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Annual Medical Staff Meeting – Save the Date
administration, the physician order must specify “via central Bypass to the Very Distal External Iliac Artery Is Similar to • Research and clinical trials (Caris Target Now® and Total Cancer access,” which includes central venous lines and peripherally Aortobifemoral Bypass: A Matched Cohort Study” Location: Announced in November’s Medical Staff Times inserted central catheters (but does not include midline Invited Speaker: Mark A. Keroack, M.D., M.P.H., peripherally inserted central catheters).
Poster Presenters at SCC
Senior Vice President and Chief Medical Officer, • *Christopher Bailey, MD; John Rinkliff, MD: “Surgical Therapy
FDA Updates
for Abdominal Pain Associated With Congenital Malposition of • Nimodipine oral capsules: IV administration medication errors
For information or to refer a patient, call 454-8282.
• *Christopher Bailey, MD; Jonathan Lokey, MD: “Assessment
Pharmacy & Therapeutics (P&T) Update
• Daptomycin (Cubicin®): Risk of eosinophilic pneumonia (7/29/10)
of Time and Cost of Anesthesia With Versus Without Recurrent The following actions and recommendations were made during • Angiotensin Receptor Blockers (ARBs): Cancer risk (7/15/10)
Laryngeal Nerve Monitoring in Patients Undergoing Total Palmetto Peloton Project
the August meeting of the P&T Committee: • Quinine sulfate (Qualaquin®): REMS regarding risk of
John Siddens, MD, of Jervey Eye Group, and Lisa Barwick, • *Rebecca Johnson, MD; William Bolton, MD: “Histology,
manager, GHS Compensation and HR Information Services, Formulary Evaluations
• Long-acting Beta Agonists (LABAs): New safe-usage
Not Lymph Node Involvement, Predicts Long-term Survival in are among GHS Medical Staff and employee members of the Respiratory Class Review – the following changes to the Palmetto Peloton Project, a cycling group that raises money for respiratory product formulary were approved based on cancer. On October 17, the group will begin “The Challenge recommendations from the Pulmonary Division: Direct questions or comments about this information to Fred *Resident physician, Department of Surgery Residency Program to Conquer Cancer,” a 2,000-mile bike ride from Greenville to • Pirbuterol (Maxair®) will be removed from GHS formulary.
Bender, PharmD, Director of Pharmacy Services, 455-7951.
Austin, Texas. Starting point is the GHS Cancer Center. • Flunisolide (Aerobid®) will be removed from GHS formulary.
Budesonide (Pulmicort®) and fluticasone (Flovent®) will remain
Greenville Radiology Receives Accreditation
To date, the group has raised almost $500,000 to benefit the on formulary as inhaled corticosteroids of choice.
Epilepsy Services Expand
Greenville Radiology, a department of Greenville Memorial LiveStrong Foundation, GHS Cancer Center and other local cancer • Advair® Diskus (salmeterol/fluticasone powder for oral
GHS has expanded capabilities for the diagnosis and treatment of Hospital, has been awarded a three-year term of accreditation inhalation) will be removed from GHS formulary. In addition, all
seizures and epilepsy in both adult and pediatric patients. in digital mammography as the result of a recent survey by the orders written for it will be automatically substituted with Advair American College of Radiology (ACR).
Follow the riders at www.ridetoaustin.com. For information, visit
HFA (salmeterol/fluticasone aerosol for oral inhalation) to reduce Seizure Clinic
www.p3ride.org.
patient costs and allow for a common canister that can be used The Seizure Clinic provides dedicated care for adults who have The ACR, headquartered in Virginia, awards accreditation to by respiratory therapists (where possible). facilities for the achievement of high practice standards after a • Albuterol will be automatically substituted for levalbuterol
peer review evaluation of the practice. Evaluations are conducted Medical Staff News
(Xopenex®) unless “DO NOT SUBSTITUTE” is written on the order.
Epilepsy Monitoring Unit (EMU)
by board certified physicians and medical physicists who assess The following physician has joined the GHS Medical Staff: Levalbuterol is the R-isomer of albuterol (responsible for the Located at Greenville Memorial Hospital, this four-bed unit offers the qualifications of the personnel and the adequacy of the therapeutic effect) and has been reported to cause fewer side continuous 24-hour supervised care and advanced XLTEC video facility equipment. The surveyors report their findings to the Michael J. Palmer, MD, in the practice of Hand Surgery, joining
effects when used at intervals of every six hours or less. Most EEG monitoring. The unit is staffed with certified neurodiagnostic Committee on Accreditation, which subsequently provides the the GHS Department of Neurosurgery/Orthopaedic Surgery studies have not found a clinically significant difference in the technicians and registered nurses trained in the treatment and practice with a comprehensive report.
side effect profile compared to albuterol, and the cost difference between these two products is significant.
The ACR is a national organization serving more than 32,000 CME Events
• Levalbuterol (Xopenex) in adult patients will be automatically
Continuous extended monitoring provides a safe setting where diagnostic and interventional radiologists, radiation oncologists, Events below are sponsored by GHS. For more information, call “dose-optimized” to the 1.25 mg strength. The 0.63 mg strength accurate measurement of the number and type of seizure that and nuclear medicine and medical physicists. Its programs focus 455-3546 or visit www.ghs.org/cme.
will be available in Children’s Hospital only.
patients are having can be more definitively diagnosed. Long- on the practice of medical imaging and radiation oncology and • Combivent (albuterol/ipratropium) – All orders written for this
term EEG recording with video recording of behavioral correlates the delivery of comprehensive healthcare services.
19th Annual DeLoache Seminar
metered dose inhaler (MDI) will be automatically substituted provides a significant enhancement in the ability to arrive at a 6:30-8:30 p.m., Thurs., Nov. 4, Embassy Suites Hotel with albuterol MDI unless “DO NOT SUBSTITUTE” or “FOR “Planned Revisions to the AAP Guidelines for ADHD” COPD PATIENT” is written on the order. This substitution applies GHS Breast Health Program
Speaker: Mark L. Wolraich, MD, University of Oklahoma to orders written for the Combivent MDI only; albuterol and John McBurney, MD, UMG Neuroscience Associates, is EMU GHS’ Breast Health Program is the first in the Upstate to be Health Sciences Center, Child Study Center ipratropium nebulizers (DuoNebs) will not be substituted. medical director for adults; Randall Blouin, MD, is medical accredited by the National Accreditation Program for Breast iGrow (formerly FEED)
Therapeutic Substitutions
5:30 p.m., Thurs., Nov. 11, Robert E. Coleman Medical Staff • Dexlansoprazole (Dexilant™) – An automatic substitution
Referrals are welcome. For questions or consults regarding The program offers initial breast screenings, including of pantoprazole (Protonix) for dexlansoprazole (Dexilant) was adult patients, call UMG Neuroscience Associates at 454-4500.
mammograms, ultrasounds and MRIs. Images are read by “Is Scholarship Declining in Medical Education?” For pediatric patient questions or consult, call UMG Pediatric radiologists dedicated to breast imaging at the Breast Imaging Speaker: Patrick A. McKee, MD, Oklahoma University School of Neurology at 454-5110.
Center at GHS’ Patewood Medical Campus. Breast care also takes Pediatric Task Force
place at the Breast Health Center at Patewood.
In compliance with The Joint Commission National Patient Safety For information, call Gail Gray, RN, manager, at 455-3394.
Goal to reduce the likelihood of patient harm associated with If the diagnosis is cancer, patients can be referred to the use of anticoagulant therapy, a warfarin-monitoring process was Breast Multidisciplinary Center (MDC) on Greenville Memorial approved for pediatric patients throughout GHS. This process is Department of Surgery Abstracts Selected
Medical Campus. The Breast MDC incorporates a streamlined, very similar to that which is currently approved for adult patients Abstracts from the following Department of Surgery faculty and multidisciplinary approach through which, within days of GHS Medical Times is published monthly by the
residents were selected for presentation at the annual meetings referral, newly diagnosed patients meet with a surgeon, Medical Staff Services Department, 455-7928.
of the Southern Surgical Association (SSA) and Southeastern medical oncologist and radiation oncologist in same-day Electrolyte Replacement Guidelines
appointments. The physicians then consult as a team and A standardized Electrolyte Replacement Policy, dosing guidelines create a comprehensive care plan, enabling patients to proceed and education materials were approved for potassium, Presenting at SSA in December
Bruce A. Snyder, MD – Immediate Past President magnesium, phosphorus and calcium. Principles outlined in • Spence Taylor, MD: “Contemporary Management of Diabetic
the policy include (1) Electrolyte replacement orders will be Neuropathic Foot Ulceration: A Comparative Effectiveness Study Patients also have access to a breast cancer nurse navigator, William F. Schmidt III, MD, PhD – Medical Editor completed using standard volumes and preparations; (2) Non- who helps guide patients through the diagnosis and treatment Meredith McGinnis – Interim Managing Editor standard doses and preparations will not be honored unless specific instructions (type and amount of fluid and dose) are The deadline for the November 2010 issue is October 15.
Presenting at SSC in February
included with the statement “DO NOT SUBSTITUTE”; (3) Premixed • *Catherine Bronder, DO; Joseph Camunas, MD: “H. pylori Is Not
Breast Services
If you have questions or would like to submit information solutions will be used when possible per recommendations from the Predominant Etiology for Peptic Ulcers Requiring Operation” • Screenings and diagnostics (mammogram, ultrasound, MRI) for future issues, please contact Meredith McGinnis the Institute for Safe Medication Practices and the American • *Lionel van der Westhuizen, MD; Dane Smith, MD: “Impact of
• Biopsy (stereotactic, ultrasound guided, MRI guided) Society of Health-System Pharmacists to enhance safe medication Nissen Fundoplication on Laryngopharyngeal Reflux Symptoms” E-mail: [email protected]
usage; (4) If the maximum infusion rate is desired for electrolyte • John York, MD; *Michael Cicchillo, MD: “Results of Aortobiliac
Phone: 797-7540 Fax: 797-7563

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