Video Remote Interpreting (VRI)– Translation services

Situation A successful Video Remote Interpreting (VRI) app on provider phones pilot was completed in HFHS EDs to provide a use case specific to provider needs.  Standard large-size VRI system spread is in progress.  The provider phone app will provide enhanced access to qualified interpreters. Background Individuals who are limited English proficient (LEP) are challenged […]

Rapid Sequence Inbutation (RSI)

The key points for Senior Staff to remember: You can still call anesthesia, particularly for airways anticipated to be difficult.  The pre-sedation/analgesia and post-sedation documentation must be done in EPIC, where you need to identify ASA classification,  Mallampati score, etc. Intubations should be a two-provider  (Sr. staff, fellow, APP) procedure.   The existing policy outlines that […]

Sepsis Dot Phrases

There are 2 new sepsis dot phrases which will go live in June 2021.  These can either define time zero or make a statement that sepsis is not present.  These statements can be utilized in your problem list or a general note.

Acute Liver Failure Protocol

Please see the attached protocol for acute liver failure.  This was drafted with input from hepatology, neurology/neuro-critical care, medical critical care, nephrology, and transplant (hepatobiliary) surgery.  An EPIC order set is being developed This will help direct care in our acute liver failure patients.

Tuberculosis (TB) clinics

Detroit Health Department TB clinic TB Nurse Tammy Cooper Phone 313-577-9827 Fax 313-577-9887 Dr. Dana Kissner dkissner@med.wayne.edu https://detroitmi.gov/departments/detroit-health-department/programs-and-services/communicable-disease Communicable Disease Program Reporting form Wayne County TB Clinic

Epic assistance

There is a provider assistance team that can aid with Epic optimization for inpatient and outpatient flows. This document contains the names/numbers of the key resources.