we have an exceptional medical team · we have an exceptional medical team mercy medical center,...
TRANSCRIPT
WE HAVE AN EXCEPTIONAL MEDICAL TEAM
Mercy Medical Center, Cedar Rapids, Iowa is now offering $3,000 to anyone who refers a qualified physician that is hired to practice within Mercy Medical Center or its affiliated clinics. There are many physician opportunities at Mercy.
Visit www.mercycare.org/employment/physician-opportunities/ to find out what they are!
Together, we can continue to build an even stronger health care community.
STEPS TO COMPLETE PROCESSSTEP 1: The person referring the physician must fill out the Physician Referral Program Submission Form located at the website noted above.
STEP 2: The referring person must send the completed form AND attach the physician candidate's resume or CV (curriculum vitae) for approval to:
Mercy Physician Recruitment Department, 701 10th Street SE, Cedar Rapids, IA 52403
STEP 3: Tell the physician candidate to use your name as the person who referred them when contacted by Mercy’s Physician Recruitment Department.
• Approval will only be granted if the Resume or CV is provided and the person’s name that is referring the physician is shared with Mercy’s Physician Recruitment Department by the physician candidate.
PAYMENT STRUCTUREIf the physician candidate accepts a position, you will be notified by Mercy’s Physician Recruitment Department and will receive:
$3,000 after they complete one year of employment. Please note - this is TAXABLE income for all Mercyaffiliated employees. For non-Mercy employees, you would be required to complete a W-9; a 1099 would be provided to you for reporting purposes.
You can take part in helping it grow: refer a physician and earn $3,000.
GUIDELINES • All open physician
positions are eligible to be included in the program.
• Physician candidates must not be currently employed by Mercy Medical Center, Cedar Rapids, Iowa or its affiliated clinics to include, Mercy Home Care and Mercy Hospice.
• If more than one person refers a physician and more than one person is referenced on the application, cover letter, or phone screen, the referral bonus will be divided equally among the referring people.
• Individuals with direct input in the interview and selection process of the applicant are not eligible for the referral bonus program.
• To be eligible for the reward, please refer to the steps required above.
C E D A R R A P I D S
2015-2016 Residents Faculty 26-May-15
Cedar Rapids Medical Education Foundation
2015-2016 Family Medicine Residency Program
(Effective 06-22-15)
Resident I
Safa Y. Abukhalil, M.D. Chirajeevi P. Siddagunta, M.D. Zachary M. Hood, M.D. Brian E. Thatcher, M.D. Prachi Jindal, M.D. Bradley J. Willis, M.D. Rose I. Schabilion, M.D.
Resident II
Rafael Bayramgalin, M.D. Ramya K. Maturu, M.D. Neel G. Bhalala, M.D. Sara D. Snitker, D.O. David M. Byrne, M.D. Kristen A. Steidl, M.D. Jerimiah C. Johnson, M.D.
Resident III
Albert T. Chmielewski, M.D. Ravneet Kaur, M.D. Christopher J. Goetzinger, M.D. Ola M. Khraiwesh, M.D.(becomes R-3 on 7/6/15)
Maris L. Hoke, M.D. Aleksandra F. Siwkiewicz, M.D.
2015 Resident Graduates (Final day of Residency is June 28, 2015 – unless otherwise noted below)
Jason M. Ellis, D.O. Gagandeep Singh, M.D. (effective 02/26/16)
Angela C. Fults, D.O. (effective 07/14/15) Timothy M. Volk, M.D. David R. Sheff, M.D. (effective 12/15/15)
Family Medicine Residency M.D. FacultyJennifer Holmes Latterell, D.O., Ex Dir Kiran Khanolkar, M.D. Donal K. Gordon, M.D., Program Dir Donald A. Nelson, M.D. (part-time) Robert A. Beck, M.D. Ronald Reider, M.D. Jennifer A. Donovan, M.D. Ann K. Soenen, D.O. Jason M. Ellis, D.O. Sujan K. Vadarevu, M.D. (part-time)
To: AllMercyCareStaff
From: BradArcher,MD
Date: June12,2015
Subject: MercyCareAlberts/CahalanMovingto600MedicalPark
EffectiveJune15,2015,Dr.WayneAlbertsandSusanCahalan,PA‐C,willbeginseeingpatientsintheirnewlocationatthe600MedicalParkindowntownCedarRapids,connectedbyskywalktoMercyMedicalCenter.Theclinic’snewaddresswillbe:
MercyCareAlberts/Cahalan6007thStreetSECedarRapids,Iowa52403
Movingtothefirstfloorofthe600MedicalParkwillimprovethelevelofcareDr.AlbertsandSusan’spatientsreceiveduetoeasieraccessandmoreupdatedfacilities.Theofficephonenumbers,hoursofoperationandstaffwillremainthesame.Pleasejoinmeincongratulatingthisteamonthegrowthandsuccessthatmadethismovepossible.
Wood tick adult size
Deer tick at nymph and adult sizes
In the United States, some ticks
carry pathogens that can cause hu-
man disease. Of these illnesses,
Lyme disease, Rocky Mountain
spotted fever and Ehrlichiosis are
some of the more popular tick-borne
diseases.
Different Ticks, cause different dis-
eases and tend to be prevalent in
regions where that species of tick is
most commonly found.
Lyme disease is caused by deer
ticks, primarily in “nymph” stage.
They are tiny, only about the size of
a poppy seed. The incubation period
is 3-30 days.
Rocky Mountain Spotted Fever is
associated with wood and dog
ticks. Incubation period is 2-14
days.
Ehrlichiosis is transmitted by the
Lone Star tick with an incubation
period of 1-2 weeks.
These illness have many similar
clinical presentations including
headache, muscle pain, malaise,
fever and chills. Rash is not al-
ways a symptom, but can be a
distinguishing sign in certain ill-
nesses such as Lyme disease,
where an occasional red ring-like
rash may appear around the bite.
TICKS and MOSQUITOS ARE HUNGRY…..
Are you on the menu?
Spray before you work or play!!!
Most mosquito bites do not result
in disease, but it’s a good idea to
watch for early symptoms of some
of the more commonly encoun-
tered mosquito-transmitted diseas-
es.
West Nile Virus is the most
well known mosquito-
transmitted disease with an
incubation period of 3-14 days.
Usually, this disease is asymp-
tomatic, but 20 % of those
infected will develop symp-
toms that include, sudden fever,
anorexia, malaise, severe muscle
weakness, headache, nausea, vom-
iting or change in mental status.
Treatment is supportive and in-
cludes rest, fluids and over the
counter analgesics.
Malaria, Dengue and Chikungunya
are three mosquito-transmitted
illnesses that don’t commonly
occur in the US, but are prevalent
throughout the world. So….
KEEP IN MIND, if traveling
abroad during peak mosquito
times, PREVENTION is really the
best medicine. See side bar for
Reduce Your Risk tips.
Visit the CDC’s Division of Vec-
tor-Borne Diseases for detailed
recommendations and guidelines
regarding specific tick and mos-
quito-transmitted illnesses and
their treatment.
www.cdc.gov/ncezid/dvbd/
Mercy Medical Center
June 2015
Bugs N Drugs
REDUCE YOUR RISK:
Use repellant containing
DEET on skin and spray
clothing, hats, shoes, camp-
ing gear with permethrin
chemical for added protec-
tion. Re-apply as directed
Wear long- sleeved shirts,
socks and long pants
Perform whole body checks
for ticks throughout the day
(including belly-buttons and
ears) Showering within 2
hrs of being in tick-infested
areas is known to reduce
disease risk
Use Veterinary –approved
tick protection on family
pets
Empty standing water
around your home and envi-
ronment to decrease mos-
quito larvae population
Remove tick immediately by
grasping with fine tweezers
at base of tick and pulling
firmly in an upward motion.
Cleanse site with soap and
water.
701 10th Street SE Cedar Rapids, IA 52403-1292 (319) 398-6011
PHYSICIAN MEMO
DATE: June 17, 2015
FROM: Shawn Steffen, Senior Director of Revenue Cycle
CONTACT: 319-221-8419 or [email protected]
SUBJECT: ICD-10 and Epic Diagnosis Calculator RecentlyyouprobablyhavenoticedtheadditionalEpicdiagnosisbuttonsavailabletomakeyourselecteddiagnosismorespecificwhencompletingtheProblemListorVisitDiagnosis.ThisEpicfunctionalityiscalledthe“DiagnosisCalculator.”Manyprovidershavealreadystartedtousethistoolandhavefoundittobevaluableinmakingthediagnosismorespecific.ThecurrentoptionaluseoftheDiagnosisCalculatormakestheICD‐9diagnosismorespecific,butthiscalculatorwillhelpyouselectthespecificICD‐10diagnosesafterOctober1,2015.Youwillseeagreenbarwhenthediagnosisisspecificenoughforbillingrequirements.InordertoprepareforthenecessaryspecificICD‐10coding,thiscalculatorwithassociateddiagnosisspecificitywillberequiredforICD‐9inearlyAugust.Someproviderswhenusingthediagnosiscalculatorhaveaskedaboutthespecificmeaningof“Initial,”“Subsequent,”or“Sequela.”Belowaredefinitionstohelpwiththeselectioncriteria.Ifyouhavequestionspleasedonothesitatetoreachouttome.FromAAPC(AmericanAssociationofProfessionalCoders):“Initial”IsaSubtleConceptinICD‐10Thereisawrinkle:TheICD‐10‐CMdefinitionofinitialismorecomplicatedthantheusualunderstandingoftheword.Specifically,guidelinesstatethataseventhcharacterAis“usedfortheinitialencounterfortheinjuryorconditionwhilethepatientisreceivingactivetreatmentfortheinjury.Examplesofactivetreatmentare:surgicaltreatment,emergencydepartmentencounter,andevaluationandtreatmentbyanewphysician”[emphasisadded].
Thestatement“evaluationandtreatmentbyanewphysician”canbeasourceofconfusion,butyouwillcodecorrectlyifyouareabletoanswerthebasicquestion,“Hasthepatientpreviouslyreceivedactivetreatmentforthisconditioninanysettingorbyanyprovider?”Forexample:Thepatientisevaluatedintheemergencyroom(ER)foradisplacedtransversefractureoftheleftulnathatcannotbemanagedatthistime.TheERappliesimmobilizationandiceandinstructsthepatienttofollowupwithorthopedicsinthemorning.ThiswouldbereportedusingS52.222ADisplacedtransversefractureoftheleftulna,initialencounterforclosedfracture.Whentheorthopedistevaluatesthepatientandreducesthefracturethenextday,thepatientisreceivinginitialactivetreatmentforthisfracture.Thatis,thisisthefirstencounteratwhichthepatientreceivesdefinitivecare(theERwasabletoapplycomfortcareonly).PerICD‐10guidelines,youwouldagainreportS52.222Aforaninitialencounter.Now,let’schangethescenario:Thepatienthasagreenstickfractureoftheshaftoftheleftulna,whichisdefinitivelymanagedintheERwithacastorsplint.YouwouldreportthiswithS52.212AGreenstickfractureoftheshaftofleftulna,initialencounterforclosedfracture.Whenthepatientisevaluatedfortheinjuryintheorthopedicofficeatalaterdate,itisasubsequentencounter(fromthepatient’spointofview).ThisistrueevenifthecastorsplintisremovedandanewoneisappliedbecausethepatientalreadyreceiveddefinitivefracturecareintheER.SubsequentIsSimpleICD‐10‐CMdefinessubsequentencountersas“encountersafterthepatienthasreceivedactivetreatmentoftheinjuryandisreceivingroutinecarefortheinjuryduringthehealingorrecoveryphase.Examplesofsubsequentcareare:castchangeorremoval,removalofexternalorinternalfixationdevice,medicationadjustment,otheraftercareandfollowupvisitsfollowinginjurytreatment.”Continuingwithourexample:Ifthefractureishealingasitshould,theorthopedicofficewouldreportS52.212DGreenstickfractureoftheshaftofleftulna,subsequentencounterforfracturewithroutinehealing.WhatIsSequela?ICD‐10‐CMsaystheseventhcharacterSis“foruseforcomplicationsorconditionsthatariseasadirectresultofaninjury,suchasscarformationafteraburn.Thescarsaresequelaeoftheburn.”Inotherwords,sequelaarethelateeffectsofaninjury.Perhapsthemostcommonsequelaispain.Manypatientsreceivetreatmentlongafteraninjuryhashealedasaresultofpain.Somepatientsmightneverhavebeentreatedfortheinjuryatall.Astimepasses,thepainbecomesintolerableandthepatientseeksapainremedy.Forexample:Apatientsuffersalowbackinjurythathealsonitsown.Thepatientisn’tseekinginterventionfortheinitialinjury,butforthepainthatpersistslongafter.The
chronicpainissequelaoftheinjury.SuchavisitmaybereportedasG89.21ChronicpainduetotraumaandS39.002SUnspecifiedinjuryofmuscle,fasciaandtendonoflowerback,sequela.Thebottomline:WithICD‐10CM,it’simportanttostayfocusedonthepatient’sdiagnosesandcodeonlyfromthatperspective.http://news.aapc.com/initial‐subsequent‐or‐se‐quela‐encounter/FromICD‐10Monitor:EpisodeofCareTheepisode‐of‐careseventhcharactersareusedprimarilyforinjuries,poisoningsandotherconsequencesofexternalcauses;therearethreeseventh‐characterextensionsformostoftheseconditions,withtheexceptionoffractures.Theseinclude:Initialencounter(“A”):initialencounterisdefinedastheperiodwhenapatientisreceivingactivetreatmentforaninjury,poisoningorotherconsequencesofanexternalcause.An“A”maybeassignedonmorethanoneclaim.Forexample,considerapatientseenintheemergencydepartment(ED)foraheadinjurythatfirstisevaluatedbyanEDphysician.IftheEDphysicianrequestsaCTscanthatsubsequentlyisreadbyaradiologistandaneurologist,theseventhcharacter“A”isusedbyallthreephysiciansandalsoreportedontheEDclaim.Ifthepatientrequiredadmissiontoanacute‐carehospital,theseventhcharacterwouldbereportedfortheentireacute‐carehospitalstaybecause“A”isusedfortheentireperiodwhenthepatientreceivesactivetreatment.Subsequentencounter(“D”):thisisanencounteroccurringaftertheactivephaseoftreatment,whenapatientisreceivingroutinecareduringaperiodofhealingorrecovery.Forexample,apatientwithananklesprainmayreturntotheofficetohavejointstabilityre‐evaluatedtoensurethattheinjuryishealingproperly.Inthiscase,theseventhcharacter“D”wouldbeassigned.Sequela(“S”):theseventh‐characterextension“S”isassignedforcomplicationsorconditionsarisingasadirectresultofaninjury.Anexampleofasequelaisascarresultingfromaburn.http://www.icd10monitor.com/index.php?option=com_content&view=article&id=259%3Aunderstanding..&showall=1
COMING THIS SUMMER:
WELCOME TO CEDAR RAPIDS!
Brian Cheney, M.D.
Linn County Anesthesiologists, P.C.
grew up in Ames, Iowa and received his B.S. in neuroscience from Brigham Young University in Provo, Utah. After graduating, he worked at the National Institutes of Health in Bethesda, Maryland for a year before moving back to Iowa for medical school and then anesthesia residency at the University of Iowa. Dr. Cheney and his family are very excited to be staying in Iowa as he joins LCA in July.
Aaron Schmidt, M.D.is originally from Wisconsin and received his B.S. from the University of Wisconsin-Madison. He moved to Iowa for medical school at the University of Iowa, and stayed at the University of Iowa for his anesthesia residency training. He and his wife, Nicole, and their son, Theodore, are excited for their future in eastern Iowa. His interests include all things Wisconsin Badgers and Packers, golfing, and spending time with his family. He will be starting with LCA in July.
Jay Diaz-Parlet, M.D. grew up in Minneapolis, Minnesota where he completed his undergraduate studies in biochemistry followed by medical school at the University of Minnesota. He completed an internship at the Naval Medical Center San Diego after which he spent four years caring for our Navy’s diving teams and submariners before resuming training at the University of Iowa where he completed Anesthesia residency. He enjoys spending time with his two children, playing basketball, biking and traveling. He will be joining LCA in July.
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Medication Management Committee Mercy Medical Center
Cedar Rapids, Iowa Volume 16 June 2015
Formulary Additions Emtricitabine (Emtriva) (for use with the SANE protocol) Tenofovir (Viread) (for use with the SANE protocol) Prevnar 13
Policy Updates Medication Formulary Policy
Sepsis Order Set Changes
Alert Space Suppressions Order Set Suppression
o MMC IP Anes PACU POST
o Change frequency on severe pain
meds to “as needed” and add verbiage
of “administer every 10 min as needed”
in the admin instructions
Duplicate Therapy Allowances – Increase
allowance to 1
o Selective Serotonin 5-HT3 Antagonists
o Anti-Anxiety Agents
o Peptic Ulcer Agents
o Local Anesthetics-Parenteral
o Multivitamins
o Plasma Proteins
o Topical Corticosteroids
o Antipsychotics & Antipsychotics,
Atypical
o Stimulant Laxatives
Duplicate Medication
o Sodium Chloride 0.9%/Lactated
Ringers, suppress at medication level
Membership Fadi Yacoub, Chair Vincent Reid, MD
Susan Schima, MD Mark Valliere, MD
Asma Al-Zougbi, MD Usha Renganathan, MD
Martin Cearras, MD Mary Brobst
Lauren Cumings Sarah Schloss, ARNP
Stephanie Hoenig, ARNP Jamie Sinclair
Becky Prier Stacy Pohlman
Lisa Ridge Jen Goings
Amber Straw Megan Standish
Kathy Swift Andrea Bennet
Ariel Loring
Don Hilliard, MD* Chris Walsh, MD*
Matt Aucutt, MD* Dan McGrail, MD*
Donal Gordon, MD* Brandon Bourgeous, MD*
Wendy Sanders* Sarah Kearney*
I N S I D E T H I S I S S U E
Formulary Additions
Policy Updates
Alert Space Suppressions
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Medication Management Committee Mercy Medical Center
Cedar Rapids, Iowa Volume 15 May 2015
Formulary Interchanges Medication Ordered Interchanged To
Levemir / NPH Insulin Lantus
Policy Updates Pneumococcal and Influenza Vaccination – Inpatient
Population
Medications Supplied by Patients, Families, or
Licensed Independent Practitioners
Alert Space Suppressions Inactive ingredient warning for providers, would still
fire for pharmacy
Increase duplicate order allowance for non-narcotic
analgesics / antipruritic, non-salicylates to one
Good Catch Program Increase reporting in the MIDAS system as a way
to identify potential system problems to better
improve patient safety.
Defined as an event of circumstance that has
potential to cause an incident but did not due to
corrective action or timely intervention.
Increase in Medication Cost S: Valent Pharmaceuticals International Inc. purchased
the rights to nitroprusside (Nitropress) and
isoproterenol (Isuprel) in February 2015.
B: These Medications have been on the market for
decades and are the latest to be part of the “sole
source” prince increases occurring in the
pharmaceutical industry. Nitroprusside is used for
hypertensive crisis, acute decompensated heart failure,
and during some surgical procedures to induce
hypotension to reduce bleeding. Isoproterenol is largely
used to treat heart block, bradycardia, and in some
diagnostic studies.
A:
Medication Cost prior to Feb Current Cost
Nitroprusside $205 $617
Isoproterenol $209 $1254
R: Assess areas of current utilization and identify if
there are areas of opportunity to limit use. Educate
prescribers on the cost impact of this acquisition.
Membership Fadi Yacoub, Chair Vincent Reid, MD
Susan Schima, MD Mark Valliere, MD
Asma Al-Zougbi, MD Usha Renganathan, MD
Martin Cearras, MD Mary Brobst
Lauren Cumings Sarah Schloss, ARNP
Stephanie Hoenig, ARNP Jamie Sinclair
Becky Prier Stacy Pohlman
Lisa Ridge Jen Goings
Amber Straw Megan Standish
Kathy Swift Andrea Bennet
Ariel Loring
Don Hilliard, MD* Chris Walsh, MD*
Matt Aucutt, MD* Dan McGrail, MD*
Donal Gordon, MD* Brandon Bourgeous, MD*
Wendy Sanders* Sarah Kearney*
I N S I D E T H I S I S S U E
Policy Updates
Therapeutic Interchange
Increase in Medication Cost
Good Catch Program
Alert Space Suppressions
A PARTNERSHIPUNITY POINT-ST. LUKE’S HOSPITAL • MERCY MEDICAL CENTER • PHYSICIANS’ CLINIC OF IOWA
Dear Mercy Staff,
Please see following this letter the new EISC Referral Order for providers, scheduling staff and nursing. It is also located on our website at www.eisleep.com/forms.
Please note the changes to the referral order:
• Reduced boxes. Documentation for sleep symptoms and added conditions are now required by insurance to be IN THE ORDERING PROVIDER’S NOTES. Therefore checking off the symptoms on the Order is not enough for insurances.
• DX OSA is the majority of what is requested; so multiple other DX were removed.
• Codes for the study types are listed for pre-authorizations.
• New code for Home Study.
• A new section for the patient to be seen by a Sleep Medicine Specialist, if the sleep study(s) shows a sleep disorder, is now an option! If this new area is checked by the ordering provider, EISC will forward a copy of the results as normal to original ordering provider and will also forward the request to the selected sleep provider for the patient to be followed up and managed for their sleep disorder only.
EISC hopes these changes help your staff and patients for a smooth scheduling process. Also getting access to Sleep Medicine providers just got easier.
Any questions, please let me know.
Lisa A. Gleason, EISC Business Manager
www.eiSleep.com600 7th Street SE, 2nd flrCedar Rapids, IA 52401Office (319)362-4433 Fax (319)362-4466
A PARTNERSHIP UNITYPOINT-ST. LUKE’S HOSPITAL • MERCY MEDICAL CENTER • PHYSICIANS’ CLINIC OF IOWA
600 7th Street SE • Cedar Rapids, IA 52401phone.319.362.4433 • tollfree.877.361.4433 fax.319.362.4466
EISC Use Only – Thank you!
Scheduled Date/Time:
EISC Dr. signature:
EISC Approval/Date: CO2: Y N
EISC No:
PATIENT PERSONAL INFORMATION
First name: ______________________________________________ Last name: __________________________________________________
Address: ________________________________________________City: _______________________State: _______ Zip: ______________
Cell phone: ___________________________ Home phone: ___________________________Work phone: ___________________________
DOB: _______________________ Gender: M F Weight __________Height _______________ Neck circumference __________ inches
Sleep hours: o Night o Day o Shift work o Other hours ________________________________________
Special needs:oOxygen o Wheelchair o Walker o Other _______________________________________
INSURANCE INFORMATION: Please provide front and back for card(s)Primary Secondary Pre- AuthInsurance: _____________________________Insurance: _________________________________Form/ #: ____________________________
ATTACH ORDERING PROVIDER NOTES – Per insurance requirements medical necessity must be established prior to the study and documented in the patient medical record. Medical necessity includes, but not limited to two sleep symptoms: snoring, witnessed apnea, choking or gasping during sleep, morning headaches, excessive daytime sleepiness, disturbed/restless sleep. Any added information such as: co-morbid conditions, validated Epworth Sleepiness Scale, duration of sleep symptoms, BMI, neck circumference, focused cardiopulmonary and upper airway system evaluation and other factors as appropriate.
PROVIDER ORDERS:DX: OSA (unless otherwise indicated) DX: ____________________________ DX: _________________________
o Diagnostic PSG 95810 & 95811 (polysomnogram) w/ split night or second night titration, if indicatedo Diagnostic PSG 95810 (polysomnogram) ONLY, no additional testingo PAP (re)titration with CPAP or BiPAP (including autoSV and AVAPS)o Consider CO2 monitoringo Home sleep test 95806 (High pre-test OSA ONLY) o Maintenance of Wakefulness Test MWT (Concerns about patient ability to stay awake)For MSLT, Actigraphy and/or specialized sleep issues please see Sleep Medicine Provider first.
Previous study done at:
Sleep Aid: None: ____ Zaleplon(Sonata) _____ mg Zolpidem(Ambien) _____ mg Eszopiclone(Lunesta) ______mg Other: ______________
IF YOU HAVE PROVIDED YOUR PATIENT WITH A SLEEP AID, PLEASE INSTRUCT THEM TO BRING THE FILLED PRESCRIPTION WITH THEM TO THE SLEEP STUDY. THE SLEEP TECHNICIAN WILL INFORM YOUR PATIENT WHEN THE SLEEP AID SHOULD BE TAKEN.
Referring Provider _____________________________________ Phone:_________________________ Fax: ___________________________
Referring Provider Signature: _________________________________________________________ Date: _____________________________
PCP (if different): ___________________________________________________________________ Phone: ___________________________
(Print)
Select one of the following should the patient have a sleep disorder:o Send the patient for follow up and treatment to a Sleep Medicine Provider: o PCI Sleep Medicine Provider o UnityPoint Sleep Medicine Provider o No preference
o I will follow up with the patient regarding the test results.
Do not return to daycare
as an employee or at-
tendee, work in food
handling/prep environ-
ments, or work in health
care setting until ap-
proved by local Public
Health Dept. via a re-
peat stool sample.
Wash hands before and
after handling food,
after using the bath-
room or after changing
diapers (wash baby’s
hands, too)
Make sure children
wash hands thoroughly
Properly dispose of
diapers and disinfect
the changing area
Never prepare food if
you have diarrhea
Do not swim in pools
or lakes if you have
diarrhea.
Talking Points For Prevention
Shigellosis develops when
a person is infected with
the Shigella bacteria.
This bacteria causes
about 500,000 cases of
diarrhea in the United
States annually.
So far in 2015, Linn
County has reported
more than 50 cases. Typ-
ically, there are only 4-5
cases/year in Linn Co.
SOOOO…...
How Is Shigella
spread?
These germs are present
in the stool of infected
persons and can remain
up to 2 weeks after the
diarrhea is gone. Shigel-
la is VERY contagious.
Even a tiny amount of
contaminated fecal mat-
ter —too small to see–
can cause infection via
the fecal-oral route.
Examples of fecal-oral
transmission include,
eating food contami-
nated with shigella,
improper hand wash-
ing after diaper
changes, esp. in day-
care settings, or in-
gesting water con-
taminated with shi-
gella bacteria from
pools or lakes.
Symptoms of Shi-
gellosis:
Watery diarrhea
Fever
Abdominal Pain/
cramping
Nausea and Vomiting
More severe symp-
toms include, high
fevers, very sever di-
arrhea/dehydration or
convulsions.
Most people infected
with Shigella bacteria
become ill within 1-2
days after exposure.
Symptoms usually
last 5-7 days.
Persons with mild
cases of Shigellosis
usually recover on
their own without
medication. However,
antibiotics can be pre-
scribed in more se-
vere cases.
Those with high fever
or prolonged/bloody
diarrhea should con-
tact their doctor.
Hospitalization may
be required to man-
age more severe Shi-
gellosis.
BUGS n DRUGS
Shigellosis
4 Species of Shigella:
Shigella sonnei (most
commonly found in in-
dustrialized countries)
Shigella flexneri (prevails
in developing countries)
Shigella boydii
(uncommon)
Shigella dysenteriae (most
uncommon)
M erc y M ed ica l Cen te r June 2015 For M ore In fo - vis i t : www .cdc .gov/sh ige l l a