For those patients who may not have access to HF’s smoking cessation program, see below. Sent on behalf of Rick. Quitter’s Circle was successfully launched on June 23, and has already earned positive media attention. Quitter’s Circle is a multi-platform “social” community anchored by a mobile application, designed to help address some common smoking cessation […]
Policy: HELIOS Intensive Care Unit (ICU) Protocol for Pain, Agitation, and Delirium for patients on the ventilator (PAD
PURPOSE: The purpose of the pain, agitation, and delirium (PAD) protocol is to: Allow bedside clinicians to manage pain, agitation and delirium for the adult ventilated ICU patient Guide the provider when ordering medications for pain, agitation and delirium. Provide appropriate and safe dosing and monitoring guidelines. Decrease adverse drug events related to medications in […]
Role of inbox coverage – posted on behalf of Thavarajah
For inbox coverage see here. Role of covering doc: Co-sign scripts, triage inbasket, review test results Anything you would normally send to the clinic staff to take care of (appointment changes, help w refills, prior auths) can be forwarded Triage calls requiring immediate attention will still be referred to the checker. Please email the covering […]
Peer Review
Enter a case anonymously for peer review.
Coagulation studies prior to bronchoscopy
In this article and its corresponding editorial, there are 5 questions that can take the place of ordering coagulation studies prior to every bronchoscopy. These five clinical risk factors are as follows history of anticoagulant therapy history or physical evidence of liver disease, eg, hepatitis, cirrhosis, hepatomegaly, ascites, or jaundice history, family history, or physical evidence of bleeding tendencies, […]
IPF Drug Therapy
Decision for pirfenidone and nintedanib: For patients with mild or moderate IPF based on pulmonary function tests who do not have underlying liver disease -Current data are insufficient to direct a firm choice between pirfenidone and nintedanib, -diarrhea and liver function test abnormalities with nintedanib versus nausea and rash with pirfenidone 2. Nintedanib & Pirfenidone […]
Therapeutic Hypothermia Protocol at West Bloomfield
Here is the protocol for therapeutic hypothermia at Henry Ford West Bloomfield Hospital The Go Live date for starting patients on this protocol is May 1, 2015
Premedication for contrast allergy
Routine/Elective Prednisone 50 mg PO Q6H x 3 doses Administer 13 hours, 7 hours, and 1 hour before contrast media Diphenhydramine (Benadryl) 50 mg PO x 1 dose Administer 1 hour before contrast media Routine/Elective and patient unable to tolerate oral medications Methylprednisolone (Solu-Medrol) 40 mg IV Q6H x 3 doses Administer 13 hours, 7 […]
Reading List
A Reading list containing pdfs of the articles is now available. The files are located on a google drive. The link is also available to the left under “links”.
Guidelines for Staffing MICU Admissions to HFH Main Hospital
Updated All new MICU admissions are to be presented to staff according to the following schedule: Weekdays 7AM-5PM: Present to your assigned MICU staff. Afternoon admits must be presented to assigned staff as well. If staff is in clinic or has other duties and are unavailable, please call assigned MICU GAP staff. GAP schedule can […]