Author Archives: Irfan Hafiz

Antimicrobial Stewardship – New Program

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.

Clostridium Difficile Guidelines 2017 – Updated

IDSA and SHEA have updated guidelines for 2017. Please see here for details.

For other guidelines

CT Chest ILD Protocol

Please note that the CT Chest ILD protocol is specifically to evaluate for and differentiate between different types of interstitial lung diseases and includes expiratory phase and prone imaging.  Usually this is on patients with known pulmonary fibrosis or longstanding shortness of breath.  Also this is usually ordered by pulmonologists on outpatients.  If a patient is acutely short of breath, has a lung nodule/mass, or in the hospital, usually a CT chest is the more appropriate order. This was previously named “High-Resolution Chest CT,” but the name was changed to better reflect it’s intended use.  All of our CTs are high resolution.

Flu Season Guidelines from IDSA

Flu season is up us. Please see these guidelines for this season from Infectious Disease Society of America for current updates.

Paragon Downtime

Paragon will not be available from 10:00 pm Tuesday 1/9/2018 through 6:00 am 1/10/2018 while the database is being upgraded.

MPF will be available to pull up past notes.

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.

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.

Printing Facesheets

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

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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