Medical/dental staff newsletter [February 1992]

              /\9Z^     Medical/Dental
wesleylong    Staff Newsletter
COMMUNITY HOSPITAL,
February 1992
New Physicians with Temporary Privileges
David M. Bowers, M.D.
Associates: Drs. Holderness & Barber
Medical School: Bowman Gray School
of Medicine
Internship: University Hospital of
Jacksonville
Residency: University Hospital of
Jacksonville
Brian Cook, M.D.
Associates: Wesley Long Community
Hospital Emergency Services
Department (Part-time)
Medical School: East Carolina University
Internship: Moses H. Cone Memorial
Hospital
Residency: Moses H. Cone Memorial
Hospital
Ranjan Sharma, M.D.  I
Associates: Allergy and Asthma Centre of
Greensboro
Medical School: East Carolina University
Internship: University of Maryland Hospital
Residency: University of Maryland Hospital
Status Change
• Robert N. Davis, M.D. - changed to
Consulting Staff status
• Jeffrey A. Todd, M.D. - changed to
Honorary Staff status
Resignations
• Andrew J. Courts, M.D. - Consulting Staff
• Maurice L. LeBauer, M.D. - Honorary Staff
• E.R. Troxler, M.D. - Honorary Staff
CVs Received
The Medical Staff Services office has
received information from two (2) physicians
specializing in General Surgery. Anyone
interested in reviewing the information,
should contact Medical Staff Services at
854-6294.
DID YOU KNOW?
Terminal Care and Hospital
Continued Stay Denials
1) Medicare does not grant "blanket"
approvals to terminal patients.
2) Patients must continue to meet severity
of illness and intensity of service criteria for
Medicare to cover the expenses of the
hospital stay.
3) In the event that the patient is terminal,
but does not meet the intensity of service
required for acute in-hospital stay, the
physician and family are faced with the
following three options:
• The patient can be placed in a nursing
home if IV medications and supportive care
are required.
• If the patient is on PO or subcutaneous
medications and the family is willing, the
patient can return home with the support of
Hospice or Home Health Care.
• The patient can remain in the hospital if
the family agrees to cover the expenses after
the issuance of a Hospital Continued Stay
Denial.
Please address these options with the
family and/or contact Social Work/
Utilization Review for further assistance in
these matters at 854-6295.
INTRAMUSCULAR INJECTION
OF BENZODIAZEPINES
It is often assumed that injecting a drug
intramuscularly assures that it will be
completely and rapidly absorbed into the
systemic circulation and thus reach the
desired site of action. However, there are
many medications which have very poor
bioability when injected intramuscularly. Two
such drugs are chlordiazepoxide (Librium®)
and diazepam (Valium®). Both Valium and
J