Differences

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--- medical_student:university [2020/07/18 11:25] – [Current Residents] aaron
+++ medical_student:university [2025/04/10 21:45] (current) – [Consults] haley.d
@@ Line 2: / Line 2: @@
 Faculty:\\
-Breast/Micro: [[resident:david_mathes|Dr. David Mathes]], [[resident:corrine_wong|Dr. Corrine Wong]], [[resident:tae_chong|Dr. Tae Chong]], [[resident:christodoulos_kaoutzanis|Dr. Chris Kaoutzanis]], [[resident:justin_cohen|Dr. Justin Cohen]]\\
+Breast/Micro: [[resident:david_mathes|Dr. David Mathes]], [[resident:christodoulos_kaoutzanis|Dr. Chris Kaoutzanis]], [[resident:justin_cohen|Dr. Justin Cohen]], [[resident:julian_winocour|Dr. Julian Winocour]], [[resident:jason_yu|Dr. Jason Yu]], [[resident:katie_egan|Dr. Katie Egan]]\\
-Hand: [[resident:matt_iorio|Dr. Matt Iorio]], [[resident:michael_gordon|Dr. Michael Gordon]], [[resident:kia_washington|Dr. Kia Washington]]\\
+Hand: [[resident:matt_iorio|Dr. Matt Iorio]], [[resident:mark_greyson|Dr. Mark Greyson]], [[resident:michael_gordon|Dr. Michael Gordon]], [[resident:kia_washington|Dr. Kia Washington]]\\
 Facial Plastics/Cosmetics: [[resident:brooke_french|Dr. Brooke French]], [[resident:david_khechoyan|Dr. David Khechoyan]]\\
-Call Faculty: [[resident:leahthan_domeshek|Dr. Leahthan Domeshek]], [[resident:aaron_mason|Dr. Aaron Mason]]\\
-==== Current Residents ====
-University Service\\
-Senior Resident: Krystle Tuano\\
-Junior Resident:  \\
-ENT Intern: none\\
-Ortho Intern: \\
-UCH Intern: Aaron Foglio 740-219-9470\\
-MS3 Plastics: Caterina Prizio 303-482-5132 \\
-Hand Service\\
-Senior Resident: Becky King \\
-Junior Resident: \\
 PAs\\
-Plastics (Mathes): Sara Douglass – pager 4537, cell 303-903-3272\\
+Plastics (Mathes): Sara Douglass – p 4537, c 303-903-3272\\
-Plastics (Chong): Joslyn Brown – cell 248-890-9638\\
+ Plastics (Cohen): Audrey Sindic - c 847-863-8870\\
-Plastics: Marian Brinkman – cell 720-951-4894\\
+ Plastics (Kaoutzanis): Ashley Jacobs - c 317-698-4937\\
-Shannon Phillips (Kaoutzanis): cell 303-945-1203\\
+ Plastics (Winocour): Peggy Walsh - c 713-320-9063\\
-Hand: Amy Kelso – cell 719-671-9156\\
+ Plastics: Marian Brinkman – c 720-951-4894\\
+ Hand: Amy Kelso – c 719-671-9156
+Clinic Phone Number Backline: 720 848 1538\\
+==== Reps ====
+{{:medical_student:screenshot_2024-04-06_at_15.29.50.png?600|}}
 ==== Tissue Expander Preferences ====
-{{url>https://docs.google.com/spreadsheets/d/e/2PACX-1vS82zH-pHMdHJdlMyhW2PODxJliTYI2ooCZ5IX-0zoKnGUm_RBRyUS4BQ9qWxOpy1clYIa_TsZUWTUU/pubhtml?gid=0&amp;single=true&amp;widget=true&amp;headers=false" 800,450 noscroll noborder}}
+{{url>https://docs.google.com/spreadsheets/d/e/2PACX-1vS82zH-pHMdHJdlMyhW2PODxJliTYI2ooCZ5IX-0zoKnGUm_RBRyUS4BQ9qWxOpy1clYIa_TsZUWTUU/pubhtml?gid=0&amp;single=true&amp;widget=true&amp;headers=false" 800,500 noscroll noborder}}
 [[https://docs.google.com/spreadsheets/d/1VIO4pVNYsP_GLOD1YkyvDtWfU1ASnwjDoZ24Ev-47IE/edit#gid=0|Click Here to edit this google sheet]]
-General TE info:\\
+**General TE info**:\\
 - Plastics primary patient.\\
-- Can use “UCH Mastectomy Breast Surgery Post-op” order set.\\
+- //Use “UCH Mastectomy Breast Surgery Post-op” order set.//\\
 - All above are subject to attending change, patient allergies/preferences.\\
-- No ice/heat to mastectomy flaps.\\
+- No ice/heat to mastectomy flaps or breasts ever after surgery.\\
+- Arm precautions: needle sticks or BP cuff on side if indicated\\
 - If Breast team leaves an axillary drain, they will manage it.\\
+- JP drain order to strip Q4 and record Qshift.\\
+- ROM restrictions: no abduction past 90 degrees, no >5lbs.\\
 - Post-op should receive prophylactic SQH while inpatient (part of order set):\\
 	- <60kg: SQH 5000U q12h.\\
 	- >60kg: SQH 5000U q8h.\\
+==== Consults ====
+- Consult notes must be signed by midnight on the date the consult is placed and must be linked to a consult order. This is a metric that is tracked by the hospital, so we appreciate your help with ensuring that we are in compliance.\\
+- Make sure to link consult note to consult order. See below PDF for how to complete this: \\
+{{ :medical_student:consult_link_tipsheet.pdf |}}\\
+{{:medical_student:screenshot_2025-04-10_at_7.45.23_pm.png?600|}}\\
+- Facial Trauma Resources\\
+{{:medical_student:screenshot_2025-04-10_at_7.36.37_pm.png?600|}}
+==== Wound Care Guide ====
+{{ :medical_student:wc_education_guide.pdf |}}
+==== Carpal Tunnel Preferences ====
+{{url>https://docs.google.com/spreadsheets/d/e/2PACX-1vSROiD2DOXLZdTnoMxvDinU8uK67cve30wTL8ny45yGM9ApkfhR62MMy492j3PsRwG_oOgGxlUCvuFq/pubhtml?gid=0&single=true 1000,450 noscroll noborder}}
+==== Kleck Vac for Spine Closures ====
+It is an incisional vac that also incorporates two deep drains.
+You will need:\\
+Black sponge\\
+Hemovac x2 (Just the drain. Discard the accordion collection part)\\
+Skin stapler\\
+- The drain only has perforations partially down its length—you want there to be perforations along the entire length of the spinal wound. Take a Rongeur and bite side holes along the length of the drain (but don’t accidentally cut the drain with the Rongeur).\\
+- One drain will run inferiorly and the other will run superiorly, deep to the paraspinous muscles. They will exit at the superior- and inferior-most aspects of the incision (do not make a separate skin stab).\\
+-Close the muscle and skin per usual routine.\\
+- To create the sponge portion, you want to make a long strip of black sponge the entire length of the incision that is 1” wide and about ½” tall. The black sponge is 1” thick, so cut the sponge concentrically and flatten it out. With the strip of sponge flat, cut a slit down the length of the sponge so that the drain can sit in it.\\
+- Cut a second sponge strip the same size to place on top of the first sponge, over the drains.\\
+- Benzoin/Mastisol the incision, lay the first sponge down. Put the drains on either end into the slit. Put the second vac over top. Use a stapler to hold the two pieces together.\\
+- Apply vac drape and lily pad.\\
+{{:medical_student:img_9802.jpg?600|}}
 ==== Follow Up Appointments ====
-For University Plastics patients. Please send a message to "P SP AMC Plastic Surg"\\
+For University Plastics patients, search "AMC PLASTIC SURG CLINIC SCHEDULING" in Classes. Can CC Mandon Perkins. If this doesn't work, can try old way (type "P SP AMC Plastic Surg" into "To" box)\\
+For nurse wound vac dressing changes, seach "AMC PLASTIC SURG NURSE/MA" in Classes.\\
 For University Hand patients. Please send a message to "P SP AMC Hand Surgery"\\
@@ Line 57: / Line 93: @@
 Nicole Darre is the Surgery Coordinator (Scheduler). Email or EPIC message her to schedule cases.\\
 Her email address is: Nicole.Darre@uchealth.org.\\
+For Dr. COHEN, send messages to Lee Elson.
 Please include: Diagnosis, Length of Surgery, Procedure, and Special Equipment\\
@@ Line 91: / Line 128: @@
 ==== Lower Extremity Pathway ====
-Dr. Iorio Pathway
+Dr. Iorio Pathway\\
+See "Lower Extremity Soft Tissue Coverage" under the Common Consults tab for pre-operative work-up (labs, imaging, etc).
 {{url>https://docs.google.com/document/d/e/2PACX-1vR8ccUUuNV5aOVPDFBbnhGnvML9gG3GM6rAppd6wCeELQKdNPKvnoRFCmQplMMpann8btqdlLiouPA_/pub?embedded=true 800,800 noborder}}
@@ Line 101: / Line 139: @@
 [[https://docs.google.com/document/d/1wOrsXQf8l0sjeQGP3_bll6RqLc6lUDnQ1ggDc2gCjOQ/edit?usp=sharing|Click here to edit this google doc]]
+==== Leeching ====
+How to obtain leeches:\\
+. Order leeches under medications\\
+. Call pharmacy from OR to verify to prevent delay (720-848-1389)\\
+. Alert STICU \\
+. Antibiotic prophylaxis for Aeromonas: Fluoroquinolone, Bactrim, Ceftriaxone\\
 ==== UCH Phone Numbers ====