HFH MICU will start TTM for patients after PEA and asystolic (nonshockable) arrests who otherwise meet criteria on July 15, 2019 Initially, this will apply to inhouse arrests and out of house arrests that reach the MICU within the TTM window; The ED will start TTM for out of hospital nonshockable rhythms in the near […]
Author: Michael Lazar
Attestation Changes
Effective July 10, 2019 there will be changes to the existing approved outpatient and inpatient attestation statements. The most significant change will be the removal of the drop down menu that indicates the type of provider that you are supervising. This drop down menu will be replaced with “resident/fellow”. As a result, these new statements […]
Call quality on iPhone X
If you are having difficulty with poor call quality on the iPhone X, the following steps may help improve quality. Sprint only recently enabled HD voice (or Voice over LTE/VoLTE) in our area which although is designed to dramatically improve audio quality, we are finding Sprint’s LTE/4G data network might not be mature enough […]
Travel and Expense Guidelines
Here are the HFMG Travel and Expense Guidelines 2019 . There are changes as to who can travel to conferences, how to handle booking your own airfare, etc.
HFH Feedback Model for Giving and Receiving Feedback
Attached is the practice guide and worksheet for giving and receiving feedback at Henry Ford Health System
TB PCR testing for patients in airborne isolation
Henry Ford Hospital has added Mycobacterium tuberculosis (MTB) PCR testing in the microbiology laboratory as of 2/2019. Two negative PCRs on sputum samples 8 hours apart can be used to take the patient out of airborne isolation (although it does not rule out infectious TB). This would be far sooner than current protocol of three negative […]
Chimeric antigen receptor (CAR) T-Cell Therapy
Please refer to attached education/information for CAR T-Cell Therapy. Heme/Onc will be treating patients with CAR T-cell therapy in the near future and some of these patients will end up in the MICU. Heme/Onc will be available for help but this power-point presentation should be used as a reference.
Contraindications to Cardiopulmonary Exercise Testing (ATS-ACCP Guidelines)
Because exercise tests have been performed on patients who had absolute contraindications based on the ATS-ACCP guidelines (Am J Respir Crit Care Med Vol 167. pp 211–277, 2003), the attached table should be used as a reference on who can/cannot have a cardiopulmonary exercise test. All the pulmonary guidelines and references are available on the […]
Process for handling Death Certificates outside of normal business hours
Because of the need to process death certificants in a timely fashion, ICU physicians may need to fill out this paperwork during off hours. The cell number to use to call Medical Records for Death Certificates on the weekends/holidays from 8:00 am to 4:30 pm is (313) 229-7627 The process for completing this paperwork is here […]
Scheduling patients for a pulmonary clinic follow up
Per clinic policy, the following chart should aid providers on who to contact regarding pulmonary clinic follow up visits