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 Patients with acute pain on methadone: BPA and order list
Opioid prescribing is under increasing scrutiny in the outpatient setting and in the hospital. With decreased drug access in the community we will likely encounter more patients admitted for "out of control pain." The QOC approved a project to address the seminal problem of inpatient opioid therapy at Salem Hospital. Starting small, we began with defining best practice in treatment of acute pain in patients on chronic methadone.
Beginning July 7, 2015, you will see a best practice alert (BPA) pop up when you order methadone for an inpatient. The BPA provides a list of appropriate orders designed to help deliver safe pain treatment and reduce the risk of poly-pharmacy in methadone-treated patients.
All WHP hospitalists, OB hospitalists, WHP surgery clinic general surgeons, and palliative care clinicians will receive an online survey to understand the level of education needed. The survey runs July 1-12. The same clinicians will receive a HealthStream notification to complete a CBT July 13 to 31.
Thank you for the time and attention you give to promoting patient safety. If you have questions regarding education or use of the order list please contact Nancy Boutin or Ralph Yates, project leaders.
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The new password policy is in effect
Please change your password before July 28. This is the password used to login to computers, Epic, EpicRemote, Document Imaging, etc.
If you have changed your password since May 6, 2015, you do not have to change it again.
New passwords must meet the following requirements:
- Minimum 8 characters
- Must contain characters from at least three of the following categories
- English uppercase characters (A - Z)
- English lowercase characters (a - z)
- Numeric characters (0 - 9)
- Special characters (for example: !, $, #, or %)
To change your password at any time, follow these instructions on a computer logged into the Salem Health network. For more information, call the Solution Center at 503-561-4357 for assistance.
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Blood culture order changes
Since the start of this fiscal year, in October 2014, Salem Hospital has reported twelve CLABSI events. The prior fiscal year Salem Hospital experienced six total CLABSIs, demonstrating a significant increase this year.
Blood stream infections related to central lines are a risk for the patient and can contribute to lower safety ratings for Salem Hospital. CLABSIs are considered hospital acquired condition so the expense for care is not reimbursed.
At the direction of QOC, a central line process flow was conducted to evaluate for known and unknown failure points in the central line process at Salem Hospital. Three common factors were identified in contributing to the incidence of CLABSIs: device selection, central line maintenance, and blood culture draw when an infection is suspected.
The evidence no longer supports drawing blood cultures from a central line. Starting Tuesday, July 14, the EPIC blood culture order will only allow for blood cultures to be drawn by phlebotomy via venipuncture method. NICU is excluded from this change. This change has been vetted through QOC.
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West Valley Hospital Epic transition
On July 20, West Valley Hospital rehab services will transition to Epic Ambulatory. Rehab has eight clinicians at the West Valley Hospital that include physical, occupational, and speech therapy that will be involved in this transition.
For referring providers using Epic, we will continue to receive orders via CPOM, and you will be able to view therapy notes via chart review.
Thank you for partnering with us in providing excellent rehabilitative care for our Polk County communities.
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WELCOME TO SALEM HOSPITAL
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 Alex V. Dumanovsky, MD - Anesthesiology
Oregon Anesthesiology Group, PC
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Medical Education:
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OHSU - Graduate Medical Education
Portland, Oregon
Sept. 1999 to June 2003 |
Internship:
Internal Medicine |
Legacy Health System
Portland, Oregon
June 2003 to June 2004
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Residency:
Anesthesiology |
University of Iowa Hospitals & Clinics
North Liberty, Iowa
July 2004 to June 2007
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| Board Certification: |
American Board of Anesthesiology
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Curtis B. Gill, FNP - Family Nurse Practitioner
Salem Health Convenient Care
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Medical Education:
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Cox College
Springfield, Missouri
June 2011 to May 2013
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| Board Certification: |
American Academy of Nurse Practitioners
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 Scott B. Gutovitz, MD - Emergency Medicine
Salem Health, Emergency Medicine
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Medical Education:
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University of Kansas School of Medicine
Kansas City, Kansas
Aug. 2000 to May 2004 |
Residency:
Emergency Medicine |
Orlando Regional Healthcare
Orlando, Florida
July 2004 to June 2007
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Fellowship:
Emergency Medicine
Research |
Orlando Regional Healthcare
Orlando, Florida
July 2007 to June 2008
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| Board Certification: |
American Board of Emergency Medicine
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 Tatyana D. Yefremova, MD - Internal Medicine Salem Health - Adult Medicine Hospitalist
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Medical Education:
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New York College of Osteopathic Medicine
Old Westbury, New York
Aug. 2001 to May 2004 |
Residency:
Internal Medicine |
Legacy Health System
Portland, Oregon
June 2004 to Aug. 2007
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Board
Certification: |
American Board of Internal Medicine
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Departures
Here is a list of individuals voluntarily resigning from the medical staff:
JoDee M. Anderson, MD - Neonatal-Perinatal Medicine, effective June 30, 2015
Julie D. Crownover, PA-C - PA - Nephrology, effective June 20, 2015
Olivia Kamayangi, MD - Family Medicine, effective June 25, 2015
James P. Lowry, MD - Cardiology, effective June 30, 2015
Craig M. Novack, MD - Neonatal-Perinatal Medicine, effective Aug. 1,2015
Franklin S. Weingarten, MD - Family Medicine, effective July 23, 2015
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IN THE NEWS
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Surviving cancer
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Salem Hospital Foundation hits milestone
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COMING EVENTS
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Save the date for diabetes symposium
Mark your calendars for the first annual diabetes symposium for primary care. The event is called Diabetes Roadmap: What you need to know to care for your patients. The event will take place Nov. 13, 2015, at the Salem Conference Center from 2 to 7 p.m. Application for CME credit has been filed. More information coming soon.
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A fun way to support cardiovascular care
The High Street Hustle is a first-ever run through downtown on Salem's High Street to help fight heart disease. You can sign up for an 8k, 5k or 1k, and you can run, walk, stroll or sprint. Whatever your preferred distance and pace, be prepared to enjoy live music, food, and free gifts! The first race starts at 7:30 a.m. on Aug. 15.
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Upcoming classes at the CHEC
Select class headlines to download a flier to print and share with your patients. For more information and to register visit the CHEC website or call 503-814-2432 (CHEC).
Do you know how to avoid potential attack situations? Join this class taught by Salem Health's security expert, Walt Myers, to learn vital information to help you avoid potential problems as well as develop a plan for safety.
Date: Monday, July 13
Time: 6:30 to 8:30 p.m.
Cost: $10
Move 'n' Groove is a unique dance class that keeps you jamming to upbeat music, such as R&B, pop, hip-hop, Latin, and a variety of other music genres. The focus is to have fun and promote wellness with easy-to-follow dance steps in a supportive environment.
Date: Mondays and Thursdays, July 13 through Aug. 20
Time: 5:30 to 6:30 p.m.
Cost: $40
Chair Yoga
This chair based yoga class is perfect for anyone, especially those with limited mobility, arthritis, injuries, or chronic pain.
Date: Tuesdays and Thursdays, July 21 through Aug. 27
Time: 1 to 2 p.m.
Cost: $40
Lunchtime Yoga Basics
This non-intimidating yoga class will connect you with your breath and movement, allowing you to find more comfort, mobility, and fitness in your life.
Date: Tuesdays and Thursdays, July 21 through Aug. 27
Time: 11:30 a.m. to 12:15 p.m.
Cost: $40
Men's Support Group
Conversations about work, women, fatherhood, friendship and life. Men talk and men listen.
Date: 2nd and 4th Sundays of every month (except for holidays)
Time: 5 to 6:30 p.m.
Cost: Free
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