Indirect Supervision- the supervising physician is physically within the hospital or other site of patient care, and is immediately available to provide Direct Supervision. Direct by Faculty Direct by senior residents Indirect but immediately available – faculty Oversight I Adult & Pediatric medical or trauma resuscitations, ED ultrasound, Cardiac pacing, Central lines, Chest tubes, Procedural sedation, Cricothyrotomy, Dislocation reduction, Intubations, Lumbar Puncture, Pericardiocentesis, Vaginal delivery, intraosseous lines, SANE exam. Slit Lamp Exam, arterial blood gas, digital nerve block, arthrocentesis, nasogastric lavage, Suturing, Abscess I&D History & Physical exam, pelvic exam, rectal exam, blood draw, IV access, foley catheter New Innovations and ED faculty. II Adult & Pediatric medical or trauma resuscitations, Cardiac pacing, Procedural sedation, Cricothyrotomy, Intubations, Vaginal delivery, Pericardiocentesis, intraosseous line ED ultrasound, Central lines, Chest tubes, Dislocation reduction, EMS online medical control. Slit Lamp Exam, arterial blood gas, digital nerve block, arthrocentesis, nasogastric lavage, Suturing, Abscess I&D New Innovations and ED faculty. III Adult & Pediatric medical or trauma resuscitations, Cardiac pacing, Procedural sedation, Intubations, Cricothyrotomy, Vaginal delivery, Pericardiocentesis, intraosseous line Management of ED throughput. ED ultrasound, Central lines, Chest tubes, Dislocation reduction, EMS online medical control. New Innovations and ED faculty. IV Adult & Pediatric medical or trauma resuscitations, Cardiac pacing, Procedural sedation, Intubations, Cricothyrotomy, Pericardiocentesis Vaginal delivery, intraosseous line ED ultrasound, Central lines, Chest tubes, Dislocation reduction, Manage ED throughput, EMS online medical control. New Innovations and ED faculty. HOUSE OFFICER CONTRACT 2007-2008 HOUSE OFFICER AGREEMENT OF APPOINTMENT BETWEEN (print or type name) __________________________________________________________ Y
I Adult & Pediatric medical or trauma resuscitations, CODE MI, stroke activations, ED ultrasound, Cardiac pacing, Central lines, Chest tubes, Procedural sedation, cricothyrotomy, Dislocation reduction, Intubations, Lumbar Puncture, Pericardiocentesis, Vaginal delivery, intraosseous lines. Slit Lamp Exam, arterial blood gas, digital nerve block, arthrocentesis, nasogastric lavage, Suturing, Abscess I&D History & Physical exam, pelvic exam, rectal exam, blood draw, IV access, foley catheter New Innovations and ED faculty. II Adult & Pediatric medical or trauma resuscitations, CODE MI, stroke activations, Cardiac pacing, Procedural sedation, Cricothyrotomy, Intubations, Pericardiocentesis, Vaginal delivery, intraosseous line ED ultrasound, Central lines, Chest tubes, Dislocation reduction Slit Lamp Exam, arterial blood gas, digital nerve block, arthrocentesis, nasogastric lavage, Suturing, I&D New Innovations and ED faculty. III Adult & Pediatric medical or trauma resuscitations, CODE MI, stroke activations, Cardiac pacing, Procedural sedation, Cricothyrotomy, Intubations, Pericardiocentesis Vaginal delivery, intraosseous line ED ultrasound, Central lines, Chest tubes, Dislocation reduction New Innovations and ED faculty. IV Adult & Pediatric medical or trauma resuscitations, CODE MI, stroke activations, Cardiac pacing, Procedural sedation, Cricothyrotomy, Intubations, Pericardiocentesis, Vaginal delivery, intraosseous line ED ultrasound, Central lines, Chest tubes, Dislocation reduction New Innovations and ED faculty. Transition of Care Policy ED Handoff Tools: PLAN ED Patient (age, sex, name, room number and chief complaint) Label with working diagnosis or differential diagnosis Assessment (key elements of history, physical exam, labs, diagnostic imaging) Next steps and nursing assessment (pending labs, diagnostic imaging, consultants) Everything else (social issues, handed off before, systems issues)
Extras: All procedures must be recorded and turned in at the end of the month. Evaluations: Global Rotation evaluation, via NewInnovations. Supervision: All intubations, rapid sequence inductions and associated procedures are supervised by Anesthesia faculty and CRNA’s Meals: The resident’s responsibility. Intern Ultrasound Block Objectives: Become familiar with the basics of using the ultrasound machines available at UH Learn how to record images in Q-Path. Develop a basic knowledge of performing and interpreting FAST, AAA, RUQ, and OB ultrasound Requirements: Email Dr. Butts 2 weeks prior to starting the rotation. Be present in the ED every Tuesday and Thursday afternoon from 1p-5p perform ultrasound – if the anesthesia cases that day have special learning circumstances that prolong your day, you will be permitted to reschedule your US day. Record your studies in Q-Path. Perform a minimum of studies as detailed below: FAST 10 RUQ 10 AAA 10 OB 5 Meet with Dr. Butts at the conclusion of your rotation to review your recorded studies and turn in your log (you will not get credit for your rotation until this step is complete). Anesthesia & US Rotation at ILH GOALS and OBJECTIVES The year of training is typically PGY 1. OVERALL OBJECTIVES:
Schedule: You will work 15 shifts per month; half of the scheduled residents will work 16 in months with 31 days. Each resident will be required to work one Friday-Saturday night shift each month. Directions: Directions to the hospital are included in the Ochsner resident handbook. Conference: You are required to attend conference and journal club. Extras: All procedures must be recorded and turned in at the end of the month. Supervision: Dr. Guarisco and staff physicians provide Supervision. Evaluations: Compiled and pooled from evaluations by the staff physicians. LSU Emergency Medicine Residency Program Emergency Department Rotation GOALS and OBJECTIVES What follows are the goals and objectives for the Ochsner ED rotation, that will range from a 2 week to 1 month rotation, as assigned by the Program Director. The rotation will take place at the Ochsner ED. The year of training may include PGY 1-5. The educational goals and objectives for the Ochsner ED rotation are to provide residents with an opportunity to experience and learn about the initial evaluation and management of emergency patients in the community, health maintenance organization setting, including the following: Perform basic assessment of patients with a variety of moderate and major traumatic conditions. Formulate a differential diagnosis for patients with various kinds of traumatic conditions and mechanisms of injury. Order and interpret appropriate diagnostic laboratory and imaging studies for trauma patients. Competently perform minor procedures such as suturing of lacerations, incision and drainage of the abscesses, insertion of nasogastric tubes and urinary catheters, venipuncture, insertion of peripheral intravenous catheters, lumbar puncture, splinting of fractures and sprains, spinal immobilization. Demonstrate basic understanding of the principles of , PALS and ATLS resuscitation as