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resident:children_s [2025/08/05 14:12] – [Consults] lynnresident:children_s [2026/02/20 11:28] (current) – [Children's PAs] jordan_p
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 [[resident:Phuong_Nguyen|Dr. Phuong Nguyen]]\\ [[resident:Phuong_Nguyen|Dr. Phuong Nguyen]]\\
 [[resident:Timothy_Irwin|Dr. Timothy Irwin]]\\ [[resident:Timothy_Irwin|Dr. Timothy Irwin]]\\
 +\\
 +[[https://docs.google.com/spreadsheets/d/15l3skvSUPxqvK8jMCr3UDJxt15PaH9_B0FAXyPeE0Zc/edit?usp=sharing|Attending-Specific OR and Post-op Preferences]]
  
  
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 Maggie Webster: 303-681-8224\\ Maggie Webster: 303-681-8224\\
 Lindsay Dyer-Kindy: 720-937-7964\\ Lindsay Dyer-Kindy: 720-937-7964\\
-Mel Maybee: +1 (817) 917-1704\\+Mel Mabee: +1 (817) 917-1704\\
  
 ==== Schedulers ===== ==== Schedulers =====
 Dr. Irwin: Melinda Bond\\ Dr. Irwin: Melinda Bond\\
-Dr. French: Joann Agenar\\+Dr. French: Joanne Agenar\\
 Dr. Khechoyan: Daniela Ramirez\\ Dr. Khechoyan: Daniela Ramirez\\
 Dr. Yu: Daniela Ramirez\\ Dr. Yu: Daniela Ramirez\\
-Dr. Nguyen: Marquise Sanford\\  +Amber: Joane Agenar\\ 
-Amber: Joan Agenar\\ +Mel Mabee: Melinda Bond\\
-Mel Maybee: Melinda Bond\\+
 Lindsay: Daniela Ramirez\\ Lindsay: Daniela Ramirez\\
 Maggie: Marquise Sanford\\ Maggie: Marquise Sanford\\
 Brooke (RN): Marquise Sanford\\ Brooke (RN): Marquise Sanford\\
-ER f/u: message Marquise and Joanne for APP follow up\\+ER f/u: message "Plastics Scheduler" pool for APP follow up\\
 F/u visits > 1month: message "SIC Schedulers" then select "pool"  F/u visits > 1month: message "SIC Schedulers" then select "pool" 
 ==== Welcome to Children's ==== ==== Welcome to Children's ====
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 OR takes precedence over clinic. However, if you are not in cases, you are expected to attend clinic. If simultaneous cases, cover cases in order of seniority (Dr. French's cases covered first, then Khechoyan). Of course, if one of the more junior attendings is doing a really cool case, talk to French about covering those instead. Please look ahead and coordinate coverage as needed. Some cases require extra hands (ABG, breast reduction, etc). OR takes precedence over clinic. However, if you are not in cases, you are expected to attend clinic. If simultaneous cases, cover cases in order of seniority (Dr. French's cases covered first, then Khechoyan). Of course, if one of the more junior attendings is doing a really cool case, talk to French about covering those instead. Please look ahead and coordinate coverage as needed. Some cases require extra hands (ABG, breast reduction, etc).
  
-**Rounding**: You will see all the necessary patients yourself and update the attendings. Maureen will also see the Cleft/Craniofacial patients, but this should not replace your rounding.+**Rounding**: You will see all the necessary patients yourself and update the attendings. Maureen will also see the Cleft/Craniofacial patients, but this should not replace your rounding.  
 + 
 +**Supplies**:  
 +  * The code for the supply rooms on the floor is 13579#. These are not super well stocked and may not have what you're looking for. 
 +  * Most dressings can be found in the burn procedure room in 6 South (the middle unit on 6, rms 625-649). Door code: 13579#. Cabinet code: 3167.  
 +  * The code for the clinic cart that lives in Hallway B is 1225. Plastics-specific supplies are in the cabinets above the desks in the work room. There is a big supply room with lots of different dressing stuff in the blue side of the MDC. 
 +  * Wound vac sponges are in OR pod 2 ~between OR 14 and 10. The cast/splint cart lives in the far hallway outside of OR 14/15. The burn cart lives across from the dictation room. 
  
 ====Consenting==== ====Consenting====
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 ====Consults==== ====Consults====
   * You are first call for all consults (Face on even days, gen plastics, wound).    * You are first call for all consults (Face on even days, gen plastics, wound). 
-  * For arranging outpatient follow-up, message the corresponding scheduler and the attending of record. See below 
   * NEW cleft lip/palate consults: Sometimes if the baby has a prenatal diagnosis, they have seen Mo to get information and to be plugged into the MDC system. I would let Mo know the baby has been born. The consult should go to the attending on call (or whoever is next) between French, Khechoyan, and Nguyen. The primary team should consult OT for feeding. Mo can coordinate NAM/lip taping/follow-up with Dr. Lowe as needed.   * NEW cleft lip/palate consults: Sometimes if the baby has a prenatal diagnosis, they have seen Mo to get information and to be plugged into the MDC system. I would let Mo know the baby has been born. The consult should go to the attending on call (or whoever is next) between French, Khechoyan, and Nguyen. The primary team should consult OT for feeding. Mo can coordinate NAM/lip taping/follow-up with Dr. Lowe as needed.
 +  * If Khechoyan is on call, staff EVERYTHING with him in real time, even if it is very simple or in the middle of the night. 
  
 **ED Laceration Repairs** **ED Laceration Repairs**
   * Ask the ED to obtain supplies/local/baci ointment for you. Baci is not freely available in supply rooms and has to be ordered. The ED has a poor selection of sutures. Go to OR Pod 1 (between ORs 4 and 8) to select sutures as well as instruments. There are a few sets specifically set aside for ED lac repairs (they will be labeled as such. This is also where you can find individual peel packed instruments if you don't want the whole set.     * Ask the ED to obtain supplies/local/baci ointment for you. Baci is not freely available in supply rooms and has to be ordered. The ED has a poor selection of sutures. Go to OR Pod 1 (between ORs 4 and 8) to select sutures as well as instruments. There are a few sets specifically set aside for ED lac repairs (they will be labeled as such. This is also where you can find individual peel packed instruments if you don't want the whole set.  
-  * For ED facial lacerations, be mindful of absorbable versus non-absorbable sutures based on patient age and location of laceration. Discuss with attending if you are unsure. +  * For ED facial lacerations, be mindful of absorbable versus non-absorbable sutures based on patient age and location of laceration. Discuss with attending if you are unsure. 
-  * See above to message scheduler for follow-up. If using nonabsorbables that need to be removed in a patient that will require sedation, coordinate this beforehand. They can be scheduled for suture removal in the Procedure Center without coming to clinic. +
- +
- +
-Coordination of outpatient visits: +
-- Send an EPIC Staff Message (does not need to be Secure Chat unless it is urgent) to Lindsay, Jordan, Marquise Sanford, Melinda Bond, and Brooke Jacobson RN. Include any relevant scheduling needs (ie, ‘s/p xxx procedure w/xxx MD, needs clinic follow up in 7-10 days’). Most of these visits will be scheduled with a PA, however if Dr. Khechoyan is on call please be very clear when staffing with him whether he wants them scheduled with a PA or with him +
-- ED follow up visits: can be scheduled with Lindsay or Jordan. Again, if Dr. Khechoyan is the attending, they should all be scheduled with him unless he specifies that he is OK with them being with a PA. He will authorize overbooking his clinic to accommodate if necessary. +
-- If a patient will require sedation for suture removal, please place an order for suture removal under anesthesia: +
-Plastics Case Request--> Suture Removal, location PC, provider either Lindsay or Jordan (can be changed after it’s placed if needed) +
-Still need to send an EPIC Staff Message to the team to notify them of the scheduling need +
-If a patient does not require sedation for suture removal, can be scheduled as a regular clinic visit +
- +
- +
- +
-Follow Up: cc Jordan and Lindsay +
-French: Marquis Sanford +
-Khechoyan/Yu: Melinda Bond+
  
 +**Coordination of Follow-up visits:**
 +  * Most ED follow-ups are seen by the PAs. To schedule, send an EPIC Staff Message to Marquise and Joanne (and CC the APPs). Include any relevant scheduling needs (ie, ‘s/p xxx procedure w/xxx MD, needs clinic follow up in 7-10 days’). If Dr. Khechoyan is on call, please clarify when staffing with him whether he wants them scheduled with a PA or with him. 
 +  * If a patient will require sedation in the Procedure Center for suture removal, this can be scheduled without needing to come to clinic first. Nowadays, the the APPs prefer to schedule this themselves. Communicate this scheduling need to the APPs in your EPIC Staff Message (see above). If a patient does not require sedation for suture removal, can schedule as a regular clinic visit. 
 +  * Please include the appropriate [[children_s#Schedulers]] if you need to arrange follow-up with a specific attending. 
  
 =====Admitting Patients===== =====Admitting Patients=====
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 =====Prescriptions===== =====Prescriptions=====
-   * __Liquid oxycodone is the one med that impacts our kids as it is hard to find outside of CHCO.  Attaching the work around in case you think this is work sharing with the rest of the team.  If not—feel free to discard and no reply back to me is needed.  Happy Friday!  Mo +   * __Liquid oxycodone is the one med that impacts our kids as it is hard to find outside of CHCO.  Attaching the work around in case you think this is work sharing with the rest of the team.  If not—feel free to discard and no reply back to me is needed.  Happy Friday!  M
- +
-*Walgreens Pharmacy at Anschutz Medical Campus: Hour of Operation Changes starting Thursday, April 14. +
- +
-*New hours:  pharmacy will be open Monday – Friday from 9 a.m. to 6 p.m. Closed on Saturdays and Sundays. +
-*Plan:  wallgreens will be directing patients with after-hours pharmacy needs to the following locations closest to Children's Colorado+
    
  
resident/children_s.1754417525.txt.gz · Last modified: 2025/08/05 14:12 by lynn
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