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Weekly Progress Notes January 29


north building

North Building Tours for Physicians

As a reminder, our executive leadership and medical executive teams are requiring ALL physicians and advanced practice providers to participate in a tour of the North Building. Tours are scheduled through Friday, Feb. 14 and you can sign up here. Please note that the tours are broken down into medicine and surgery.

Tours are approximately 45-60 minutes in length and you will need to bring your badge to the tour. Your badge will be scanned for proof of attendance and is needed to access all areas of the North building. One hour of CME credit will be provided for completing the tour.

If you would like to set up a tour with your subsection or group at a different date/time, please contact Michelle at or 301-896-3678.



i-STAT CG4 lactate recall

On January 15, Abbott sent an urgent notice to all i-STAT® users regarding the CG4+ cartridges used at Suburban Hospital for Point of Care Lactate tests. Abbott modified the original FDA cleared cartridge and introduced the current lactate cartridge. Abbott did not pursue FDA clearance for the modified cartridge. Abbott is working closely with the FDA to bring these cartridges into complete regulatory compliance and is submitting this as a recall.

Based on our historical experience and validation of these cartridges, the Laboratory has decided that we will continue to perform the Point of Care lactate testing according to our current procedure. Please read this memo to learn more.



Important Message About 2019 Novel Coronavirus

Public health officials have reported an outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China, with regional spread both in China and in other countries, including the U.S. Although the mode(s) of transmission have yet to be determined, it appears likely that some limited or sustained human-to-human transmission of the virus has occurred.

At Suburban, we are now asking all patients travel-related questions at both Patient Registration and in Triage to determine possibility for exposure to the novel coronavirus. The Epic team is also working to update the travel screening algorithm and to implement a new best practice advisory to help frontline staff and providers identify patients who report recent travel to Wuhan City and respiratory symptoms or fever.

Links to additional information and helpful resources are available below and on the Hospital Epidemiology and Infection Control (HEIC) intranet site.

Please contact Suburban’s Infection Prevention & Control department at x4014 with questions.



Save the Date: Diagnostic Excellence Summit

Johns Hopkins Medicine’s fourth annual Diagnostic Excellence Summit takes place Apr. 29 in the Tilghman Auditorium and Turner Concourse on the East Baltimore campus. The theme for the event is “Keeping Diagnosis Human in the Digital Age,” and registration will open soon.



Click here for the January 2020 calendar on You can download a PDF copy here.



Johns Hopkins Medicine Continuing Medical Education Series

Jan. 29: The History of Biology and Medicine “Arthropod-Borne Viruses: From Walter Reed and Yellow Fever to Zika”—to access click here. Text CME Code 22744 to 443-541-5052 up to eight hours after the event.

Jan. 30: Surgical Grand Rounds “The Anne T. Brennan Memorial Lectureship: Precision Medicine in GI Cancers – Targeting the DNA Damage Response and Repair Pathway”—to access click here.

Jan. 31: Oncology Grand Rounds—to access click here.

Jan. 31: Informatics Grand Rounds "Applied Machine Learning to Enhance Surveillance – Rothman Index: Origins, Science, Uses and Outcomes”—to access click here.




Less-Than-Perfect Kidneys Good for Transplants

Hundreds of kidneys from deceased donors are discarded each year after being deemed not suitable for transplant due to acute kidney injury. But recent research shows they can be transplanted safely and effectively.



Back Pain Caused by ‘Swiss Cheese’ Bones

More than 80% of people will experience lower back pain at some point in their lives. Could it be due to a condition that researchers have labeled “Swiss cheese” bones?





See All Notes Now in Haiku/Canto

It is now possible to view all clinical note types in Haiku and Canto. The Filter option can be used to hide notes by note type and other parameters if desired. Previously, certain note types were not appearing, depending on your role. Haiku and Canto are apps that can allow Providers to access Epic on a mobile device. Features also include the ability to review results, receive push notifications for results that you flag, enter pictures into the chart and use Secure Chat.

For assistance, please reach out to Provider Support (301-896-3767), Michelle Christ ( or Andy Markowski (

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