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Transcript of MERCY MEDICAL CENTER Cedar Rapids, Iowa Anesthesia ...p. · PDF file MERCY MEDICAL CENTER...

  • 1

    MERCY MEDICAL CENTER Cedar Rapids, Iowa

    Anesthesia Department of the Medical Staff

    Wednesday, January 8, 2014 0700 – Mercy Neuhaus Board Room

    I. Call to Order

    II. Approval of November 6, 2013 Minutes (pg. 2-4)

    III. Committee Reports a. MEC Excerpts (Dec. 2013 & Jan. 2014) – Dr. Morrissey (pg. 5-8) b. Administrative Report and Introduction – Mary Brobst (pg. 9) c. Medication Mgmt. Newsletter (Oct/Nov 2013) – Dr. Morrissey (pg. 10-11)

    IV. Old Business

    V. New Business

    a. Anesthesia Block Order Set – Dr. Morrissey / Leon Arens (pg. 12-13)

    VI. Next Meeting Wednesday, March 5, 2014, 0700 in St. Luke’s Formal Lounge

    VII. Adjournment

  • Date: November 6, 2013

    Discussion/

    Leader

    Expected

    Result Content/ Agenda Item

    Meeting Notes/Decisions/Actions or

    Assignments

    Dr. Leff Action Call to Order Dr. Leff called this regularly scheduled meeting of the Anesthesia Department of Mercy Medical Center, a peer review committee, to order at 0705.

    Dr. Leff Action Approval of September 4, 2013 minutes. The minutes were reviewed and approved as distributed.

    Dr. Leff Information Medical Executive Committee Excerpts (October & November 2013)

    Dr. Leff reminded physicians to get influenza vaccination. The OB/Gyn was approved to remove the NRP certification, if feel advanced level practitioners needed let Dr. Leff know. Dr. Matsuda is the new Pediatric Hospitalist for Mercy, and Mercy added Dexmedetomidine to formulary.

    Mercy Medical Center

    Cedar Rapids, IA

    Meeting Minutes for: Anesthesia Department Meeting Chair: Dr. Leff / Recorder: Kathy Holmes

    Committee Reports Committee Reports Committee Reports Committee Reports

    Present: Drs. Aerts, Ahmed, Almasi, Anderson, Botkin, Buffo, Carter, Cogdill, Crumley, Hallman, Harman, Herring, Kemen, Kidwell, Maze, Morrissey, Murtha, Nemickas, Schmidt, Sedlacek, Shires, Stein, Steine and Walsh. Also present: Emily Andrews, Leon Arens, Barb Armstrong and Lauren Cumings.

    Call To OrderCall To OrderCall To OrderCall To Order

    Approval of MinutesApproval of MinutesApproval of MinutesApproval of Minutes

    Start Time: 0700

  • Date: November 6, 2013

    Mercy Medical Center

    Cedar Rapids, IA

    Meeting Minutes for: Anesthesia Department Meeting Chair: Dr. Leff / Recorder: Kathy Holmes

    Present: Drs. Aerts, Ahmed, Almasi, Anderson, Botkin, Buffo, Carter, Cogdill, Crumley, Hallman, Harman, Herring, Kemen, Kidwell, Maze, Morrissey,

    Start Time: 0700

    Dr. Valliere Information Administrative Report (November 2013) Dr. Valliere shared the Physician Forum dates/times. UpToDate access is available on Epic and also available on mobile devices. Mary Brobst, CNO started last week and will be introduced at next meeting. Area wide Active Shooter Emergency Drill taking place in HPCC this evening. If interested in participating, contact Medical Staff office. Results of 2nd floor physician lounge petition showed concerns including too crowded/busy to get through in a timely fashion and infection control concerns. Will be reconfiguring 1st floor lounge to provide noon meal as well. A badge reader will be added to the back door entrance so if you don't have or misplaced your badge, stop by Human Resources. Will be working with infection control risk.

    No old business was discussed.

    Dr. Leff Action Chair/Vice Chair Elections (January 2014 - December 2015) Kyle Morrissey, MD was nominated and elected as Chair. Michelle Lutz, MD was nominated and elected as Vice Chair.

    New BusinessNew BusinessNew BusinessNew Business

    Old BusinessOld BusinessOld BusinessOld Business

  • Date: November 6, 2013

    Mercy Medical Center

    Cedar Rapids, IA

    Meeting Minutes for: Anesthesia Department Meeting Chair: Dr. Leff / Recorder: Kathy Holmes

    Present: Drs. Aerts, Ahmed, Almasi, Anderson, Botkin, Buffo, Carter, Cogdill, Crumley, Hallman, Harman, Herring, Kemen, Kidwell, Maze, Morrissey,

    Start Time: 0700

    Dr. Walsh Discussion

    Perioperative Aspirin Administration

    Pre-operative Testing Guidelines

    Dr. Walsh shared memo regarding Perioperative Aspirin Administration. If patient on aspirin for cardiac reason there needs to be conversation between PCP, Cardiologist and Surgeon before stopping.

    There was discussion on the importance of the C Spine on Rheumatoid or even degenerative spine disease. These guidelines are an on-going process and there is room for clinical judgment.

    Dr. Leff Information Physician Annual Meeting December 3, 2013 at 1800 in St. Luke's Heart Center

    Dr. Leff Information The next meeting will be held on Wednesday, January 8, 2014 @ 0700 in Mercy Neuhaus Board Room.

    With there being no further business, the meeting adjourned at 0735.

    Respectfully submitted, Kirsten Leff, MD

    Adjournment & Next Meeting:Adjournment & Next Meeting:Adjournment & Next Meeting:Adjournment & Next Meeting:

    ANNOUNCEMENTSANNOUNCEMENTSANNOUNCEMENTSANNOUNCEMENTS

  • MERCY MEDICAL CENTER Cedar Rapids, Iowa

    Medical Executive Committee Excerpts

    December 3, 2013 Cedar Rapids Medical Education Foundation Executive Director Dr. Beck introduced Dr. Jennifer Holmes Latterell to the committee. Dr. Holmes Latterell is the newly hired Executive Director of CRMEF. Credentials Committee The Credentials Committee meeting report of November 19, 2013 was given. The following physicians were recommended for membership and privileges: • Jennifer Holmes Latterell, DO – Family Medicine joining Cedar Rapids Medical Education

    Foundation. • Arnold Honick, MD – Radiology rejoining Radiology Consultants of Iowa. Carrie Campbell, ARNP was recommended for Category I ARNP status and privileges in the Surgery department. The below practitioners were recommended for employed surgical assistant activities. • Shayla Baird, RN – Birthplace • Kristyn Francksen, RN – Birthplace • Lisa Jaschen, RN – Birthplace • Amy Steger, RN – Birthplace • Courtney Upah, RN – Birthplace • Julie Wittman, RN – Birthplace • Michelle Erickson, Surgical Technologist – WEO/PRN The committee reviewed the list of reappointments for the 4th quarter 2013. The following physicians were recommended for Advancements: • Jessica Kelley, MD – Anesthesiology • Jody Harmsen, MD – Family Medicine • Joseph Kennedy, DO – Family Medicine • Thomas Serbousek, MD – Family Medicine • Amanda Sommerfeldt, MD – Family Medicine • Muhammad Anwer, MD – Internal Medicine • Jason Cogdill, MD – Internal Medicine • Karim Nahra, MD – Internal Medicine • Alice Fagin, MD – Surgery • Nora Royer, MD – Surgery

  • Medical Executive Committee Excerpts December 3, 2013 Page 2 The committee accepted the following resignations: • David A. Brickey, DO – Internal Medicine/Pulmonology • Stephen Sladek, MD – Family Medicine • Mary Eyanson, MD – Pediatrics • Richard Kahn, MD – Internal Medicine – did not apply for reappointment The committee recommended the revisions to Therapeutic Flexible Fiberoptic Bronchoscopy privilege criteria as submitted. Eduardo Celis, MD was recommended for Bronchial thermoplasty privileges. The committee accepted the department’s review of the current delineation of privileges for Orthopedics and Emergency Medicine and recommendation of no changes to these requirements. The Credentials Committee reviewed the summary report of the FPPE conducted in 4th quarter 2013 and their respective department chair recommendations. No quality issues were identified. James Howe, MD – Surgery was recommended for a full two year reappointment. Dr. Valliere updated the Credentials Committee on the outcome of the conflict resolution vote. The vote was 152 to 56 in favor of discontinuing NRP requirement for obstetricians. The Credentials Committee recommended removal of the requirement from the OB privileging criteria. The Allied Health Practitioner Committee meeting report of October 23, 2013 was given. Applicants recommended for approval: • Sarah Cole, ARNP – UnityPoint Multi-Specialty Clinic (Dr. Paynter) Practitioners recommended for advancement: • Rhonda Bridgewater, ARNP – Mercy Cardiology Clinic (Dr. Campbell) • Mackenzie Groteluschen, ARNP – Linn County Emergency Medicine (Dr. P. Peraud) • Sarah Kluesner, ARNP – PCI Orthopaedic/Podiatry (Dr. Hart) • Nicole Miller, ARNP – Oncology Associates at Mercy (Dr. Wilbur) • Anne Nugent, ARNP – Mercy Cardiology Clinic (Dr. Campbell) • Patricia O’Donnell, ARNP – Internist Associates of Iowa (Dr. Yacoub) Practitioners recommended for re-registration: • Carolyn Hosch, RN – Cedar Valley Hand Surgery (Dr. Johns) • Kevin Huddleston, CA – Biotronic for Intraoperative Monitoring Services (Dr. Maggio) • Katie Kavanaugh, ARNP – Respiratory and Critical Care Associates (Dr. Cowden) • Mindy Martin, ARNP – The Ghosh Center for Oncology and Hematology (Dr. Ghosh) • Kristina Nystrom, RA – Radiology Consultants of Iowa (Dr. Hammer) • Matthew Pilsner, CA – Biotronic for Intraoperative Monitoring Services (Dr. Maggio)

  • Medical Executive Committee Excerpts December 3, 2013 Page 3 Practitioner resignations: • Holly Copeland, ARNP – PCI ENT (Dr. Krivit) • Jody Kolb, ARNP – Mercy Psychiatry (Dr. Munagala) • Evan