Plastics

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
==== University ====

Faculty:\\
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: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]]\\


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\\

==== 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" 800,500 noscroll noborder}}

[[https://docs.google.com/spreadsheets/d/1VIO4pVNYsP_GLOD1YkyvDtWfU1ASnwjDoZ24Ev-47IE/edit#gid=0|Click Here to edit this google sheet]]


**General TE info**:\\
- 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):\\
	- <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, 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...\\


==== Adding on Cases at UCH ====

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\\


==== Intern Guide ====

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 [[medical_student:pt_ot_restrictions|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

==== Lower Extremity 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}}

[[https://docs.google.com/document/d/19B5PAeHXIh9Kw_JlhBzjnAexIPXa89BAjoH2PPFdysU/edit|Click here to edit this google doc]]

Dr. Kaoutzanis Pathway

{{url>https://docs.google.com/document/d/e/2PACX-1vQYpat1xWyuYj2pwOBPFzPfPa4BYh2moMqAb1bNdSQn21viXIdchWaTeJjfSmGEIhaQdrufkwpnEy5U/pub?embedded=true 800,800, noborder}}

[[https://docs.google.com/document/d/1wOrsXQf8l0sjeQGP3_bll6RqLc6lUDnQ1ggDc2gCjOQ/edit?usp=sharing|Click here to edit this google doc]]

==== Leeching ====
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\\
==== UCH Phone Numbers ====

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\\
	
===Inpatient Units===	

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\\
	
===AIP2===	

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