Linn County immunization rates Date/Time: 5:30 to 7:30 pm, Tuesday, November 17Location: Hallagan Education Center

Faculty: Sharon Bertroche, MD, Mercy Care Community Physicians, MercyCare MarionBinav Shrestha, MD , Intern Physician, MercyCare Marion – relating personal experience treating polio patients in his native NepalKeeli Irwin, ARNP, C-PNP, MSN, Mercy Pediatric ClinicHeather Meador, BSN, RN, Linn County Immunization CoalitionScott Nau, MD, FAAP, Mercy Pediatric ClinicFacilitator: Jeffrey Westpheling, MD, MPH, MercyCare Occupational Health

Join our panel of experts for an informational evening as they address Linn County immunization rates and the increasing trend of under-vaccinated and non-vaccinated children and adults.The learner will:• Review vaccination trends in Linn County and Iowa. • Describe the risks associated with vaccine preventable diseases.• Relate why vaccine preventable diseases are gaining a foothold in our community.• List the talking points healthcare professionals can use when speaking to patients and/or parents who refuse vaccines.

Dinner providedRSVP to Stacy Demoss sdemoss@mercycare.org by Nov. 10ACCREDITATIONThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Iowa Medical Society (IMS) through the joint sponsorship of The Cedar Rapids Medical Education Foundation and Mercy Medical Center. The Cedar Rapids Medical Education Foundation is accredited by the IMS to provide continuing medical education for physicians. The Cedar Rapids Medical Education Foundation designates this educational activity for a maximum of 2 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with their participation in the activity.

*Nursing CEUs: 2.4 contact hours of nursing continuing education credit will be awarded for attending the entire program. Mercy Medical Center, Cedar Rapids, Iowa, is IBN Provider #57. Pre-registration is not required.

Other healthcare professionals: This offering may be eligible for 2.4 contact hours of continuing education credit. Consult your governing rules to determine if appropriate subject matter criteria will apply to credit hours.

Dr. Bertroch, Dr Nau, Keeli Irwin, Heather Meador and Dr Westpheling have disclosed that they have no interest in commercial support.

F r e e C E U / C M E o p p o r t u n i t y : L I N N C O U N T Y I M M U N I Z A T I O N M E E T I N G

C E D A R R A P I D S

Linn County immunization rates Date/Time: 5:30 to 7:30 pm, Tuesday, November 17Location: Hallagan Education Center

Faculty: Sharon Bertroche, MD, Mercy Care Community Physicians, MercyCare MarionBinav Shrestha, MD , Intern Physician, MercyCare Marion – relating personal experience treating polio patients in his native NepalKeeli Irwin, ARNP, C-PNP, MSN, Mercy Pediatric ClinicHeather Meador, BSN, RN, Linn County Immunization CoalitionScott Nau, MD, FAAP, Mercy Pediatric ClinicFacilitator: Jeffrey Westpheling, MD, MPH, MercyCare Occupational Health

Join our panel of experts for an informational evening as they address Linn County immunization rates and the increasing trend of under-vaccinated and non-vaccinated children and adults.The learner will:• Review vaccination trends in Linn County and Iowa. • Describe the risks associated with vaccine preventable diseases.• Relate why vaccine preventable diseases are gaining a foothold in our community.• List the talking points healthcare professionals can use when speaking to patients and/or parents who refuse vaccines.

Dinner providedRSVP to Stacy Demoss sdemoss@mercycare.org by Nov. 10ACCREDITATIONThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Iowa Medical Society (IMS) through the joint sponsorship of The Cedar Rapids Medical Education Foundation and Mercy Medical Center. The Cedar Rapids Medical Education Foundation is accredited by the IMS to provide continuing medical education for physicians. The Cedar Rapids Medical Education Foundation designates this educational activity for a maximum of 2 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with their participation in the activity.

*Nursing CEUs: 2.4 contact hours of nursing continuing education credit will be awarded for attending the entire program. Mercy Medical Center, Cedar Rapids, Iowa, is IBN Provider #57. Pre-registration is not required.

Other healthcare professionals: This offering may be eligible for 2.4 contact hours of continuing education credit. Consult your governing rules to determine if appropriate subject matter criteria will apply to credit hours.

Dr. Bertroch, Dr Nau, Keeli Irwin, Heather Meador and Dr Westpheling have disclosed that they have no interest in commercial support.

Free CEU/CME opportunity: LINN COUNTY IMMUNIZATION MEETING

CEDAR RAPIDS

SBAR: Sepsis Reporting Measures to CMS

S: Reporting of metrics to CMS on Severe Sepsis and Septic Shock went live October 1, 2015

B: Across the Nation, Sepsis is a major cause of Morbidity and Mortality

A: Due to ongoing analysis of the measures and the specific requirements, several areas were identified as needing improvements

R:

1. Antibiotics: Need to be given within three hours of arrival. Broad-spectrum antibiotics are acceptable monotherapy. However, if Vancomycin is ordered, a 2nd antibiotic will need to be given within the first three hours of presentation. Vancomycin is not an acceptable monotherapy in the treatment of severe sepsis and septic shock. It is recommended to give the broad-spectrum antibiotic first followed by Vancomycin.

2. Sepsis exam documentation requires the provider to note the skin color; “normal” is not acceptable, the peripheral pulses and the capillary refill (typically, < 3 seconds or > 3 seconds). We have created a smartext for your convenience to fulfill this documentation requirement. Please incorporate this smart text into your H & P: @SEPSISEXAM@. This needs to be completed within 6 hours of arrival.  

 

Questions?

Sue Dawson, MA, RN, CCRP: 319-533-8869

Dr. Fadi Yacoub: fyacoub@mercycare.org

CMS Spec. Manual: Discharges 10-1-15 through 6-30-16