Tag Archives: alert

HPF Downtime

HPF will be DOWN from:


Sunday, November 2, 4:00pm


Monday, November 3, 7:00am

(15 Hours)

Purpose: Horizon Patient Folder (HPF) is being upgraded to McKesson Patient Folder (MPF).

Transcribed History and Physicals, Progress Notes and Consults will be auto-printed on nursing units through the weekend for availability during the MPF upgrade downtime.

For information about MPF click here.

Enterovirus D68 update

Enterovirus D68 (EV-D68) is one of many non-polio enteroviruses. Enterovirus D68 (EV-D68) infections are thought to occur less commonly than infections with other enteroviruses. EV-D68 was first identified in California in 1962. Compared with other enteroviruses, EV-D68 has been rarely reported in the United States for the last 40 years.

EV-D68 Infections Reported

Hospitals in Missouri and Illinois are seeing more children than usual with severe respiratory illness caused by enterovirus D68. Several other states are investigating clusters of children with severe respiratory illness, possibly due to enterovirus D68. CDC is watching this situation closely and helping the states with testing of specimens.


EV-D68 has been reported to cause mild to severe respiratory illness. However, the full spectrum of EV-D68 illness is not well-defined.


EV-D68 is not frequently identified, so it is less studied and the ways it spreads are not as well-understood as other enteroviruses. EV-D68 causes respiratory illness, and the virus can be found in respiratory secretions such as saliva, nasal mucus, or sputum. The virus likely spreads from person to person when an infected person coughs, sneezes, or touches contaminated surfaces.


  • There is no specific treatment for EV-D68 infections.
  • Many infections will be mild and self-limited, requiring only treatment of the symptoms.
  • Some people with severe respiratory illness caused by EV-D68 may need to be hospitalized and receive intensive supportive therapy.
  • No antiviral medications are currently available for treating of EV-D68 infections.


  • There are no vaccines for preventing EV-D68 infections.
  • You can help protect yourself from respiratory illnesses by following these steps:
  • Wash hands often with soap and water for 20 seconds, especially after changing diapers
  • Avoid touching eyes, nose and mouth with unwashed hands
  • Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick
  • Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick

Laboratory Testing

Test to be ordered is “Enterovirus Molecular by PCR” from  ARUP .  Will be a Miscellaneous test in Paragon. 

Specimen: Respiratory-bronch wash, BAL, Nasopharyngeal aspirate, sputum or tracheal aspirate.  Volume is 1.5ml.


Stethoscope and computer keyboard

Paragon Scheduled Downtime


Paragon will be down from 9:30pm Tuesday 08/26/14 through 6:00am Wednesday 08/27/14

Purpose: Migration of Paragon SQL Servers from Virtual Servers to Physical Servers to Optimize Performance of the Paragon Database

Downtime procedures must be used for any required functions/systems that will be unavailable. For example:

  • Lab orders and results, Radiology orders and results, Pharmacy orders to Pyxis;
  • Admission, Discharge and Transfer messages such as patient data transferring to FormsFast;
  • Notices via order requisitions for Respiratory Therapy, Physical Therapy, Nutritional Services, Speech Therapy, and Occupational Therapy, orders.

First case of Middle East Respiratory Syndrome Coronavirus infection (MERS) in the United States

CDC confirmed the first US case of MERS in a traveller from Riyadh to Indiana.

All suspect cases of MERS should be reported to the McHenry County Department of Health immediately. A suspect case, as defined by the CDC, is:

A patient under investigation (PUI) is a person with the following characteristics:

  • Fever (≥38°C, 100.4°F) and pneumonia or acute respiratory distress syndrome (based on clinical or radiological evidence);


  • history of travel from countries in or near the Arabian Peninsula within 14 days before symptom onset;


  • close contact with a symptomatic traveler who developed fever and acute respiratory illness (not necessarily pneumonia) within 14 days after traveling from countries in or near the Arabian Peninsula


  • is a member of a cluster of patients with severe acute respiratory illness (e.g. fever and pneumonia requiring hospitalization) of unknown etiology in which MERS-CoV is being evaluated, in consultation with state and local health departments.

Any suspect cases must be reported immediately. Please contact the McHenry County Department of Health 815-459-5757

Salmonella Typhimurium: JPXX01.0146 cases in Northern Illinois

This is a memo from the McHenry County Health Department:

This memo is to update McHenry County healthcare providers of an ongoing investigation of an outbreak of Salmonella Typhimurium with the same fingerprint of JPXX0.0146 by the McHenry County Department of Health (MCDH) in cooperation with Lake, Kane, and Cook counties as well as the Illinois Department of Public Health. Continue reading

Influenza update 2013-14 season


  • Think of influenza in patients presenting with respiratory illness
  • Test those who are admitted with respiratory illness
  • Use droplet precautions for those with respiratory symptoms
  • It is still not too late to get vaccinated

Notice to Public Health Officials and Clinicians: Recognizing, Managing, and Reporting Chikungunya Virus Infections in Travelers Returning from the Caribbean


On December 7, 2013, the World Health Organization (WHO) reported the first local (autochthonous) transmission of chikungunya virus in the Americas. As of December 12th, 10 cases of chikungunya have been confirmed in patients who reside on the French side of St. Martin in the Caribbean. Laboratory testing is pending on additional suspected cases. Onset of illness for confirmed cases was between October 15 and December 4. At this time, there are no reports of other suspected chikungunya cases outside St. Martin. However, further spread to other countries in the region is possible. Continue reading

Increased cases of Mumps in McHenry County

The following in a memo released by the McHenry County Dept of public health on October 15th 2013.

This memo is to alert you of an increase in mumps cases in McHenry County. As of October of this year, there have been 4 cases reported. In 2009 there was 1 case of mumps reported and between 2010 –2012 there were no cases reported.
We are encouraging all healthcare providers to suspect mumps in any patient that presents with the following symptoms (despite their immunization status), test, and report:

  • Swollen and tender salivary glands under the ears on one or both sides (parotitis)
  • Fever
  • Headache
  • Tiredness
  • Muscle Aches Loss of appetite

Mumps Laboratory Testing & Specimen Collection

It is very important to obtain laboratory confirmation for cases and suspect cases of mumps. Due to cross reacting antibodies and other issues, sensitivity and specificity of commercially available IgM tests are problematic. The Centers for Disease Control and Prevention (CDC) and the IDPH do not recommend mumps IgM testing by commercial laboratories for confirmation or elimination of a diagnosis of mumps. A positive laboratory confirmation for mumps virus with reverse transcription polymerase chain reaction (RT-PCR) or culture in a patient with acute characteristics of the mumps illness are the only laboratory tests that will yield a “confirmed” mumps case by CDC and IDPH case definition. Therefore, the collection of clinical specimens for mumps virus isolation on all individuals with suspected mumps is extremely important and should be done.

A positive laboratory confirmation for mumps virus with reverse transcription polymerase chain reaction (RT-PCR) or culture in a patient with acute characteristics of the mumps illness are the only laboratory tests that will yield a “confirmed” mumps

A buccal swab is the best type of sample and is the preferred specimen for viral isolation. Collect a buccal swab up to 5 days after symptom onset, preferably within 3 day after onset. In unvaccinated persons, virus may be isolated from 7 days before until 9 days after parotid swelling. Maximal viral shedding, however, generally occurs just prior to and within the first 3 days of parotitis onset. In vaccinated persons, buccal swabs should be collected within 1 to 3 days of parotitis onset, otherwise viral detection in RT-PCR or culture may have low yield. Massage the parotid gland area (the space between the cheek and teeth just below the ear) for about 30 seconds prior to collection of the buccal secretions. The parotid duct (Stenson’s duct) drains in this space near the upper rear molars.


According to the Illinois Adm. Code, Title 77, Section 690.100, any suspect case of mumps must be reported to the McHenry County Department of Health within 24 hours by calling 815–334–4500.