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By Ashley Gay, PharmD Gayco Consultant Pharmacist Many cardiac orders include parameters to hold the medication for blood pressure or heart rate below a specific reading. Examples include: Carvedilol 12.5 mg – Give one tablet by mouth once daily; hold for SBP < 110 or heart rate < 60. Digoxin .125 mg – Give one…
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By Kim Stanton, RN, Gayco Consultant Nurse Healthcare personnel who administer medications are familiar with the rights of medication administration. There are 6 that are key!  Can you remember those? Right Resident Right Medication Right Dose Right Route Right Time Right Documentation   Do you also know that failure to administer the medication according to…
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By Beth Greenway, RN Gayco Nurse Consultant Santyl Ointment is used to sever the necrotic tissues along the natural grain of a wound to allow the dead tissue to be removed from the base.  Santyl is a collagenase enzyme.  It works to break down and remove dead tissue from the wound base allowing dead tissue…
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By Luwana Walton, RN Gayco Nurse Consultant COVID-19 has changed the way we are relating to nature. Social distancing has moved us to “The Great Outdoor” spaces. COVID-19 has gotten a lot of people to stop and really pay attention to what’s going on outside their windows. Seeing flowers bloom they have never noticed before,…
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UPDATE: 4/11/2022 3:51pm SmartFile services are partially restored. You may now access any data from SmartFile uploaded at the time of the outage. Performance may be slower than usual. 4/11/2022 10:50am This message is to notify you that our sFTP vendor, SmartFile, is temporarily down. SmartFile is where you can find any PHI that you…
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By Matthew Burnette, PharmD, Gayco Director of Clinical Operations and Consultant Pharmacist Crushing or opening medications for administration, is a practice affecting many residents across all long-term care settings. This practice is performed during the medication pass and occurs when the facility employee takes a tablet or capsule and crushes or opens that medication to…
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By Michael Glenn, R.Ph. CGP Gayco Healthcare Consultant Pharmacist Diabetes is one of the most common diseases in the world and a constant issue in our facilities.    Diabetes is a metabolic disease involving inappropriately elevated glucose levels due to defective insulin secretions or an inadequate response to the effects of insulin in decreasing glucose levels.  …
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by Ashley Gay, PharmD A Gayco Healthcare Pharmacist Consultant Adverse drug reactions (ADRs) are common in older adults. ADR risk increases with age-related changes in pharmacokinetics and pharmacodynamics, increasing burden of comorbidity, polypharmacy, inappropriate prescribing, and suboptimal monitoring of drugs. Falls, orthostatic hypotension, delirium, renal failure, gastrointestinal and intracranial bleeding are the most common. Common…
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12/22/2021 Gayco Healthcare was proud to announce the Employee of the Year on Wednesday, December 22nd at the annual employee Christmas lunch. The 2021 year had four great candidates for this much-heralded award. The candidates were, quarter one Donna Barwick, billing, quarter two Jamey Sharpe, information technology, quarter three Precious Scott, customer care, and quarter…
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LET’S GEL IN AND GEL OUT!!! By Kim Stanton, R.N. Gayco Nurse Consultant December is National Handwashing month, a global advocacy day dedicated to increasing awareness and understanding of the importance of hand hygiene. We all know as healthcare workers, that the easiest way to prevent disease transmission is through hand hygiene. Hand hygiene is…
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