sutures newsletter

PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY November 2015 | Archived Issues

P & T Approvals, FDA Warning About Hepatitis Drugs, 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 has released a warning regarding the risk of serious liver injury with use of hepatitis treatments Viekira Pak and Technivie, and the agency says long-term use of Plavix does not change the risk of death for patients with heart disease.


Mark Your Calendar


Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.


Grand Rounds

Click here to view a schedule of all upcoming grand rounds.


Education Schedule

Click the PDF links below to see the Department of Surgery's education schedule.

Education Schedule - December 2015 (PDF)  


Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

Share Your News

Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

Click here to submit your news to Sutures

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.