Couple things:
Cefazolin and Ceftriaxone will now (temporarily) only be in 2g Syringes in the ED Accudose machines due to fluid shortages.
Option 1: Just order 2g (while this may be more than necessary for some patients, there’s really no harm–renal patients if admitted would just have an interval adjustment).
Option 2: Order 1g, and wait for Pharmacy to tube up the 1g dose.

Unasyn is being pulled from the ED Accudose: you can still order, may just take a bit more time for pt to get as it will come from pharmacy.

IV fluids, Fentanyl, Morphine, Dilaudid are all on shortage. We have them, use them when appropriate, but consider oral fluids/pain meds if appropriate.

Let me know if you have questions/concerns. Thanks for reviewing. I’ll update you as things change/develop.

Ross

All,

Just a heads up, spoke with Hala Karnib, one of the Pulmonary Fellows and she requested if we have any lung masses (not just your basic pulmonary nodule repeat CT 3-6 months), that they be called and notified.
If these patients don’t require admission, they are able to and prefer to set them up for close follow up with Bronchoscopy, even within a couple days.
We had a patient yesterday who had been seen last summer in our ED for an unrelated complaint but ended up having a Lung Mass diagnosed; she was notified of this but didn’t really have follow up set up (though she had a PCP). This isn’t necessarily our fault, but had she been plugged into the Pulm system they would have contacted her to ensure she wasn’t lost to follow up (which she was and now presents with worsened metastatic cancer).
At least per her, they’d like to be called about these patients anytime. Thanks,

Ross