Category Archives: News

Paragon 14 upgrade

What?

Paragon will be upgraded from version 13.x to version 14

When?

Saturday 3/17/18 at 10p to Sunday 3/18/18 5p

What will be unavailable?

All Paragon applications including Clinician Hub (physician access) and Clinical care station ((nursing access)

What will be available?

PACS, MPF (medical records), T systems, OB and anesthesia Centricity, MUSE and CVIS

For instructions on accessing MPF during downtime see here.

What about labs?

Labs will be printed and placed in the paper chart.

What about notes?

Physicians will dictate notes during downtime.

What about orders?

Paper order sheets and prescriptions will be used during downtime.

What are the new features in Paragon 14?

  1. Updated Patient Card: Patient demographics are easier to see in the upper left hand corner.
  2. Patient Profile (NEW): Report containing information such as advanced directives, allergies, demographics, family history, implants, home medications etc are now available in a single report. This report can be customized by the end user for their practice
  3. New flowsheet search capabilities: Some flowsheets such as Lab can get very difficult yo navigate especially on long admissions. This new search function will allow the user to quickly scroll the needed row. In this example I searched for “chest”. I was taken to the Chest X-ray row with the specific row highlighted.
  4. Prescription writer: Now allows for secure electronic submission of controlled substances

 

Video Language Line Now Available

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.

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)

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.

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

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

     

CHM Receives Blue Distinction Award

From: Heidi Close, Director of Women’s Services Centegra Health System

Rachel Sebastian, President McHenry Hospital

Peggy Norton-Rosko, MSN, RN, NEA-C SVP & Chief Nursing Officer Centegra Health System __________________________________________________________________________________________

We are excited to announce that Blue Cross and Blue Shield of Illinois recently awarded Centegra McHenry Hospital the Blue Distinction® Center for Maternity Care designation (BDC). Blue Distinction® is a national designation program recognizing healthcare facilities that demonstrate expertise in delivering quality specialty care – safely, effectively, and cost efficiently.

Facilities are evaluated on quality metrics developed through a process that includes:

  • Input from the medical community and quality measurement experts.
  • Review of medical literature together with national quality and safety initiatives.
  • Thorough analysis of meaningful quality measures from objective, publicly available sources.

    In addition hospitals that receive the BDC Maternity Care designation must also attest to having certain structural components in place and commit to ongoing reporting and quality improvement obligations. The program also evaluates hospitals on overall patient satisfaction, including a willingness to recommend the hospital to others. Blue Distinction® Centers demonstrate better overall patient satisfaction and a lower percentage of early elective deliveries.

    Join us in congratulating our entire Women’s Health team as they continue to provide outstanding care to our community.