JW Moore Tuesday, April 13, 2020, CME Conference -“Extracorporeal Life Support (ECLS) & Extracorporeal Membrane Oxygenation (ECMO)“
Jennifer Wan, M.D., Cardiothoracic Surgeon, CMHS, will present a lecture on “Extracorporeal Life Support (ECLS) & Extracorporeal Membrane Oxygenation (ECMO.)” At the end of the conference, the learner should be able to: 1) Recognize the indications for ECMO and ECLS in the treatment of respiratory and circulatory failure, 2) Explain the components of an ECMO circuit, 3) Compare venovenous and venoarterial ECMO, and 4) Formulate different cannulation techniques for venoarterial and venovenous ECMO.
The conference will take place on April 13, 2021, at noon, via ZOOM. This activity qualifies for AMA PRA Category 1 Credit™ & AOA Category 1-A credit.
If you would like to attend this meeting, please contact CME Coordinator Erin Parker at firstname.lastname@example.org or 805-948-5638, and an invite with a link to the meeting and instructions on how to join will be emailed to you.
Clinical Pearls of the Week
- Although “curbside consults” are commonplace in medicine, when there is a challenging or complicated case, be prudent and call the specialist for a formal, documented consultation.
- Resist the temptation of offering a “curbside treatment” to a friend or familiar Hospital staff person in lieu of doing the legal, ethical and safe approach in referring the individual to their own physician or having them schedule a “good faith” exam.
- When requesting a consultation, place a CPOE order with the consultant’s name. To add a physician’s name look in PK Orders for “Consulting”. This will automatically put the patient’s name in the consulting physicians patient list in PatientKeeper.
- After performing any interventional procedure, please immediately document a Post Op note in the Chart Notation Template so that the Hospitalist, Primary care physician, consultants and staff are aware of what was done. This is a courtesy and patient safety requirement of the Medical Staff.
Medical Staff Voice Live – Dr. Chris Johnson, Medical Director Emergency Department
In Episode Six of the Medical Staff Voice Live, CMHS Chief Medical Officer Dr. Stan Frochtzwajg sits down with Dr. Chris Johnson, Community Memorial Hospital’s Medical Director of the Emergency Department. Dr. Frochtzwajg and Dr. Johnson discuss how CMHS is keeping its patients, physicians and staff safe during the pandemic and how local physicians can use the CMH Emergency Department as a resource for treating patients with more acute needs. Learn more about Community Memorial Health System at https://www.cmhshealth.org/.
Click on the link to view the 15 minute video interview: YouTube video link
Post Operative Diet Resumption
All patients should receive the correct diet order following surgery. Many times this gets overlooked, which places the patient at higher risk for aspiration and/or a choking event.
Recommendation: Surgeons should look at the pre-op diet, and reorder the exact diet order for patient safety and continuity, unless contraindicated clinically. Another way to approach this ordering conflict would be to have the surgeon order “Please resume prior diet order, if appropriate.”
Physician to Notify HIM of Vacations
HIM (Medical Records) is requesting that physicians notify them prior to going on vacation. Failure to do so makes the suspension process very difficult and may result in added suspension days. It would also be beneficial to let HIM know who will be taking over the care of their patients so that we may reach out to their covering physician for documentation completion if necessary. HIM can be reached by calling (805) 948-4691.
3% hypertonic saline in PCU (click on the graphic to enlarge)
P&T in consultation with nephrology and nursing, has approved the use of IV 3% NaCl in the PCU. The limitations for use in the PCU include a nephrology consult and sodium and neuro checks no more frequent than every 4 hours. The recommendation for a central line remains in place, however is not a requirement.
Oxnard Westminster Free Clinic – Seeking Physician Volunteers
The Westminster Clinic is a non-profit free clinic for patients without insurance in the Ventura County area. The Oxnard location opened in early 2020 and is looking for Physician or Mid-level volunteers to treat adult patients (Family Medicine, Internal Medicine, Endocrinology, Podiatry, ER, Ophthalmology) on Tuesday evenings from 6-9pm at 1800 S. C Street. They focus on the “medical home” and treatment of chronic conditions and have a lot of resources including a pharmacy staffed by a retired pharmacist, a nutritionist, counselor and case manager all on-site. The organization provides free vaccines, food and clothing as well.
Each provider is provided a scribe and MA/translator and records are kept on an EMR; malpractice insurance is also provided. It is a great way to give back to the community as well as mentor local high-school and college students interested in the medical field. They do provide PPE and there are opportunities for tele-health if providers are not comfortable seeing patients in person.
For more information, see their website at https://westminsterclinic.org/home/volunteers/medical-volunteers/ or call/email Kris Pena, MD 805-765-5711 email@example.com or Lisa Safaeinili, M.P.H. their Medical Director at firstname.lastname@example.org
CMHS Weekly Medical Staff Calendar – April 12 – 16
Monday Tuesday Wednesday Thursday Friday
Ramadan - Sundown
7:30 am COVID19 Update for Medical Staff - Teams
5:15 pm QA & Improvement Cmte – Teams
8am CMHS MERP – Teams
12:00 pm JWM Education Conf – Zoom
5:00 pm Medicine Cmte– BR & Teams
12:00 pm General CA Conf – BR 4:30 pm COVID19 Task Force Meeting - Teams
5:30 pm Disaster Preparedness Committee – BR
VIGILANCE! With the COVID numbers dropping significantly in California and most states in the Union, one can notice a widespread drop in mask wearing and an increase congregation in large groups (stadiums in Texas to capacity). There is a deadly threat looming in the distance. What with the poorer countries in the world not yet being vaccinated and India, for example, surging higher than ever, we run the risk of Dr. Fauci’s warning: “Viruses allowed to replicate, will produce variants.” Whether our vaccinations provide protection against as of yet unknown variants, only time will tell. Let’s vaccinate the world as soon as possible.
“Everything you’ve ever wanted is on the other side of fear.”
– George Addair
Keep the faith,
Stan Frochtzwajg, M.D.
Chief Medical Officer
Community Memorial Health System
www.cmhshealth.org/voice – Medical Staff Voice Blog link
Tracey Shoop – Physician Liaison – email@example.com & (805) 490-3860
Megan O’Neill – Business Development Manager – firstname.lastname@example.org & (805) 207-8216
Scott Goodfriend, M.D. – Physician Advisor – email@example.com & (805) 701-3514
Medical Staff Office – (805) 948-5662