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
All Paragon applications including Clinician Hub (physician access) and Clinical care station ((nursing access)
PACS, MPF (medical records), T systems, OB and anesthesia Centricity, MUSE and CVIS
For instructions on accessing MPF during downtime see here.
Labs will be printed and placed in the paper chart.
Physicians will dictate notes during downtime.
Paper order sheets and prescriptions will be used during downtime.
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.
|Guideline Watch | GENERAL MEDICINE, INFECTIOUS DISEASES |
January 11, 2018
|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
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.
|Editor Disclosures at Time of Publication |
Disclosures for David J. Amrol, MD at time of publication
Flu season is up us. Please see these guidelines for this season from Infectious Disease Society of America for current updates.
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.
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?
Who will this affect?
Who can i contact for help?
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.
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.
Oral: Parenteral Ratio
Oral Morphine: Analgesic Ratio
|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|
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
AlertMD On-Call number for Psychiatry: 815-206-3437
Effective Wednesday, September 13, 2017
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.
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.
A single point of access is required to ensure a caller can access the correct Psychiatric
Provider within a timely fashion.
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:
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: firstname.lastname@example.org
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