Pneumococcal immunization recommendations

Pneumonia Immunization PDF Relevant EPIC orders: PPSV23 =’Pneumococcal Polysaccharide PPSV-23’ = ‘Pneumovax’ = ‘IMM53’ PCV13  = ‘Pneumocococcal Conjugate PCV 13’ = ‘Prevnar-13’ = ‘IMM78’   Please link to appropriate diagnosis: 1. ‘need for prophylactic vaccination against strep pneumococcus’ (Z23) added to Quick Dx section 2. also associate relevant diagnosis (asthma, copd, chronic immunosuppression) if <65 […]

Centesis using wall suction

For your future reference I have uploaded a powerpoint presentation illustrating how to use wall suction for paracentesis or thoracentesis, when vacutainers are not available.  As you may recall, this topic was discussed at a staff meeting some time ago.  It came up recently for me so I thought it would be useful to share with you. […]

Lung cancer screening – information for patients

The National Cancer Institute has developed a guide for patients and clinicians to review the data from the NLST to facilitate communication about the benefits and harms of screening. Summing from the table and extrapolating from the study results here are some possible talking points: – Mortality is decreased by 20% relative to cxr alone over a […]

Asthma Control Test (ACT) – How to enter values and import this into a clinic note

1. Within Visit Navigator:  More Activities> Documentation Flowsheets 2. Add the Asthma Adult Control Test to the Doc Flowsheet 3. Fill out the Asthma Adult Control Test 4. To add this test to your notes, highlight all of the cells and then right click. Select New Note: 5.  The Flowsheet Notes box will appear, click […]

MICU Quality Rounds Update – New format starting on Monday, October 6

In an effort to improve the quality of care across all of our ICU pods, we have been performing a trial of multi-disciplinary “Quality Rounds.”  Based upon the most recent feedback from all the caregiver disciplines, efficiency of quality rounds has been a concern. At the most recent ICU collaborative meeting, we decided to modify […]

MICU Collaborative: September 2014

–       Infection Control Year-to-date BSI are approaching total for last year.  This will be reviewed at ICC. More to follow. –       MICU Visiting Hour Pilot Targetting start date on Nov 1st. Patient Support Advocate (PSA) will be identified who can be present 24/7.  More specifics/education to follow. Interviewing for attendants to manage waiting room and […]