Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF Oct. 29, 2010 Issue | Archived Issues

Pharmacy Focus

Formulary review of asenapine (Saphris®) and several physician guidelines, including methotrexate for ectopic pregnancy, were among the items addressed by Cedars-Sinai’s Pharmacy and Therapeutics Committee at its August 2010 meeting.

For more information, call Cedars-Sinai’s Drug Information Center at (310) 423-3784.

Pharmacy and Therapeutics Committee August 2010


Physician News

Margie A. Morgan, Ph.D.

Rick B. Delamarter, M.D.

Hyun Bae, M.D.

» Read more


Meetings and Events

The Jewish World of Broadway
Nov. 4

The Great American Stickup
Nov. 5

Advances in Multi-Specialty Aesthetic and Reconstructive Plastic Surgery Symposium and Bernard G. Sarnat, M.D., Lectureship
Nov. 6-7

Run for Her
Nov. 14

» Read more

Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

Click here to share your news

2010 Influenza Screening and Testing

Patients in medical settings with influenza-like respiratory illness should be screened using the following criteria:

  • Fever (>38.0oC or >100.4oF)

AND one or more of the following:

  • Cough
  • Shortness of breath
  • Difficulty breathing
  • Muscle aches
  • Sore throat

If the patient meets the above criteria:

  • In ambulatory settings and Emergency Department, immediately place a surgical mask on the patient.
  • If possible, separate the patient from others or place the patient in a private room.
  • If admitted, it is not necessary to place the patient in a negative pressure room.

 

Isolation Precautions

Call Hospital Epidemiology at (310) 423-5574 with questions.

  • Healthcare workers evaluating suspected cases should use the “Droplet Isolation” precautions currently recommended by the CDC as follows:
    • Hand hygiene – Wash hands (soap and water or alcohol-based hand rub) before entering and upon leaving the patient room
    • Masks* – Wear a disposable surgical mask upon entering room
      * Wear an N-95 respirator mask with face shield or powered air purifying respirator (PAPR) when performing aerosol-inducing procedures such as sputum induction, intubation, extubation or bronchoscopy.
  • Follow standard precautions (as with all patients):
    • Gloves – Wear disposable gloves gloves if hand contact with respiratory secretions or potentially contaminated surfaces is anticipated
    • Gowns – Wear disposable gown if soiling of clothes with a patient’s respiratory secretions is anticipated

Laboratory Testing

Contact Microbiology (Dr. Morgan or Dr. Nichols) at (310) 423-4777 with questions.

CSMC laboratory influenza testing protocol:

  • Submit a nasal (upper nasal) or nasopharyngeal (NP) swab placed in Universal Transport media. For pediatric patients, nasal washing specimens are appropriate.
    • Submit specimens to the Microbiology lab (7th floor)
    • Testing sensitivity is highly dependent on the quality of specimen collection
  • PCR is the test of choice for all adult and pediatric inpatients suspected of having influenza. Order “Influenza PCR” – turn-around time is ~24 hours (weekend times may vary).

Influenza Screening and Testing