The following were discussed during the faculty meeting today, please pay close attention:
- If as a primary team it is decided that you will not institute the recommendations of a specialist, please document the reason.
- ex: nephrology consulted and recommends diuresis but as a primary team you decide that this may not be beneficial to the patient due to hypotension, please note it in your progress note.
- Antibiotics are recommended within 1 hour of recognizing sepsis. When evaluation patients in the ED and recognizing sepsis, place your first dose of antibiotics in the ACTIVE ORDERS, not the delayed orders. Contact the nurse and inform them as they don't get automatic print outs of orders.
- When placing critical orders (imaging, labs, medication, etc) in ED patients. Place them in the ACTIVE orders so they are available to nursing staff immediately.
- There will be a specialty evaluation committee on 2/24/15. The objective is to evaluate the medicine specialty services. If you have any recommendations, suggestions or concerns regarding any of the medicine sub-specialties, please post (anonymously if you'd like) in the comments below.
- Please make sure that there are Internal Medicine Consults placed when seeing patients.
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