Numbers and contact information that you should have!!!

• Cerner Hotline - get immediate answers to your questions - call ext. 5552 (from outside the hospital - 619-740-5552)
• Sign up your staff for "read only" rights to lab and xray results from your office by emailing their names to Nicki Horanzy at veronica.horanzy@sharp.com
• Suggestions regarding the content of order sets, etc., can be emailed to Julie McCoy at julie.mccoy@sharp.com (she'll be able to forward your thoughts to the appropriate team member)

Another option that's always available, 24 hours a day, is the MD Information Systems Hotline (858-627-5202).

CHANGES IN: REPORTING UOM (units of measure)
NORMAL REFERENCE RANGE
DVT/PE NEGATIVE PREDICTIVE VALUE

Sharp HealthCare Hospital clinical laboratories started using a new quantitative high-sensitivity D-Dimer assay on Thursday, October 14, 2010.

The new assay is still orderable as D Dimer. The reporting units are in ng/mL and are different from the previous assay.

The reference range for this new assay is 0-243 ng/mL.

The negative predictive value (NPV) for DVT and PE has a clinical cut-off of 230 ng/mL.

This interpretive statement will be attached to each result:
Patients with a low suspicion or risk of DVT or PE may have D-dimer levels of less than 230 ng/mL that should be interpreted in light of other clinical indicators. D-dimer testing is not indicated in patients with a high probability of DVT or PE. Elevated D-dimer levels can be found in a number of conditions such as pregnancy, infection, inflammation, DIC, and carcinoma.

This new assay utilizes improved turbidometric methodology, and is a fast, sensitive and accurate quantitative assay for D-Dimer. In addition, this test allows more specific D-Dimer detection, and is less effected by interfering substances, such as Rheumatoid factor. Our in-house correlation has shown that this assay is equivalent in to the ELISA-based assay currently in use. Should you have any questions about these changes, please feel free to contact the SGH laboratory at 619-740-4492.

Friday, October 29
6 pm
Parkway Bowl
$10 person (and that includes shoe rental)

Please RSVP to Peggy Woods at peggy.woods@sharp.com.

The SGH pharmacy's supply of IV Furosemide is depleted.

The pharmacy will be implementing the P&T approved therapeutic interchange for loop diuretics as approved by the P&T Committee. Pharmacy is requesting all physicians to order IV BUMEX.

The SGH pharmacy supply of IV Furosemide is depleted.

Al physician orders for IV Furosemide (Lasix) will be automatically interchanged with IV Bumetanide (Bumex). Enter the Bumex IV order by utilizing the "Per protocol" Communication Mode .

ALWAYS MAINTAIN the IV Furosemide (Lasix): IV Bumetanide (Bumex) 40 to 1 ratio.

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