access to contact the scheduled on-call Psychiatric Provider. At times, there is confusion around who is on-call for which service, which results in delayed responses.

Background

The Psychiatric Provider team manages multiple call lists for the ED, med floors, and inpatient behavioral health unit. Schedules are distributed across departments but become quickly outdated as schedules change.

Assessment

A single point of access is required to ensure a caller can access the correct Psychiatric

Provider within a timely fashion.

Recommendation

Utilize the Center and AlertMD to establish a single access point; populating the schedule behind the scenes to ensure each caller is accessing the most up to date on-call schedule and Provider resource.

Medical Providers, Nurses, and Care Coordinators serving patients on the Medical floors will be able to access the Psychiatric Provider by calling 815-206-3437.

After dialing this number, you will hear three options:

  1. If you are calling from the ER, please press 1
  2. If you are calling from a Medical Floor, please press 2
  3. If you are calling from the Inpatient Behavioral health floor, please press 3

Once you make your selection, you will be greeted by the operator. The operator will page the psychiatrist on call through Alert MD. The Psychiatrist has 15 minutes to respond. If they do not respond, the operator will page again.

Please contact Susan Yerkes with any issues. (815)334-5582 or Email: syerkes@centegra.com