JHM Weekly Inpatient Newsletter: Click here.
JHM Weekly Ambulatory Newsletter: Click here.
OR Committee/Department of Surgery Meeting Tomorrow, October 8
The next Operating Room Committee meeting will be combined with the Department of Surgery meeting and will be held on Thursday, October 8, 2015 at 7:00AM in Conference Rooms 6 & 7 on the lower level of the hospital. Click here for the agenda.
Please make every effort to attend.
Suburban Hospital Flu Vaccination Policy and Information
For the last four years, Suburban Hospital has mandated flu vaccination as a condition of employment and that policy will continue this year. This policy impacts all employees, contracted employees, and volunteers as well as employed and community-based physicians who work and/or provide patient care at Suburban Hospital, the Suburban Outpatient Surgery Center, Montrose, Westmoreland, the Outpatient ATC and all other Suburban Hospital locations. Evidence-based practices regarding the impact of the flu and our responsibilities as health-care workers are compelling and support the decision to make getting the flu vaccine mandatory. We thank our staff and physicians for your tremendous cooperation over the last four years and for setting the bar high for the rest of the system.
Getting an annual flu vaccine demonstrates our commitment to protect the safety and health of our patients, many of whom already have weakened immune systems, as well as visitors, coworkers, and our families. Mandatory flu vaccine is becoming standard practice in Maryland health-care facilities, with The Johns Hopkins Hospital, Sibley Memorial Hospital, Howard County General Hospital, and Johns Hopkins Bayview Medical Center all adopting a mandatory flu vaccination policy.
This fall’s flu vaccine protects against A/California (H1N1), A/Switzerland (H3N2), B/Phuket and B/Brisbane-like viruses.
Beginning October 5, 2015, we will offer free flu vaccine clinics to our employees, physicians, and volunteers as we have done every year, at various locations and times for your convenience. The flu clinic schedule is here. Those who receive the flu vaccine outside of Suburban Hospital will be required to provide documentation to Employee Health. The final flu clinic will be held on November 30, 2015. The deadline for vaccination and documentation is December 1, 2015.
If you cannot receive a flu vaccine for valid medical reasons (anaphylactic reaction to the vaccine or its components or past history of Guillain Barre post vaccination) or religious reasons, you will need to sign a flu shot declination form and provide the required documentation by November 3, 2015 to Employee Health and Human Resources. Those who decline a vaccination for other reasons will be considered unfit to work and will be subject to disciplinary action, up to and including termination.
To protect yourself and others, those who have a valid medical or religious reason not to get the vaccine will be required to properly wear a protective mask over your mouth and nose each day during the flu season when you are in buildings where patient care is provided. This important step to prevent flu transmission is supported by national patient safety and infectious disease prevention organizations. We will establish a start and ending date for wearing masks by following recommendations from the Johns Hopkins Corporate Infection Control Committee and Centers for Disease Control and Prevention. Failure to wear masks will be subject to disciplinary action.
Thank you for your support and dedication toward our goal of reaching a 100 percent vaccination rate as we have in the past years and your commitment to the health and safety of our patients and each other.
Jacky Schultz, Executive Vice President
Robert Rothstein, MD, Vice President of Medical Affairs
ICD-10 Go Live Support
If you need help with Epic, call any of these individuals:
Karen Joyner 301-896-3532
Hideat Tewolde 301-896-3058
Cheryl Pacis 301-896-3058
Cindy Stone 301-896-7278
Adrienne McDaniel 301-896-3521
Angela Dews 301-896-2541
Helpful look-up sites to look up ICD-10 codes:
For clinical documentation or coding questions, Submit them here to the Coding & Clinical Documentation Help Desk online. (Live help hours: M-F, 8:00 a.m. to 4:00 p.m.)
For other ICD-10 resources, click here
Ebola Travel Screening Change
On Sept. 3, the World Health Organization declared Liberia free of Ebola virus disease transmission. On Sept. 21, the Centers for Disease Control and Prevention (CDC) and the Department of Homeland Security announced that travelers entering the United States from Liberia will no longer be subject to entry screening and monitoring. As a result, and in accordance with guidance from the CDC and the Maryland Department of Health and Mental Hygiene, the Johns Hopkins Medicine enhanced travel screening protocol is now modified and has removed Liberia from the list of countries requiring enhanced Ebola screening.
Please continue to screen all patients returning from Sierra Leone and Guinea within the past 21 days for signs, symptoms and risk factors of Ebola. Please notify the Department of Hospital Epidemiology and Infection Control immediately when any patients who returned from Sierra Leone or Guinea within the past 21 days are identified.
Lastly, please remain vigilant and continue to assess all of our patients for their recent travel history, potential exposures and relevant risk factors for emerging infectious diseases to provide them with the best and safest care.
Further resources and information are available on the CDC’s website.
Lisa L. Maragakis, M.D., M.P.H.
Associate Professor of Medicine, Division of Infectious Diseases
Johns Hopkins University School of Medicine
Senior Director of Healthcare Epidemiology and Infection Prevention
The Johns Hopkins Health System
It’s National Physicians Assistants Week!
National PA Week is from October 6 – 12. Suburban Hospital has PAs working in both the OR and ED.
According to the American Academy of Physician Assistants, there are approximately 100,000 certified PAs in the United States. Consistently recognized as one of the fastest-growing professions, PAs were ranked the most promising job of 2015 by Forbes.com. We thank them for all they do for our patients here at Suburban.
Requirements for Mycobacterial (AFB) Cultures
On November 1, 2015 the Laboratory at Suburban Hospital will be modifying the requirements for Mycobacterial (AFB) Cultures. We will no longer accept swabs as they do not provide adequate specimen for mycobacterial recovery. In order to obtain optimal recovery, it is best to send biopsy material or fluids representative of the infectious process. Swabs are not recommended when multiple media must be inoculated and are not indicated when a large volume of sample is required to recover a pathogen.
Following are some general guidelines for specimen requirements:
- Sputum or other liquid respiratory samples: a minimum of 5 mL in a sterile, leak-proof container
- Aspirates and fluids: 10 ml is optimal, send in a sterile, leak-proof container (1 mL is the minimum volume)
- CSFs require 5 mL (CSF collection tubes).
- FNAs: 1 mL in optimal (we understand that this may be difficult to get and we will make allowances but we definitely need more than a partial drop in the bottom of a specimen container).
- Bone marrow aspirates: Inoculate an AFB blood culture bottle.
- Tissues should at least be visible to the naked eye. Thumbnail-size is ideal. It is best to add a little sterile saline (5 or 10 mL) to the container to keep the specimen moist during transport.
Although it may seem that collecting a swab is the only choice for some body sites (i.e. middle ear), washing with sterile saline and collecting the washings provides a quality specimen.
Space is Still Available! Suburban Hospital Cardiovascular Symposium
Featuring the Annual Mark F. Weinstein Memorial Lecture
The symposium offers providers an opportunity to learn about the latest advancements in heart disease prevention, imaging, and interventions. It will feature cardiovascular specialists from Johns Hopkins Medicine and the NIH Heart Center. Click here to learn more.
Saturday, Oct. 17, 2015 | 7:30 am – 1:00 pm | Suburban Hospital Auditorium
The Annual Mark F. Weinstein Memorial Lecture presented by Marcus Chen, MD, NIH/NHLBI: Innovations in Cardiac CT
Breakfast and Lunch will be served.
To register, please call 301-896-3939 or email email@example.com.
If you have any questions about the symposium, please contact Michelle Christ at 301-896-3678 or firstname.lastname@example.org.
Suburban Hospital designates this educational activity for a maximum of 4 AMA PRA Category 1 Credit™.
Save the Date! Department of Surgery Holiday Celebration
Attention surgeons and anesthesiologists: You are invited to celebrate the holiday season with dinner and dancing on Saturday, December 5, 2015 from 7-11pm at the Chevy Chase Club. Details are here.
Suburban Hospital Grand Rounds:
How to Reverse the Effects of Aging in the Brain: Facing Down Alzheimer’s
Friday, October 9, 2015 | 8-9 am | SH Auditorium
Majid Fotuhi, MD
Founder & Chief Medical Officer
NeurExpand Brain Center
To see the objectives for this presentation, click here.
Call 301-896-3869 with questions.
The October 2015 Grand Rounds schedule is here.
Johns Hopkins Medicine Department of Surgery Grand Rounds
The History of Cardiac Research Laboratory at Johns Hopkins
Thursday, October 8, 2015| 7:30-8:30am | Zayed 2119A |Live via Streaming Video
William A. Baumgartner, MD
The Vincent L. Gott Professor of Cardiac Surgery
JHM Senior Vice President, Office of Johns Hopkins Physicians
J. Trent Magruder, MD
Halstead Surgical Resident
Cardiac Surgery Research Lab Resident
Live via Streaming Video | To watch this week’s presentation from your computer, click here.