Plastics

Faculty:
Breast/Micro: Dr. David Mathes, Dr. Chris Kaoutzanis, Dr. Justin Cohen, Dr. Julian Winocour, Dr. Jason Yu, Dr. Katie Egan
Hand: Dr. Matt Iorio, Dr. Mark Greyson, Dr. Michael Gordon, Dr. Kia Washington
Facial Plastics/Cosmetics: Dr. Brooke French, Dr. David Khechoyan

PAs
Plastics (Mathes): Sara Douglass – p 4537, c 303-903-3272
Plastics (Cohen): Audrey Sindic - c 847-863-8870
Plastics (Kaoutzanis): Ashley Jacobs - c 317-698-4937
Plastics (Winocour): Peggy Walsh - c 713-320-9063
Plastics: Marian Brinkman – c 720-951-4894
Hand: Amy Kelso – c 719-671-9156

Clinic Phone Number Backline: 720 848 1538

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General TE info:
- Plastics primary patient.
- 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 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):

1. <60kg: SQH 5000U q12h.
   
2. >60kg: SQH 5000U q8h.
   

- 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:
consult_link_tipsheet.pdf

- Facial Trauma Resources

wc_education_guide.pdf

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.

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”

Be sure to include attending and follow up time along with any specific needs like drain removal, suture removal, cast, etc…

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

Surgeon time availability and block time:
Mathes: Wednesday All day block time in AIP, 1st & 3rd Monday AOP Block time
Chong: Tuesday AIP block time
Khechoyan: Every other Monday alternating with Dr. French Block time
French: Every other Monday alternating with Dr. Khechoyan Block time
Wong: Available Monday, no block time
Gordon: M(AM)/W(PM)/F(AM) AOP block time, Available Sundays
Iorio: Thursday AOP Block time, Friday AIP block time

Please let your senior residents know if you are nearing the 80 hour work week limit. We will plan to have you signed out to one of the senior residents and dismissed at the 80th hour for the week.
Case Management (Christopher) 34075 — Will page at 7am every day to run list
Discharge appointment requests - Send message in EPIC to Plastic Surg Nurse/MA pool (Code 11158)
Please email coordinators for discharge follow up: Alicia Hamilton, CMA & Kelles Garrison, RN
Activity orders - please use the pre-made activity orders in the Wiki section
MASTER CODE for almost every door: 84845#

Intern Numbers to Know:
Case Management (Chris) 34075; Social Work (Maggie) 34391; Patient Resource Liaison: Courtenay - 83784
Plastics Clinic - 720-848-0800; Hand Clinic: 720-848-0485; Regina Natividad (surgery scheduler): 82057, Nicole (surgery scheduler): 82211

Arm elevation Pillow (Carter) - 83579/85162; CAM Boot - fax order form to Hangar, Ortho clinic doesn't give them out anymore; OT Splint Pager - 4705.

Miscellaneous Numbers (May or may not be accurate):
STICU - 86120; MSPCU - 87578; Micro - 87084; Pharm - 81389; AIP OR Bridge - 84351; AOP OR Bridge - 81340; Direct Admit - 82828; Surgical Pathology - 84421; Radiology - 86363; Lab - 84401

Dr. Iorio Pathway
See “Lower Extremity Soft Tissue Coverage” under the Common Consults tab for pre-operative work-up (labs, imaging, etc).

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Dr. Kaoutzanis Pathway

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How to obtain leeches:​
1. Order leeches under medications​
2. Call pharmacy from OR to verify to prevent delay​ (720-848-1389​)
3. Alert STICU
4. Antibiotic prophylaxis for Aeromonas: Fluoroquinolone, Bactrim, Ceftriaxone

303 266 #### pagers
720 848 #### phone
720 553 #### phone
UCDenver.edu/changepassword
myapps.uchealth.org
https://thesource.uchealth.org/sites/EpicCentral/Pages/default.aspx

Interpreter services 81397
Microbiology 87084
IT 720-848-4000
ID Pharm pg2383

AIP OR 307##
AIP OR Charge 83597/83512
AOP OR 814##
AOP OR Charge 81508
AIP PACU 86203

Chemistry 84401

SICU Pharm 80063
ICU Pharm weekends 86108

Penrose Hospital Micro 719 776 5166

Help Desk 84000

UCD Help Line 303 724 4357

AIP2 6 Floor Pharm 89756
AIP2 6 Floor Fax 720 848 3682

IR board 87620
IR Room 83918
InPt X-ray 86363
CAT 86348
U/S: 86339
Echo: 87555/86340
MRI: 86011
Nuc Med: 81210/81211
Vascular lab 82620

ED radiologist 88666
88667

ED xray 88658

83438/88686
Radiology
Chest: 87129
GI: 85969 ←- attending
Fluoro: 81085
X-ray: 83438
Neuro: 83432/83438
Ultrasound 86339
Msk. 83435

85277 patient representative
87447 - pharmacy

Reading room
83434 - body
85969

Atrium
84083 Ext 4

Pathology 84421

ANYTIME/ANYWHERE 88351

AIP1 charge/main
2 Critical Care Annex 84302
2 CT ICU (18-26) 86161 / 83345
2 CT ICU (27-24) 86159 / 83345
3 Burn ICU (18-26) 83510 / 87583
3 Burn ICU (27-36) 81849
4 NICU (neonatal) 85224
4 Women's Center 83450 / 85233
5 Birth Center 84635 / 84111
6 Transplant/Hep (1-36) 84610 / 84551
7 Neurology (1-36) 87411 / 87740
8E Rehab (21-32) 83921 / 83800
8W Card/Med Unit 83504 / 87584

• (1-20, 34, 35)

9 Pulmonary (1-36) 87418 / 87579
10 MS PCU (1-36) 83550 / 87578
11 BMT (1-36) 84869 / 84275
12E CTRC (19-23) 87907
12W ACE/Suites 84911 / 84751

1 CDU-2 35091/89715
2 SSU (AIP PACU) 34289 / 81490
2 Neuro ICU (56-79) 85490 / 83590
3 Cardiac ICU (62-73) 85907 / 84500
3 Cardiac PCU 85733 / 84560

• (56-61, 74-79)

3 Cardiac Post Proc 84323 / 87651

• (1-10)

5 ST ICU (56-79) 34155 / 86120
6 Surgical Specialties 34130 / 87680

• (50-85)

7 MHSU 34270 / 88680
8 Ortho (50-85) 34366 / 88720
9 Med Spec (50-85) 84618 - 84601
10 Medical ICU (56-79) 83492 / 85492
11 Onc/Med/GYN 83749 / 88999

• (50-85)

ATU 34633 / 81581

• AOP 2nd fl
  

BioMed 88351
Blood Bank 84444
Cashier's Office 81029
CENTRAL SUPPLY 84884

• Jan - Supervisor 84027
  

Chaplain's Office 84063
Decedent Affairs 84356

• pgr 266-7259

Diabetes EDU x7898 x0790
Dietary 84052

• FNS Supervisor 87498
  
• Fax 84053
  
• Pager 266-0644
  

Dialysis - Acute 80900
Dialysis - Home 83102
DC Lounge 85586
ECHO 87555
ED 85184 / 89111
ED Holding Area 86338
EEG Tech 87732 / 87734

• After hrs pager 266-3166
  

Employee Health 86849
Engineering Pager 266-4500
EVS 84915
Financial Counseling 81025
Food & Nutrition 85923
Flower Shop 84004
Garden View Café 87339
Guest Services 84011
GI Lab 82771 / 83909
Gift Shop 81076
Glucose Mgmt x0790
Health Tech 83881

• Lead AHT 87450
  

Heart Center 85300

Help Desk 84000
Hepatology Clinic 82245
Home 02 87455

• Apria 720-219-6276
  

Human Resources 86801
Infection Control 87987
Interpreting Services 80397
LAB 84401

• Supervisor 266-4888
  
• Micro 87084
  

Life Link 85465
Linen Pager 266-9883
Lost & Found 82458
Maintenance 88351
Materials Mgmt

• Distribution 84027
  
• Purchasing 82900
  

Medical Records

• M-F 8am-4:30 p 81031
  
• Eves & Wknds 81287
  
• Fax 85551
  

Mail Center 40102
OIC 81300

• Fax 81308
  

Oxygen Tanks 84027

• Fax 82905
  

Pain Service Pager 266-6493
Patient Information 84011
Patient Rep 85277
PFT Lab 80842
PT/OT 83802
PULM Rehab 87534
Radiation Onc 80100
Rehab Therapy Svcs 83802
RT Lead 84925
Resource RN 88687
Risk Management 47475
Ship/Rec 86385
Social Work 84825
Speech 83802
Staffing Office 82617

• Fax 80987
  

Sterile Processing 87120
Stress Test 85300

• Fax 85301
  

Tele 27702
Translator 81018 / 80397
Transport 84915
Valuables Pager 266-1681
Vascular Lab 85300
Volunteer Office 81866
Wound RN 84684

• Pager 266-4614
  

Pharmacy Inpatient (main) 81389

ICU/OR 86128 Atrium 84083 AOP 81020 Pyxis Pager 266-0800 Discharge Pgr 266-2687 Meds to Beds 34303 Ike Kim 84898 / x5806 Victor 84548

Radiology CT 86348 MRI 86011

• Fax 80992

IR 87620 Nuc Med 81210 / 81200 Ultrasound 86340 / 86339 File Room 81104 / 05 / 06 After hrs Read 266-6347 PICC

• Procedure 87598 / 87599
• Scheduling 87630
• Cisco ph 34523

X-Ray 86343 / 86344 OP Radiology 81085 OP Fluoro/Swallow 85263

AIP OR Pre-OP 86252 OR 84351

OR Charge RN 83512 Anesthesia 85920 PACU 86203

CVC/CVHD Pre-Post 87651 Bronchoscopy 87162/87957 Electrophysiology 83589 Cath Lab 87636 IR 87620

Adm Support (EPIC) 84001 Pt Placement (bedboard) 88815 DocLine 82828 Hospital Manager 84296