Medical Staff Newsletter
February 2019
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High Reliability Organization Journey Continues
Great Safety Catch by Our Medical Staff
Dr. Pratik Panchal and the Cardiac Cath Lab team had just finished a cardiac catheterization with iFR to quantify the severity of a lesion found in one of the vessels. Access for the procedure was obtained via the right femoral artery. Heparin had been used during the case for anticoagulation to achieve a therapeutic ACT result of over 300. Dr. Panchal was walking out of the room to break scrub when he overheard one of the staff members make the following statements "I am going to pull the sheath in here."
He quickly went back into the room and questioned why the sheath was going to be pulled since the ACT was so high. Per policy, arterial sheaths are not pulled until the ACT drops below 170. The staff member realized their error and thanked Dr. Panchal for coming in and stopping them from pulling the sheath. A closure device is used when possible, but was not possible in this particular case.
Dr. Panchal had good situational awareness which lead to his good catch. The staff members were reminded to take a STAR moment prior to any intervention.
Safety Tools Refresher - Self-Check Using STAR
Stop - Pause for 1 to 2 seconds to focus our attention on the task at hand.
Think - Consider the action you're about to take.
Act - Concentrate and carry out the task.
Review - Check to make sure that the task was done correctly and that you got the correct result.
STOP is the most important step. It gives your brain a chance to catch up with what your hands are getting ready to do.
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CMC Physician Takes Part in NJ Devils Youth Hockey Program
David Dickerson, MD, Chair, Department of Orthopedics, took part in the NJ Devils Learn to Play initiative's graduation at Winding River Skating Center in Toms River, answering parents' questions.
The Learn to Play initiative was developed jointly by the National Hockey League and the National Hockey League Players' Association to offer more families a chance to experience everything that makes youth hockey so rewarding.
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Outpatient Infusion Pharmacy Receives Surprise Inspection
On February 8, the Outpatient Infusion Pharmacy received an unannounced inspection by the New Jersey State Board of Pharmacy. No deficiencies were found.
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Medical Staff Member on NJ 12 News
Elisa
Velazquez, DMD, MSD, appeared on News 12 on February 6 to discuss opiates in dentistry.
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Nursing Staff Thank Medical Staff
The Nursing Staff sincerely appreciated the generosity of the Medical Staff and their support of continuing education for nurses. At the February 13 Critical Care Symposium nursing education program, the Medical Staff donated two stethoscopes to be offered to the participants. The winners were Jacquelyn Coda, RN, ED, and Christine Warren, RN, CCU.
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Who Are the Peer Recovery Specialists?
The Peer Recovery Program, formerly known as OORP, provides recovery support services for all patients with substance use disorder, including opioid use disorder.
The goal of the Peer Recovery Program is to fully address the chronic disease of addiction by linking individuals with substance use disorder to the appropriate level of care while providing peer-based recovery support and clinical case management.
The program serves participating RWJBarnabas Health hospitals 24 hours a day, 7 days per week to support individuals on the journey to long-term recovery. Integrated in Emergency Departments since 2016, our Peer Recovery
Specialists work hand-in-hand with doctors, nurses and social workers, making tremendous strides in how substance use disorder is viewed.
Recovery Specialists are in long-term recovery from substance use disorder. They provide bedside intervention and peer recovery support.
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Update on Unavailable Medications
The Pharmacy publishes a list of medications that are unavailable due to multiple reasons including national shortages.
Click here to view the list.
If you have any medication questions, call the Pharmacy at ext. 18048.
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Clinical Documentation Tip of the Month: "Know Your Public Profile"
Public reporting sites that post physicians information, profiles, and statistics:
- Medicare Physician Compare: www.medicare.gov/physiciancompare
- Compare individual physicians
- Stats on ACO information
- Healthgrades: www.healthgrades.com under 'Review Your Doctor' section
- Reviews by public related to their physicians
- Compares physicians
- Provides general information on individual physicians
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Cardiac & Concussion Screenings for Young Athletes
Saturday, April 13, 8 am - 12 pm, RWJBarnabas Health Arena, Toms River
Free cardiac and concussion screenings will be offered.
2019 Geriatrics Symposium
Tuesday, April 23, 8:30 am - 4:30 pm, The Palace at Somerset Park, Somerset
RWJBarnabas Health and Rutgers Biomedical and Health Sciences presents an immersive conference spotlighting the geriatric experience in unique and enlightening ways.
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The following CME programs are scheduled for March 2019 at Community Medical Center:
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03/21/2019
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Cyberknife Radiosurgery for Lung and Prostate Cancer: The Community Medical Center Experience
Noon
Auditoriums A & B
David D'Ambrosio, MD,
Medical Director, CyberKnife,
Community Medical Center
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03/28/2019
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"C-Diff: Be the Diff"
Noon
Auditoriums A & B
Kavan Patel, MD, Community Medical Center
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Changes to CMC Medical Staff
Medical Staff Appointments
Michael Hackman, MD - Department of Medicine, Hospitalist Medicine
Osamudiamen Idahosa, MD - Department of Medicine, Intensivist Medicine
Rana Mady, MD - Department of Ophthalmology
Jason Nehmad, MD - Department of Medicine, Hospitalist Medicine
Francis Onwochei, MD - Department of Medicine, Hospitalist Medicine
Anatoly Rozman, MD - Department of Medicine, PM & R
Thomas Theocharides, MD - Department of OB/GYN
Allied Health Appointment
Mary Castillo, APN - Department of Medicine, Section of Nephrology
Nicholas Flores, CRNA - Department of Anesthesiology
Justina Mammeri, CNM - Department of OB/GYN
Cassandra Surgent, APN - Department of Medicine, Internal Medicine
Tele-Medicine - Tele-psychiatry
Nabir Siddiqi, MD - Department of Medicine, Psychiatry
Change of Status - Regional
Adam Saad, MD - Department of Surgery, Plastic Surgery
Rajat Dhar, MD - Department of Medicine, Rheumatology
Todd Cohen, MD - Department of Cardiology
Ashish Shukla, MD - Department of Cardiology
Resignation
Medhat El-Kharboutly, MD - Department of Emergency Medicine - Effective January 25, 2019
Modification of Privileges
Teresa Menadier, MD - Department of Medicine, Section of Gastroenterology - Addition of Esophageal and Anal Manometry Interpretation
Fatira Elhadi, PA - Department of Medicine, Hospitalist Medicine - Addition of privileges in the Department of Emergency Medicine
Leave of Absence
Meredith Silverstein, PA - Department of Emergency Medicine - Second year of leave effective March 29, 2019
Vikram Varma, MD - Department of Emergency Medicine - Effective February 19, 2019
Residents - Third and Fourth-year Monmouth Medical Center OB/GYN residents' rotation with Dr. Hackett
Zara Hazavei, MD
Radhika Hombalegowda, MD
Rebecca Horgan, MD
Saif Hossain, MD
Fariha Khan, DO
Sonia Sapra, MD
Stephanie Scianni, DO
ShukFong Yiu, MD
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Dept/Committee
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Date
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Time
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Anesthesia Peer Review
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3/7
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6:30 AM
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Blood Drive
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3/18
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9:30 AM
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Cardiac Cath Bus/QA/PR
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3/14
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5:30 PM
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Cardiology Department
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3/14
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6:00 PM
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CMC Board of Trustees
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3/14
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8:00 AM
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Credentials Committee
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3/18
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5:30 PM
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Doctor's Day Celebration
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3/26
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7:00 AM
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Executive Committee
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3/5
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6:00 PM
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Med Staff Quality Council
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3/21
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7:30 AM
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Medicine Department
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3/21
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6:00 PM
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Medicine\Family Med Peer Review
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3/27
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8:30 AM
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Nephrology Section
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3/21
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5:30 PM
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Neurology Peer Review
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3/19
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9:00 AM
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New Physician Orientation
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3/18
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4:00 PM
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OB\Gyn Department
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3/21
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7:00 AM
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OB\Gyn Peer Review
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3/14
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7:00 AM
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OR Advisory
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3/20
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7:00 AM
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Pathology Department
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3/22
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4:30 PM
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Pediatric Peer Review
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3/11
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12:00 PM
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Performance Improvement Council
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3/15
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7:30 AM
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Pharmacy & Therapeutics Committee
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3/26
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8:00 AM
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Pulmonary Section
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3/21
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5:00 PM
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Radiation Oncology Quality Assurance
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3/28
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12:30 PM
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Radiation Safety Committee
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3/20
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1:00 PM
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Radiology Peer Review
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3/27
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5:00 PM
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Radiology Department
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3/27
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5:30 PM
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Robotics Committee
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3/19
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7:00 AM
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STEMI Review Committee
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3/26
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6:00 PM
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Surgery Peer Review
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3/28
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7:00 AM
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Tumor Board - Breast
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3/11
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8:00 AM
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Tumor Board - Breast
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3/25
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8:00 AM
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Tumor Board - Med Onc
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3/1
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12:00 PM
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Tumor Board - Neuro Oncology
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3/18
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8:00 AM
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Tumor Board - OB/Gyn
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3/15
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12:00 PM
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Tumor Board - Thoracic
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3/8
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8:00 AM
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Tumor Board - Thoracic
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3/22
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8:00 AM
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Utilization Review Committee
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3/27
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7:30 AM
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