Critical Shortage of Certain IV Fluids and Minibags

posted21-Nov-2017

Recently, hurricane Maria destroyed major manufacturing facilities in Puerto Rico that produced most of the national supply of D5W and Normal Saline and minibags for IVPB mixing. By this weekend (unless an unexpected shipment arrival this week) we will be depleted of most of our supply. National supplier inventory has been exhausted earlier.

Our response has been:

  1. using IV push for medications when safe
  2. substituting Ringer's Lactate with permission
  3. substituting 1/2 normal saline with permission

Requesting your help:

  1. use IVF for hydration when necessary, but not for 'to keep open' rate
  2. use Ringer's Lactate for crystalloid solution when possible
  3. use 1/2 normal saline as hypotonic fluid and for flushes such as heparin

FDA has approved US purchases of product from Ireland, Mexico and Canada. When these products become available we will have some relief, but likely still be 'rationed' on what we receive.

Thank you for your cooperation during this critical shortage time.

Eric McVey, MD
CMO
St. Dominic Hospital

 

New Password Management for St. Dominic Providers

posted18-Jul-2017

As we prepare for our Cerner EMR implementation, we are rolling out new password guidelines to comply with BCBS and other Insurer's standards which are:

  • Must be at least 8 characters
  • Can not include any part of the username
  • Must not repeat any earlier passwords
  • Must have at least 8 letters/characters/numbers and have at least one uppercase letter, one lowercase letter and one number. The following characters are also accepted: ~!@#$%^&*_-+=`|\(){}[]:;”’<>,.?/
We have also added the self-service ability to manage passwords from outside the facility 24/7 using http://account.stdom.com. The instructions to manage passwords are attached below. Please make every effort to keep passwords as secure as possible. Thank you!

 Account Services User Onboard.v03

 

2016 Annual Caner Report Now Available

posted13-Jun-2017

St. Dominic's Cancer Center is one of the top cancer treatment providers in central Mississippi and is known throughout the area for outstanding adult patient care and exceptionally skills oncologists. The 2016 Annual Cancer Report is now available. Please click HERE to view.

 

New Medical Record Documentation Requirements

posted14-Feb-2017

During their February meeting, the MEC endorsed the attached suspension timeline for medical record deficiencies based off of the new requirements set forth in the Medical Staff Bylaws as well as the Rules and Regulations. Beginning Monday, February 20th, Medical Records will begin using this timeline for monitoring deficiencies. 

Beginning March 1st Advanced Practice Providers (NPs and PAs) will also be required to complete their medical record deficiencies in accordance to these guidelines to avoid suspension of their clinical privileges. All Advanced Practice Providers are encouraged to complete any outstanding deficiencies ASAP to avoid suspension on March 1st. 

Under the new Medical Staff Rules and Regulations, the attending or supervising physician must review and authenticate all consultations and discharge summaries prepared by the Advanced Practice Professional (Rules & Regulations 3.16 & 4.9.6). Additionally, whenever an Advanced Practice Professional performs an H&P, either the H&P or the addendum written by the physician, must be signed by the physician (Rules and Regulations 4.9.6). Please note that these changes were made to ensure compliance with regulatory requirements. Due to these new requirements all Advanced Practice Professionals must dictate using their own provider ID# and must identify the physician in which they are dictating for. If you do not know your provider ID# please call 200-6846. 

Please feel free to contact Paula Lindsey, Director of Medical Staff Services at 601-200-6882 with any questions or concerns.

Deficiency Suspension Timeline