Diversity, Equity, and Inclusion Education for Physicians
On Monday, June 14 Dennis Murphy sent an email to all IU Health team members titled "A learning module for a respectful workplace," saying: For more than five years, we have been working to create a healthier organizational culture and have looked to the framework of the IU Health Way—vision, values and promise—to guide us. We are making progress, and team members continue to learn and grow while demonstrating our values of purpose, excellence, team and compassion in their everyday interactions with patients and each other.
Still, we have work to do. As we become more transparent and seek feedback about ways to develop the culture we desire, we are learning about critical areas in which to focus. Since becoming CEO, I’ve heard stories from team members where lack of civility and respect have impacted their work environment causing them to change jobs or leave IU Health. In addition, we know when team members feel undervalued or marginalized, this can negatively impact the experiences of our patients.
Our next step is providing education to all team members about civility and respect. A new learning module, the first of several.* It is called “A Civil and Respectful Workplace: Building a Strong Affirmative Culture” and provides clarity on behaviors each team member is expected to demonstrate to further the development of a healthier work culture. This module is the start of an ongoing curriculum to help us learn and practice civility, inclusiveness and anti-racism. Team members should complete this new module by the end of this year.
If you have yet to complete this education you can access it by logging into the Center for Physician Education website.
2021 Opioid CME Series Presented by ISMA
The Indiana State Medical Association (ISMA) is once again offering Indiana’s only CME series on opioid prescribing and abuse that can be accessed through an easy-to-use mobile app. Each webinar in the series counts toward the two hours of continuing medical education required to obtain or renew a Controlled Substances Registration (CSR) by Oct. 31, 2021.
ISMA members get free access to all live webinars in the series as well as content on the ISMA OnlineTM mobile learning app, including archived recordings. Otherwise, nonmembers can access the CME courses for a fee.
For those who join ISMA during the month of July or August, membership dues are prorated to less than $250, while giving physicians access to the entire CME series for free. New members who join after August would pay $490 in dues (plus applicable county society fees) with membership extending through Dec. 2022.
For more information about the 2021 Opioid CME Series presented by ISMA, download ISMA’s fact sheet that includes links to register for the courses or information on how to join.
[NOTE: If you want to include more info on the CME Series in the article – below is additional content. Otherwise, this info is included in the fact sheet linked above, so you can just delete the rest if you want.]
More about the 2021 Opioid CME Series presented by ISMA
- Expert presenters discuss best practices and other important information on caring for patients with or at risk for opioid use disorder (OUD) in a variety of settings.
- Live 60-minute webinars occur on the second Thursday of every month in 2021 and can be viewed on your desktop computer or mobile device. Recordings of each live webinar are archived on the ISMA Online™ mobile learning app for later viewing.
- Pre-recorded 30-minute courses are getting added to the mobile learning app.
Schedule of Opioid CME Courses
Below is a list of the 60-minute webinars with links to register for upcoming live courses. Previous courses are archived and available on the ISMA Online app. Visit ISMAnet.org/Education often as additional courses continue to be added.
Don Selzer, MD
Patrick Clements, MD
Dmitry Arbuck, MD
Matthew Miles, MD
Push Dose Pressor Go Live
On July 20th, IU Health rolled out a new “Push Dose Pressor”(PDP) policy/practice. The utilization of PDP is not new in practice – the practice started becoming popular in practice ~5 years ago, beginning in the OR and now moving into the ED and ICU. It had been noticed that with the increasing use in practice, there were more medication errors, often times with utilization or compounding at bedside. A group of pharmacists came together with Dr. Pafford to create a safer practice for the utilization of PDP. We created educational handouts to explain the use, mechanism, appropriate scenarios, safety concerns, and compounding techniques. Our primary groups to target from a system-level are ED and ICU physicians and nurses as well as pharmacists.
To circumvent the compounding errors, a premade epinephrine product (100 mcg/10 mL) was added to formulary. (Phenylephrine premade syringe is already built/on formulary; additionally, we feel that the epinephrine will be more utilized in these scenarios than phenylephrine.) Not all hospitals within the IU Health System have elected to carry the premade epinephrine syringe – please clarify with leadership at your hospital. There is a new Cerner build that is live as well that can be selected when ordering the product either before or after use. It is understood that due to the acuity of the use, the order will most likely be verbal followed by a Cerner order. To prevent nurses from accidentally overriding the incorrect epinephrine product from the Pyxis, there are Pyxis alerts that will pop up to ensure that the ACLS cardiac epinephrine syringe and epinephrine vial for anaphylaxis are not pulled. The order for override states “Push Dose Pressor” within the name, which will hopefully direct people to the correct product.
The documents and video below were created to provide education about appropriate use, dosing, and safety of push dose pressors. The video was also created to prevent future compounding errors if the premade syringes go on backorder or the facility you are practicing at has elected not to carry the premade syringe.
This isn’t an overly common practice at any location in the system, but due to the high risk nature, we felt that it was important to ensure the practice was reviewed and education dispersed to prevent any additional medication errors.
PDP Compounding Video - Click Here
PDP Compounding Job Aid - Click Here
PDP Handout for Providers - Click Here
Riley Maternity Tower
The new Riley Maternity Tower is set to open on September 12, 2021.
The Riley Maternity and Newborn Health project is a new dimension of care for Riley Children’s Hospital and beginning in Fall 2021, pregnant patients of all ages will present for care and treatment. Many new Maternal and Newborn inpatient services will be offered including but not limited to high risk obstetrical antenatal care, labor and delivery, and NICU. Over the course of this next year, the goal is to keep our providers up to date with essential information as we prepare to embark on unchartered territory with optimism and preparedness.
Synapse PACS Upgrade
The Synapse PACS servers will be upgraded on 7/31 with an expected 2-hour downtime in preparation to use Fuji’s new thin client viewer. In late August, the West Central Region Radiologists will be the first group to begin using this new viewer with other areas adopting the thin client in the months following.
As users are asked to adopt the thin client viewer, they will notice that Conference Folders are missing. Fuji has restructured this area and now call it “Collections”. The current Conference folders cannot be copied automatically to this new Collections area. All Synapse Conference and Board facilitators will have to re-create their conference folders in this new section to have the same functionality when using the thin client as they had when using the earlier thick client.
Why: This is the first step to converting to the more secure thin client viewer where no PHI is stored on the local workstation.
CME opportunities and upcoming events can be viewed at https//live.iuhcpe.org
8/10 - Riley Coffee Talk - Lifeline Presents: The Anatomy of an interfacility EMS Transport - 0.5 CME