Angioplasty / Stent Post Op Order set modified and LIVE at McHenry and Huntley. Please review the attachment below.
The revised version of OB Severe Hypertension Order Set now includes Magnesium Sulfate along with other changes within. The changes have been made to both McHenry and Huntley order sets. To access this order set:
- Log into Paragon Clinician Hub
- Click on the patient profile
- Navigate to “Ordering” tab
- Click on “Search” and on the search bar, type in “OB Severe Hypertension”.
Please review the image below to identify some of the changes.
The new Bariatric Admission Post Op and Discharge Orders are now activated only at Huntley. If you would like to utilize these order sets for a Huntley patient, use the following steps:
- Open patient profile by clicking on their name
- Click on the “Ordering” tab on the top
- Click on “Search” tab, next to Order Queue
- Type in “Bariatric Admission Post Op” and “Bariatric Discharge Orders” to utilize these order sets.
VTE Prophylaxis for Order Sets has been improved to now include:
- Pharmacologic VTE Prophylaxis title
- Streamlined choices between Section A and Section B.
- Section A: Available Pharmacologic orders to choose from.
- Section B: To provide a reason from the list for NOT ordering a Pharmacologic order.
- Specific information added in the pop up box to provide the section to review when a selection is not complete.
All Order Sets with VTE module will be updated over a two-week period. Please review the images below for an in depth VTE Prophylaxis Usage Guide.
The new Heart Failure module has been updated and active at both McHenry and Huntley. The old module has been removed. Please review the image below for instructions on how to access this module in Paragon Clinician Hub.
The PERT PULMONARY EMBOLISM orders are active at both Huntley and McHenry. You can locate it by searching this title in the “Ordering” tab of the Paragon Clinician Hub.
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: Physicians, Nursing, Pharmacy
From: Maryna Shayuk, MD, Chair Pharmacy and Therapeutics
Alan Mader, Pharmacy Operations Coordinator
Date: October 15, 2018
Re: Diphenhydramine Injection Shortage
|Diphenhydramine injection supply is critically low. Estimates indicate less than a 2 week supply throughout NM Northwest system.|
|Diphenhydramine has been on shortage. Pharmacy Purchasing has been able to obtain orders up to this point.|
|In order to maintain the limited supply for crash cart exchange, sequestering to pharmacy and therapeutic substitution will need to be instituted.|
|Pharmacy will sequester remaining supply from Pyxis machines to the Pharmacy Department. Therapeutic Substitution will take place as follows:|
Injection to PO – For all patients who can take PO in equivalent dose.
If unable to take PO – Therapeutic substitution to Promethazine Injection in equivalent dose. Doses greater than 25 mg – consult with MD.
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.