Category Archives: Medical staff

How to Invalidate Documentation in Paragon Clinician Hub?

In Paragon Clinician Hub, when a document has been entered under the wrong visit ID or for any other reason the document needs to be removed from the record, it needs to be Invalidated.

If you have received a notice stating that you need to make this change, please utilize the instructions below. For additional visual training, a screen shot and a link to a video has been added below as well.

  1. Go to Census, locate visit where the document should be entered by entering the Visit ID supplied by Medical Records into the search field.
  2. Recreate the note under the correct visit ID, noting that the date is editable.
  3. Go back to the Census Tab.
  4. Locate visit where the document is entered in error by entering the “wrong” Visit ID supplied by Medical Records into the search field.
  5. Open the note in question, and locate the icon next to red X in the upper right hand corner; click the invalidate icon and choose a reason for invalidating.

Video on how to Invalidate: https://youtu.be/3YlLdtKPqzY

 

**Update** – New and Revised workflow to contact a Hospitalist

Hospitalist colored phones will no longer be available and will change into AlertMD messaging, starting and Go Live on..

CH-Huntley, August 29 @ 0700 ||  CH- McHenry,  August 30 @ 0700

All of the hospitalists’ schedules are built so you will be able to see which hospitalist is covering the area you want to message.

Please review the visual instruction below on how to message and to view the naming titles for each of the hospitalist areas in McHenry and Huntley, via AlertMD.


 

 

 

**Update** – Malnutrition Flowsheet now available in Paragon Clinician Hub

Malnutrition Flowsheet is now available in Paragon Clinician Hub. Please follow the visual instructions to add “Malnutrition” flowsheet to your favorites.

AlertMD Update – August 2018

AlertMD has released app version 16.9.5 for Apple and Android devices.  This is a mandatory update to stay compliant with CMS regulatory updates.  Devices MUST be updated by Monday, August 13th as previous versions will no longer be accessible after this date.

AlertMD will send out two push notifications to all those who have not yet updated their app.  Please update your device as soon as possible.  Thank you!

Applealertmd.com/apple
Androidalertmd.com/android

AlertMD MANDATORY Application Update – August 2018

Admission Medication Reconciliation

All medications, including home medications,  in Admission Medication Reconciliation should be verified prior to completing / submitting the Admission Medication Reconciliation. If any home medication(s) requires a new order in house with a different dosage, it is important to “Defer” the original home medication in Admission Med Rec prior to placing a new order of the same medication with a different dosage.

*Update* -Revised version of CRRT Order Set, Convenience Module and Downtime Form are now available

Available at Centegra Hospital Huntley and Centegra Hospital McHenry location. Please review the images for additional details. 

*Update* – Pulse Ox orders are now added into Lurie General Ped Admission, Bronchiolitis and Asthma Order Sets.

Pulse Ox orders are now added into,

  • Lurie General Pediatric Admission H
  • Lurie Bronchiolitis Module H
  • Lurie Asthma Module H

These Order Sets are Active at the Centegra Hospital Huntley location. Please review the attached image for additional information.

*Update* – Head CT STAT Imaging Order is now available in “THERAPEUTIC HYPOTHERMIA” Order Set

The “THERAPEUTIC HYPOTHERMIA” order set in Paragon Clinician Hub (PCH) now includes the Head CT STAT Imaging order. This order set is live at Centegra Hospital Huntley and Centegra Hospital McHenry location. Please review the image for additional details.

Doctors Day Lunches

Medical staff:

Please join us for our Doctors Day Lunch April 3rd-5th 2018.

McHenry details

Huntley details

Woodstock details

Influenza Vaccination in Patients with Egg Allergy

Guideline Watch | GENERAL MEDICINE, INFECTIOUS DISEASES

January 11, 2018

Influenza Vaccination in Patients with Egg Allergy

David J. Amrol, MD reviewing Greenhawt M et al. Ann Allergy Asthma Immunol 2018 Jan .

All available flu vaccines are safe in all egg-allergic patients.

Sponsoring Organizations: American Academy of Allergy, Asthma, and Immunology (AAAAI); American College of Allergy, Asthma, and Immunology (ACAAI)

Target Audience: All providers who administer influenza vaccines

Background

Historically, patients with egg allergy have been told to avoid flu vaccines, because most flu vaccines are produced in embryonated chicken eggs; the concern was that a vaccine might contain residual egg protein, which could lead to anaphylaxis. Many studies have shown that flu vaccines are safe for egg-allergic patients, but many physicians still have been hesitant to vaccinate such patients. This updated practice parameter incorporates recent data on flu vaccine safety in egg-allergic patients, including children.

Key Recommendations

  • Flu vaccines should be administered annually to patients with egg allergy of any severity, with no need to ask recipients about egg-allergy status and no special precautions beyond those recommended for administering any vaccine to any patient. This recommendation applies to both injected and intranasal formulations (although the latter should not be used in the 2017−2018 flu season).
  • Non−egg-containing vaccines can be used but are not necessary or preferred over standard vaccines.
  • The intranasal live attenuated flu vaccine also might be used, if it’s shown to be efficacious and is approved for use.
Comment

Egg-allergic patients can be vaccinated safely with any available age-appropriate flu vaccine, with no special precautions, regardless of egg-reaction history (including anaphylaxis). Concern for egg allergy only adds another barrier to universal flu vaccination, and this practice parameter concludes by stating the following: “Vaccine providers and screening questionnaires do not need to ask about the egg allergy status of recipients of influenza vaccine.”

Editor Disclosures at Time of Publication

Disclosures for David J. Amrol, MD at time of publication

Consultant / Advisory board CSL Behring; Horizon Pharmaceuticals
Citation(s):

Greenhawt M et al. Administration of influenza vaccines to egg allergic recipients: A practice parameter update 2017. Ann Allergy Asthma Immunol 2018 Jan; 120:49. (http://dx.doi.org/10.1016/j.anai.2017.10.020)