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Karen Hamad, MD

August, 2016


Fully Designated Level II Trauma Center!

We are thrilled to share the news that on June 30, 2016, we received notice from the Florida Department of Health that we have successfully completed the process to become a Certified Level II Trauma Center thru June 30, 2023.

Interested parties are encouraged to attend, Trauma Grand Rounds that occur the Second Thursday of each month from 12:00pm-1:00pm in the SMH Auditorium.


What patients require a trauma consult?
A Trauma Consultation may be requested for any patient presenting with a traumatic injury, who has a low probability of surgical intervention, but requires surgical consultation and/or possible observation AND does not meet Trauma Alert Criteria.Our trauma designation requires that a trauma patient be admitted to the trauma service and less than 10% be admitted to non-surgical services. 

Here are the criteria that requires a trauma consult for possible admission to the trauma service:

  1. Any patient with an open fracture of a long bone
  2. Any patient with Traumatic mechanism with more than 1 injury
  3. Any single system injury AND on anticoagulants other than aspirin
  4. Any patient over age 65 with more than 1 rib fracture

All trauma consults admitted to the hospital will be admitted to the Trauma Service for a minimum period of observation prior to transferring to another service unless prior discussion among the attending surgeon and other specialty physician determines otherwise.


SMH earns highest 5-Star rating in Medicare’s new Hospital Compare Scoring System!
Just 102 of the 4,599 hospitals evaluated by the Centers for Medicare & Medicaid Services earned the fed’s first-ever 5-Star rating for overall quality and safety

SARASOTA (July 27, 2016) – Just 2.2 percent of hospitals evaluated by the federal Centers for Medicare & Medicaid Services (CMS) earned the government’s first-ever 5-Star rating for overall quality and safety. And Sarasota Memorial Health Care System was one of them. 

For more information, visit the Hospital Compare website at:


Breast Cancer screening recommendations for women at average risk:
Screening for breast cancer with mammography has been shown to decrease breast cancer mortality, and mammography is the mainstay of screening for clinically occult disease.

The Breast Program Leadership Committee endorses the breast cancer screening recommendations set forth by the National Comprehensive Cancer Network (NCCN). These recommendations should be utilized by clinicians as the standard of care in this community.

NCCN breast cancer screening recommendations are as follows:

  • Yearly mammography screening at age 40 and annual clinical breast exam.
  • Clinical breast exam every 1 to 3 years at ages 25 through 39.

Dr. Richard Brown, Medical Director, Institute for Cancer Care / Dr. Larry Silverman, Chair of Cancer CommitteeYulonda Greene, Director, Patient Care Services


NonViolent Restraint Education:Is It a Nonviolent Restraint?
Nonviolent - restraints are used for medical/surgical purposes when the patient is unable to follow safety instructions.

  1. Supports medical healing.
  2. Prevents patient from pulling out lines, tubes, medical devices

Nonviolent restraint types:

  1. Soft wrist restraints
  2. Mittens (when the flap covers the fingers)
  3. Posey bed enclosure
  4. Four side rails up
  5. Geri chair when patient cannot remove tray
  6. Wheelchair belt 


Yes….it is a restraint
• Wheelchair belt: lap belt that cannot be removed by patient
• Four side rails up when not meeting exception criteria 

No….it is not a restraint
• Wheelchair release belt: safety belt that patient is able to remove easily by pressing a release button
• Four side rails up when patient is
• On a stretcher
• In the ICU or pediatrics
• On a bed that constantly moves to prevent skin breakdown and improve circulation
• When on Seizure precautions—must use padded side rails


Mittens: Alternative or Nonviolent Restraint?

  1. As An Alternative: Currently, mittens are to be used as an alternative only
    1. Patient’s fingers must be exposed to allow freedom of the fingers (flap must be down) and without ties for it to be an alternative
    2. An order is not required
  2. As Nonviolent Restraint:
    1. If the flap were covering the fingers, the mittens are considered a nonviolent restraint
    2. An order is required


In order for Advanced Practice Professionals (NP/ PA’s) to order Non‐Violent, Non‐Self Destructive restraints for Non‐Violent patients they must request privilege thru Medical Staff Services and be granted approval by Board of Trustees.  


Click here for Updates to Intracranial blood: service triage: addendum to the Best Admitting Doctor Committee recommendations.


Karen Hamad, MD
Chief of Staff