On the Internet: Reach Express Scripts at express-scripts . Visit Express Scripts' website anytime to learn about patient care, refill your mail service prescriptions, check the status of your mail service pharmacy order, request claim forms and mail service order forms or find a participating retail pharmacy near you. By Telephone: For those insureds who do not have access to Express Scripts via the Internet, you can learn more about your program by calling Express Scripts Member Services at 1-877-256-4680, 24 hours a day, 7 days a week. Special Services: Express Scripts continually strives to meet the special needs of PEIA's insureds: You may call a registered pharmacist at any time for consultations at 1-877-256-4680. PEIA's hearing-impaired insureds may use Express Scripts' TDD number at 1-800-972-4348. Visually impaired insureds may request that their mail service prescriptions include labels in Braille by calling 1-877-256-4680.

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28. 7.3.1.6 EMERGENCY PLAN, c. Emergency Kits: currently how many emergency kits are in the facility and who is responsible for the cost of restocking the emergency kits? There is an emergency kit in each facility. The vendor is responsible for the cost associated in stocking and re-stocking each kit. 29. 7.3.2 MANAGING A SAFE AND HEALTHY ENVIRONMENT, b. Staff Vaccination: what is the number of Sheriff's Office staff vaccinated for Hepatitis B on an annual basis? How many Sheriff's Office staff are tested for TB on an annual basis? Sheriff's Office staff currently receives Hepatitis B vaccination from their community provider. In 2006, approximately 295 TB tests were planted and read for Sheriff's Office Staff. 30. 7.3.2.5 FIRST AID SUPPLIES: who is responsible for the cost of replenishing the first aid kits? If the vendor, how many kits are currently in place throughout the facility and in the county vehicles? Basic first aid supplies are kept at all 18-work station within the three jail facilities. The vendor is responsible for the cost associate with stocking and re-stocking each kit in the jail. 31. 7.3.3.2 CONTINUING EDUCATION FOR QUALIFIED HEALTH SERVICES PERSONNEL, a. Jail Orientation: how many hours are required per person for the jail orientation training? The average jail access class for the medical staff is 4 hours. Classes are held in the Public Safety Building on a routine basis. 32. 7.3.3.3 TRAINING FOR SHERIFF'S DEPUTIES JAILERS: what is the frequency of the training for the jail staff and approximately how many hours per year? Per NCCHC standards, deputies who work with inmates receive health-related training at least every 2 years. In 2006, each deputy received two hours of instruction on medical and mental health related topics for approximately 25 hours of instruction. CPR is not considered a portion of this training. 33. 7.3.3.4 MEDICATION ADMINISTRATION TRAINING: how many medication administrations are conducted daily? Does medical take the medications directly to the inmates in each pod or are the inmates brought to a medical station to receive medications? Does an officer accompany the nursing staff on medication administrations? See #14. 34. 7.3.3.7 STAFFING LEVELS: b. Health Record Department Staffing: the RFP states "Contractor shall maintain a credentialed health records professional to manage the medical records department and management." Is this position currently filled with a credentialed health records professional? Can you provide his her name and phone number? Medical Records is currently staffed by two full time records clerks. 35. i. Staff Parking, Security Passes, Keys: what is the cost per parking permit per month? See #7. 36. 7.3.4.1 PHARMACEUTICALS: Who is the current pharmaceutical provider?. REFERENCES 1 Albro PC, Could liams DL. myocardial imaging KL, Westcott during 1978; RJ, Hamilton of pharmacologic 42: 751-60, for instance, side effects.
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Inclusion criteria: Chronic progressive renal insufficiency decrease in 1 SCr of at least 0.003 dl mg month GFR 8-80 ml min 1.73 Not addressed 2 m Key Question 2 ; What is the rate of change in Exclusion criteria: Chronic serious nutritional parameters in pre-ESRD patients?: medical illness e.g., malignancy, chronic heart or liver failure, collagen Not addressed vascular disease, insulin dependent 2 ; 0.58 g protein kg day and diabetes mellitus, uncontrolled 5-10 mg phosphorus kg day Key Question 3 ; What is the effect of follow-up hypertension severe psychiatric Diet L, prescribed in Study A nutritional evaluation in improving intermediate [n 10] and Study B [n 23] illness; evidence that patient would outcomes and or clinical outcomes in pre-ESRD not comply with study protocol; use patients?: of immunosuppressive drugs or 3 ; 0.28 g protein kg day and 4-9 mg phosphorus kg day, corticosteroids; proteinuria 10g per Not addressed supplemented with 2.8 g 10 kg day; malnutrition body weight body weight day of ketoacid 80% or 160% of standard body Other outcomes: mixture EE Diet K, prescribed weight or serum albumin 3.0 g dl ; in Study A [n 8] and Study B a ; Prescribed vs. actual energy intake mean SEM; [n 22] Age: NR kcal kg day ; : Actual Prescribed 4 ; 0.28 g protein kg day and Sex: 60% M, 40% F Men & women: 4-9 mg phosphorus kg day, Study A & B n 29.8 0.53 24.8 * supplemented with 2.16 g 10 kg Race: NR Study A n 29 ; 31.1 0.95 26.5 * body weight day of essential Study B n 66 ; 29.2 0.62 24.0 * amino acids Diet J, prescribed Renal function at entry: Men only: only in Study B [n 21] ; . GFR mean SEM ; : 21.6 1.2 Study A n 20 ; 31.2 1.11 25.8 * 2 ml min 1.73 m range, 8.0-56.0 ; Study B n 37 ; 30.5 0.90 25.3 * In all groups, the prescribed Women only: energy intake was designed to Nutritional markers at entry: NR Study A n 9 ; 30.9 1.94 28.1 * equal the patient's average Study B n 29 ; 27.4 0.73 22.4 * daily energy intake during the Co-morbidities at entry: NR * p 0.005 baseline period, unless the * p 0.05 patient weighed more than 120% of his desirable body b ; Correlation coefficients for nutritional parameters weight and voluntarily with GFR: expressed a wish to lose weight, in which case energy At the end of the baseline period: intake reduced. Adjustments made when weight lost or gained.

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Common Ground Wish List Clinic Herbal Medicine Needs continued mason jars droppers french press graduated cylinder herb grinder electric or mortar & pestle ; homeopathic muslin bags labels packing tape tea strainers tincture press arnica oil garlic oil garlic mullein ear oil menthol crystals * st. john's wort oil * SEEDS and perennial STARTS of medicinal plants for community garden turmeric capsules black walnut tincture boneset tincture california spikenard aralia californica ; tincture ginko biloba tincture grindelia tincture * hops tincture horehound tincture * hyssop tincture jamaican dogwood tincture kava kava tincture lomatium tincture oregon grape tincture * osha tincture * pleurisy root tincture * skullcap tincture usnea tincture vitex tincture * yerba santa tincture astragalus tincture & dry herb herb avena milky oats ; tincture & dry herb * burdock tincture & dry herb cleavers tincture & dry herb crampbark tincture & dry herb dandelion tincture & dry herb echinacea tincture & dry herb garraya tincture & dry herb goldenseal tincture & dry herb lemon balm tincture & dry herb * licorice tincture & dry herb lobelia tincture & dry herb meadowsweet tincture & dry herb milk thistle tincture & dry herb monarda tincture & dry herb mullein tincture & dry herb passion flower tincture & dry herb * pedicularis tincture & dry herb rosemary tincture & dry herb sage tincture & dry herb sasparilla tincture & dry herb saw palmetto, tincture & dry herb usnea tincture & dry herb wild yam tincture & dry herb * yarrow tincture & dry herb * ambrosia ragweed ; dry herb bayberry dry herb cardamom dry herb chamomile dry herb * cinnamon dry herb dong quai dry herb thuja tincture & dry herb * ginger dry herb * marshmallow root dry herb * nettle leaf dry herb * ocotillo dry herb peppermint dry herb * white sage dry herb and lamotrigine, because clenbuterol ketotifen. Risk of Adverse Outcome The risk of an adverse outcome e.g. death or AMI ; following a cardiac event is determine by the resident's signs and symptoms and existing risk factors of severe CAD. Residents who present with severe and prolonged chest pain lasting 20 mins chest pain at rest or minimal activity; severe dyspnoea; rales; loss of consciousness; hypotension; cyanosis; tachycardia or bradycardia; positive cardiac markers and or ECG changes and who are aged over 75 years have a high risk of an immediate or severe outcome [4, 6, 13, 15]. For these residents, the 30-day rate of death or AMI is 12-30% Residents who are aged over 70 years or have a past history of prior AMI, cardiovascular or peripheral vascular disease, or those who present with prolonged chest pain lasting 20 mins chest pain at rest that responds to treatment e.g. rest or sublingual NTG ; and borderline ECG of cardiac marker results have a medium risk of an adverse outcome [4, 6, 13]. For these residents the 30-day rate of death or AMI is 4-8% [13]. These patients are usually monitored for 6 hours until they are stable, then assessed and managed medically, unless their condition worsens [13]. Residents who present with neither prolonged 20mins ; chest pain nor chest pain at rest and have a normal or unchanged from previous ; ECG have a low risk of an adverse outcome [4, 6]. The 30-day rate of death or AMI is 2% [13]. These patients are usually managed by the GP with a focus on medical management and reduction of lifestyle risk factors [13]. Education All residents with a history of angina should be educated to report symptoms to the ACH staff as soon as they occur. ACH staff should be provided with ongoing education on the assessment and management of chest pain; use of medications related to the treatment of angina; and the importance of contacting emergency services as soon as possible if a resident is experiencing unstable angina [2, 4, 6, 8, Produced by the North West Melbourne Division of General Practice, June 2004 9.
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Acid is inert, but has paramagnetic properties. It can be used in whole body imaging and for brain imaging if the blood-brain barrier is abnormal. Most of the gadoteric acid is excreted unchanged in the urine within 24 hours. There are no data on giving the product to patients with renal failure. After intravenous injection of gadoteric acid the most common adverse reactions are headache, paraesthesia and nausea. In the absence of studies large enough to detect significant differences, it is unknown if gadoteric acid has any advantages over similar contrast agents. Olopatadine hydrochloride Patanol Alcon Laboratories ; 1 mg mL eye drops in 5 mL dispensers Approved indication: seasonal allergic conjunctivitis Australian Medicines Handbook section 11.3.2 Topical antihistamines are useful in the treatment of allergic conjunctivitis, but until recently levocabastine has been the only single drug available in Australia. Prescribers now have the option of using olopatadine, an H1 receptor antagonist which also inhibits the release of histamine from mast cells. Patients instil one or two drops of olopatadine twice a day. Very little of the drug enters the circulation and the quantity that is absorbed is largely eliminated unchanged in the urine. Olopatadine has been compared with other treatments for allergic conjunctivitis, but many of these alternatives are not available as ophthalmic formulations in Australia. In studies lasting a few weeks olopatadine has compared favourably with drops of azelastine, nedocromil, ketotiffen and ketorolac. Some studies have found that patients get more relief with loratadine and olopatadine than with loratadine tablets alone. Olopatadine may help patients whose main complaint is itchy eyes. Adverse reactions to olopatadine drops include dry eyes, blurred vision, burning and stinging. Some patients may complain of altered taste. To determine the role of olopatadine in Australian practice will require comparative studies with levocabastine, although the drugs may compete on price. If olopatadine is prescribed, treatment should not exceed 14 weeks. Pegfilgrastim pegylated filgrastim ; Neulasta Amgen ; syringes containing 6 mg 0.6 mL Approved indication: neutropenia Australian Medicines Handbook section 14.2.1 Granulocyte colony stimulating factor G-CSF ; promotes the production of neutrophils. Recombinant forms of G-CSF filgrastim, lenograstim ; can be used to treat neutropenia and are useful for patients receiving aggressive chemotherapy see `Granulocyte colony stimulating factor G-CSF ; ' Aust Prescr 1994; 17: 96-9. As for the drugs, he really does not emphasize them as much as i expected and lithobid. Routine OH program actions as required--i.e. employee s ; in medical surveillance certification program s ; , etc.

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