Cedars-Sinai Medical Center

medical staff pulse newsletter

Text size: A A A
A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF November 20, 2015 | Archived Issues

P & T Approvals, FDA Statement About Plavix

Pharmacy Focus

See highlights of the October meeting of the Pharmacy and Therapeutics Committee. Also, the U.S. Food and Drug Administration says that long-term use of Plavix does not change the risk of death for patients with heart disease.

» Read more


Meetings and Events


Grand Rounds

Click here to view upcoming grand rounds.


Upcoming CME Conferences

Click below to view a complete list of all scheduled Continuing Medical Education conferences.

CME Newsletter - November 2015 (PDF)  


Milestones

Viorica Ionut, MD, PhD, Ali Kashani, MD, and Arnold Klein, MD, have died.

» 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

Cardiac Monitoring Policy Is Updated

In order to make beds with cardiac monitors available to more patients, Cedars-Sinai has adapted the 2004 American Heart Association cardiac monitoring guidelines for use as its policy concerning the utilization of cardiac monitoring of general medical-surgical adult inpatients.

Starting Nov. 7, when ordering cardiac monitoring for a patient, providers will select a diagnostic indication for cardiac monitoring. Based on this indication, cardiac monitoring will have an associated time limit, either 24 or 48 hours, or until the order is discontinued. Four hours prior to order expiration, physicians and bedside nurses will receive best practice alerts (BPAs) to evaluate the order for renewal.

Details about the change:

  • Providers will order cardiac monitoring by selecting the appropriate diagnostic indication for monitoring based on a table of indications.
  • Providers and nurses will receive a BPA four hours before the cardiac monitoring order expires.
  • Nurses can renew the cardiac monitoring order if the patient is clinically unstable or has a new or worsening arrhythmia. In addition, nurses will allow the cardiac monitoring orders to expire if the patient is clinically stable and free of any arrhythmias as per policy.
  • If a patient has discharge orders, or if a provider decides to let the cardiac monitoring order expire, neither providers nor nurses will continue to see the expiring order BPA.
  • Nurses will see a separate BPA if documentation shows that the patient is on cardiac monitoring without an active order. They will be prompted to contact a provider to obtain a cardiac monitoring order.

The cardiac monitoring change is one of several CS-Link™ updates that took effect Nov. 7. For more information and illustrations, see this document in CS-Link Central.