Medical Staff Pulse Newsletter

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

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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