Differences

This shows you the differences between two versions of the page.

--- intern:pgy1 [2020/01/08 23:25] – haley.d
+++ intern:pgy1 [2020/06/11 18:39] (current) – ↷ Page moved from resident:intern:pgy1 to intern:pgy1 jonathan
@@ Line 6: / Line 6: @@
 Independent Residents
-R7: Salih Colakoglu – pager 5445, cell 929-216-1907
+  * R7: Salih Colakoglu – pager 5445, cell 929-216-1907
-R7: Andrew Peredo – pager 5446, cell 917-828-5523
+  * R7: Andrew Peredo – pager 5446, cell 917-828-5523
-R6: Aline Rau – pager 4646, cell 720-724-1887
+  * R6: Aline Rau – pager 4646, cell 720-724-1887
-R6: Jhade Woodall – pager 5837, cell 561-818-8988
+  * R6: Jhade Woodall – pager 5837, cell 561-818-8988
 PAs
-Plastics (Mathes): Sara Douglass – pager 4537, cell 303-903-3272
+  * Plastics (Mathes): Sara Douglass – pager 4537, cell 303-903-3272
-Plastics (Chong): Joslyn Brown – cell 248-890-9638
+  * Plastics (Chong): Joslyn Brown – cell 248-890-9638
-Plastics (Aycock): Marian Brinkman – cell 720-951-4894
+  * Plastics (Aycock): Marian Brinkman – cell 720-951-4894
-Hand: Kathryn Miller – cell 405-921-4704
+  * Hand: Kathryn Miller – cell 405-921-4704
 ROUNDS
-- The senior resident on service at UCH will let you know when and where to meet for rounds each morning.
+  *  The senior resident on service at UCH will let you know when and where to meet for rounds each morning.
-- During the week the UCH team will round on plastics patients and consults and the Hand team will round on Hand patients and consults. On weekends the rounding team rounds on both plastics and hand patients and consults.
+  *  During the week the UCH team will round on plastics patients and consults and the Hand team will round on Hand patients and consults. On weekends the rounding team rounds on both plastics and hand patients and consults.
-- For pre-rounding and rounds you should print out the "Plastic Surgery" team sign out list found under the "Sign Out Rpt(UCH)" tab along the top of your Patient Lists page.
+  *  For pre-rounding and rounds you should print out the "Plastic Surgery" team sign out list found under the "Sign Out Rpt(UCH)" tab along the top of your Patient Lists page.
-- Consult requests and orders for things that need to happen that day should be placed on or immediately after rounds, so that patient’s can receive care in a timely fashion.
+  *  Consult requests and orders for things that need to happen that day should be placed on or immediately after rounds, so that patient’s can receive care in a timely fashion.
-- All patients that are rounded on, both on service and consults, need a daily progress note.
+  *  All patients that are rounded on, both on service and consults, need a daily progress note.
 LISTS
-- The Epic list for the service is called "Plastics" and can be found under the Shared Patient Lists on the left hand side of your Patient Lists page. If you don't see it there, ask one of the residents to grant you access.
+  *  The Epic list for the service is called "Plastics" and can be found under the Shared Patient Lists on the left hand side of your Patient Lists page. If you don't see it there, ask one of the residents to grant you access.
-- The Epic list for hand patients is called “Plastics Hand” and can also be found under the Shared Patient Lists on the left hand side of your Patient Lists page. If you don't see it there, ask one of the residents to grant you access.
+  *  The Epic list for hand patients is called “Plastics Hand” and can also be found under the Shared Patient Lists on the left hand side of your Patient Lists page. If you don't see it there, ask one of the residents to grant you access.
-- All patients that need to be rounded on, both Plastics patients and Hand patients, need to be added manually to the team sign out list. This list is not updated automatically. Please keep this list up to date, as it is the main resource on patient information for both cross-cover interns and off service rounding residents.
+  *  All patients that need to be rounded on, both Plastics patients and Hand patients, need to be added manually to the team sign out list. This list is not updated automatically. Please keep this list up to date, as it is the main resource on patient information for both cross-cover interns and off service rounding residents.
-- For rounds you should print out the "Plastic Surgery" team sign out list found under the "Sign Out Rpt(UCH)" tab along the top of your Patient Lists page.
+  *  For rounds you should print out the "Plastic Surgery" team sign out list found under the "Sign Out Rpt(UCH)" tab along the top of your Patient Lists page.
 FLOOR WORK
-- The amount of floor work varies widely on this service. During times when the service list is long floor work can be a significant time commitment, so organize yourself well and plan your day ahead of time to avoid long hours.
+  *  The amount of floor work varies widely on this service. During times when the service list is long floor work can be a significant time commitment, so organize yourself well and plan your day ahead of time to avoid long hours.
-- Try to coordinate dressing changes in between cases so the senior resident can also take a look at the wound. If this is not possible, however, go ahead and do the dressing change and take good pictures of the wound. It is preferable to get things done than to have a pile of work left at the end of the day.
+  *  Try to coordinate dressing changes in between cases so the senior resident can also take a look at the wound. If this is not possible, however, go ahead and do the dressing change and take good pictures of the wound. It is preferable to get things done than to have a pile of work left at the end of the day.
-- If you think you are in danger of going over hours, talk to your senior resident so that help can be given and problems can be avoided.
+  *  If you think you are in danger of going over hours, talk to your senior resident so that help can be given and problems can be avoided.
 - Care protocols and other useful information can be found in Evernote: https://www.evernote.com/Login.action
 username: HSC-Surgery-Plastics@ucdenver.edu
@@ Line 39: / Line 39: @@
 CASES / CLINIC
-- The plastics intern will be assigned to cases and clinic on the Sunday before any given week.  The schedule is sent out via email as an Excel file.
+  *  The plastics intern will be assigned to cases and clinic on the Sunday before any given week.  The schedule is sent out via email as an Excel file.
-- If you are assigned to clinic you are expected to wear “clinic clothes”, see patients, present them to the attending, and write a note. Ask the attending how they prefer you do this.
+  *  If you are assigned to clinic you are expected to wear “clinic clothes”, see patients, present them to the attending, and write a note. Ask the attending how they prefer you do this.
-- It is your responsibility to “pre-op” all inpatients and any outpatients for the cases to which you are assigned. This includes:
-•	Pre-op orders in EPIC (For inpatients these should be placed the day before surgery. For outpatients these are usually placed in clinic, but not always, so check.)
+**PRE-OP**\\
-•	H&P, H&P interval update, or daily progress note
+It is your responsibility to “pre-op” all inpatients and any outpatients for the cases to which **you are assigned.** This includes:\\
-•	Consent (Please ask what should be written on the consent.)
+•	Pre-op orders in EPIC (For inpatients these should be placed the day before surgery. For outpatients these are usually placed in clinic, but not always, so check.)\\
-•	Site marking. For most cases, e.g. flaps, breast cases, body contouring) the attendings will mark the patient themselves. Be present when attendings are marking. Markings are integral to the case in Plastic Surgery. For most hand cases, take backs, or other cases where incision placement or symmetry does not matter, you can mark the body part yourself.
+•	H&P, H&P interval update, or daily progress note\\
-- It is also your responsibility to post-op all cases you are assigned to. This includes:
+•	Consent (Please ask what should be written on the consent.)\\
-•	Brief post-op note
+•	Site marking. For most cases, e.g. flaps, breast cases, body contouring) the attendings will mark the patient themselves. Be present when attendings are marking. Markings are integral to the case in Plastic Surgery. For most hand cases, take backs, or other cases where incision placement or symmetry does not matter, you can mark the body part yourself.\\
-•	For patients being discharged after surgery: Discharge orders and prescriptions. Please keep in mind that Medicare and Medicaid patients will require an attending to sign your prescription.
-•	For patients being admitted to the Plastics service: Admission orders and addition to list.
+**POST-OP**\\
-•	For patients being admitted to another service: Communication of Plastics-specific orders to primary team.
+It is also your responsibility to post-op all cases you are assigned to. This includes:\\
-•	For patients returning to the floor (on Plastics or another service): Updated transfer orders and communication of plan to the primary service if applicable.
+•	Brief post-op note\\
-- If for some reason you are running late to a case or clinic to which you are assigned (because you are seeing a consult, dealing with a floor issue, etc.), please let the attending know.
+•	For patients being discharged after surgery: Discharge orders and prescriptions. Please keep in mind that Medicare and Medicaid patients will require an attending to sign your prescription. \\
+•	For patients being admitted to the Plastics service: **Admission orders and addition to list.**\\
+•	For patients being admitted to another service: Communication of Plastics-specific orders to primary team.\\
+•	For patients returning to the floor (on Plastics or another service): Updated transfer orders and communication of plan to the primary service if applicable.\\
+ If for some reason you are running late to a case or clinic to which you are assigned (because you are seeing a consult, dealing with a floor issue, etc.), please let the attending know.\\
 CONSULTS
-- The plastics intern takes first call during the day for any plastics consults at the University.  This includes seeing the consult, adding them to the appropriate list, staffing with the appropriate person, and writing a consult note.
+  *  The plastics intern takes first call during the day for any plastics consults at the University.  This includes seeing the consult, adding them to the appropriate list, staffing with the appropriate person, and writing a consult note.
-- Consults should be seen immediately for emergent and urgent consults (this includes any ED consult) and as soon as possible for non-time sensitive consults. This may mean stepping out of clinic, scrubbing out of a case, or making a quick run in between cases. Consults should not be accumulated and left for the end of the day.
+  *  Consults should be seen immediately for emergent and urgent consults (this includes any ED consult) and as soon as possible for non-time sensitive consults. This may mean stepping out of clinic, scrubbing out of a case, or making a quick run in between cases. Consults should not be accumulated and left for the end of the day.
-- Plastics consults should be staffed with the U senior resident or UCH/VA resident. Weekday hand consults can be triaged directly to the hand PA during business hours when she is not in clinic. During other hours or if she is not available you should see them and staff them with the hand resident. On nights and weekends all consults should be staffed with the on call senior resident.
+  *  Plastics consults should be staffed with the U senior resident or UCH/VA resident. Weekday hand consults can be triaged directly to the hand PA during business hours when she is not in clinic. During other hours or if she is not available you should see them and staff them with the hand resident. On nights and weekends all consults should be staffed with the on call senior resident.
 DISCHARGES
-- D/C instructions are standardized for many of the procedures. You can look at the residents’ or PAs’ Epic smart phrase manager to find attending specific and surgery specific d/c instructions.
+  *  D/C instructions are standardized for many of the procedures. You can look at the residents’ or PAs’ Epic smart phrase manager to find attending specific and surgery specific d/c instructions.
-- For hand cases you can use the .handpostopinstructions SmartPhrase and adjust it as needed.
+  *  For hand cases you can use the .handpostopinstructions SmartPhrase and adjust it as needed.
--Please make sure patients have follow-up appointments at discharge. Send appt request to Plastic Surg Nurse/MA Pool on Epic.
+  * Please make sure patients have follow-up appointments at discharge. Send appt request to Plastic Surg Nurse/MA Pool on Epic.
+  * If the patient is for Hand there is separate scheduler "hand pool" you should message. It is recommended to make 2 separate message templates so that setting up follow ups is rapid and efficient.
 SIGN-OUT
-- The plastics intern will sign-out the plastics list to the cross-cover night-float intern each evening at the designated sign out time. Sign out will include the name and contact info of the on-call Plastics senior resident for that night. Please also send the contact info of the night float intern to the on call Plastics senior resident.
+  *  The plastics intern will sign-out the plastics list to the cross-cover night-float intern each evening at the designated sign out time. Sign out will include the name and contact info of the on-call Plastics senior resident for that night. **Please also send the contact info of the night float intern to the on call Plastics senior resident.**
-- On weekends the plastics intern will sign-out the plastics list to the cross-cover intern after rounds and floor work have been completed.
+  *  On weekends the plastics intern will sign-out the plastics list to the cross-cover intern after rounds and floor work have been completed.
 WEEKENDS
-- The plastics intern will round one day per weekend and have the other day off. The rounding day is usually Saturday, but may vary depending on when you are on cross-cover.
+  *  The plastics intern will round one day per weekend and have the other day off. The rounding day is usually Saturday, but may vary depending on when you are on cross-cover.
-- Contact the rounding senior resident for that weekend to arrange weekend rounds.
+  *  Contact the rounding senior resident for that weekend to arrange weekend rounds.
 ====Hand Service====
-The in-house University intern covering the Plastic Surgery Service is always first call for Hand consults whenever
+The in-house University intern covering the Plastic Surgery Service is first call for Hand consults ON WEEKENDS whenever
-there is a Plastic Surgery attending on call for Hand (approx. 15 days/month).
+there is a Plastic Surgery attending on call for Hand (approx. 15 days/month). The amion system has been updated to state the intern pager should NOT be paged for hand consults on week days.
  The schedule identifying the days that Hand consults are covered by Plastics can found on AMION under the
 Plastics and Hand call schedules.
+If you are not scrubbed into a case, floor work is completed, and the ED manages to page you anyway about a hand consult on a week day, then it is appreciated if you help with the consult.
  Weekday daytime consults can be triaged directly to Kathryn Miller, PA-C.
  Evenings and weekends, or if Kathryn is not available, the intern should see the consult immediately, get the
@@ Line 244: / Line 250: @@
 I try to save useful orders per service. You can take a look and copy them in the Preference List Composer\\
 Steal .dot phrases from people using the Smartphrase manager\\
+Fred Gonzales:\\ I have found the Wiki to be extremely helpful, and I referenced it many times throughout this rotation. I did, however, not have access to the attending pages, which would have been very helpful in preparing for cases.