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The hypothermia order sets have been modified to account for new criteria. Updated for McHenry and Huntley locations.
The new naming convention is as follows for all hypothermia order sets:
Targeted Temperature Mgmt TTM Pre Induct/Induct (M or H)
Targeted Temperature Mgmt TTM Maintenance (M or H)
Targeted Temperature Mgmt TTM Maint Timed Labs (M or H)
Targeted Temperature Mgmt TTM Rewarming (M or H)
To access this please click on the MRI Order Guide Final.
To: Physicians, Nursing, Pharmacy
From: Alan Mader, Pharmacy Clinical Coordinator
Re: Lorazepam Injection Shortage
|Situation||Lorazepam 2mg/mL 1 mL vials are on manufacturer on backorder. The estimated re-supply date of November 2018 has already been exceeded. Other projections for release include December 2018 to January 2019, with others extending to January 2020.|
|Background||Lorazepam 2 mg/mL 10 mL vials have been on backorder since November 2017.|
|Assessment||The addition of the 1 mL vials to backorder status severely limits availability of lorazepam injection. While the pharmacy maintains some supply of lorazepam injection, the probability of depletion of stock before repletion is high. Use of other benzodiazepines may become necessary.|
|Recommendation||For patients who currently require lorazepam, please consider use of the PO route whenever possible.|
While there are no direct dose conversions between benzodiazepines, please consider the following information on pharmacokinetics to aid in selection of an alternative:
Pharmacologic effect of Midazolam may last up to 6 hours in some patients
Please note that as of 10/14/2018 Paragon remote access will be moved to https://citrix.centegra.com
Paragon will no longer be available through access.centegra.com
To: Physician, Nursing, and Pharmacy Staff
From: Alan Mader, PharmD, Pharmacy Clinical Coordinator
Re: Dexamethasone 10 mg/mL 1 mL Injection PF Shortage
We have been notified that dexamethasone 10 mg/mL 1 mL PF has been placed on the shortage list.
This shortage has been newly announced.
|The quantity of 1 mL PF vials available at NWM, NWH, NWW is 110. The usual consumption at NWH is approximately 18 per day, with NWM and NWW being less. Based on that number and the ability to shift product between campuses, we have about a 5 day supply available. The shortage is expected to last from the end of October to mid-November, so that likelihood that supply will become depleted is strong.|
Utilize dexamethasone 10 mg/mL 1mL Injection with preservatives wherever possible.
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.
- Go to Census, locate visit where the document should be entered by entering the Visit ID supplied by Medical Records into the search field.
- Recreate the note under the correct visit ID, noting that the date is editable.
- Go back to the Census Tab.
- Locate visit where the document is entered in error by entering the “wrong” Visit ID supplied by Medical Records into the search field.
- 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