Diabetes Management Bundle.pdf
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Instructions for Finding Order Sets
Looking for an order set?? What does it pertain to?? Pneumonia? Gall Bladder? Heparin? Sepsis? Pain? Wound Care?
1. Enter your search term in the box to the right under the photo, then hit enter. If your search returns a large number of entries, use your browser ‘find’ function to search the page for your search term.
2. Otherwise, you may select the department to which the orders pertain from the menu bar at the top of the page. Then either scroll down the page or use your browser search function.
When printing orders, if you print a blank page, click print again, then click on the ‘advanced’ tab, and click on “print as an image”. That should allow you to print.
To have your orders on BMHGT.com, contact Quality Review.
To have links or information not destined for the medical record (no bar code) placed on BMHGT.com contact the webmaster.
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CDC Swine Flu Page
Mississippi Department of Health Swine Flu Page
Swine Flu Alert from the Ms Dept of Health and the CDC. (pdf file)
Guidance Documents available from the CDC website
Interim Guidance Documents
Guidance for Schools, Colleges and University
- School (K – 12) Dismissal and Childcare Facilities May 1, 6:30 AM ET
- Alert for Institutions of Higher Education May 1, :30 AM ET
Clinician Guidance for Patients
- Caring for a Sick Person in Your Home Apr 25, 2009
- Identifying and Caring For Patients Apr 29, 2009
- Infection Control for Patients In a Healthcare Setting Apr 29, 2009
Clinician Guidance for Specific Audiences
- HIV-Infected Adults and Adolescents Apr 30, 2009
- Pregnant Women May 1, 2009
- Young Children Apr 28, 2009
Screening & Specimen Collection
- Guidelines for the Submission of Tissue Specimens for the Pathologic Evaluation of Influenza Virus Infections Apr 30, 2009
- Case Definitions for Investigations of Cases Apr 30, 2009
- Screening in Regions with Few or no Reported Cases Apr 29, 2009
- Specimen Collection, Processing, and Testing for Suspected Infection Apr 29, 2009
- Biosafety Guidelines for Lab Workers May 1, 2009
Treatment Guidance
- Antiviral Recommendations Apr 29, 2009
- Facemask and Respirator Use Apr 27, 2009
- Reducing Risks in the Community Apr 26, 2009
- Emergency Use Authorization (EUA) of Medical Products Apr 29, 2009
Travel & Travel Industry Guidance
- Flight Crews Arriving from Affected Areas Apr 30, 2009
- Identifying Passengers Who May Have Swine Influenza Apr 28, 2009
Emergency Personnel Guidance
- EMS and 9-1-1 Personnel: Managing Confirmed or Suspected Infections Apr 29, 2009
- Psychological Support for Essential Workers During a Pandemic Apr 30, 2009
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The April 8th Wall Street Journal contained an interesting editorial on the utility of “quality metrics” in health care entitled ‘Why Quality Care is Dangerous’.
By JEROME GROOPMAN and PAMELA HARTZBAND
The Obama administration is working with Congress to mandate that all Medicare payments be tied to “quality metrics.” But an analysis of this drive for better health care reveals a fundamental flaw in how quality is defined and metrics applied. In too many cases, the quality measures have been hastily adopted, only to be proven wrong and even potentially dangerous to patients.
Continue with article on the WSJ site …
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ABCD^2 (ABCD squared) post TIA stroke risk assessment tool
AGE: greater than or equal to 60 years – 1 point
Blood Pressure when first assessed after TIA. Systolic greater than or equal to 140, diastolic greater than or equal to 90 – 1 point
Clinical Features: unilateral weakness – 2 points, isolated speech disturbance – 1 point, other – zero
Duration of TIA symptoms: greater than or equal to 60 minutes – 2 points, 10 to 59 minutes – 1 point, <10 minutes zero
Diabetes present – 1 point
Estimated two day stroke risks determined by the ABCD^2 score:
Score 6 to 7: High two day stroke risk (8.1%)
Score 4 to 5: Moderate two day stroke risk (4.1%)
Score 0 to 3: Low two day stroke risk (1.0%)
Score < 1: Very low two day stroke risk (0.0%)
Reference: Johnston, SC, et.al. Validation and Refinement of scores to predict very early stroke risk afer TIA. Lancet 2007: 269:283.
Early Stroke Management Guidelines AHA/ASA
Stroke Prevention Recommendation Update AHA/ASA
Stroke syndromes, mimics & chameleons
TPA for Acute Ischemic Stroke NEJM 1995
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