Harbor:Resident responsibilities and transitions of responsibility: Difference between revisions

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** ED narcan
** ED narcan
*** .phrases, link with SUD page for outpt f/up
*** .phrases, link with SUD page for outpt f/up
**** [[Harbor:RME & TRIAGE|RME & TRIAGE]]




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*Senior Resident (R4/R3)
*Senior Resident (R4/R3)
** Airway Team - Manny
** Airway Team - Manny/Andrea
*** sim case upstairs w/ mannequin - go through set up, get sticker or note
*** Bag
*** Bag
*** Meds
*** Meds
*** .edairwayteam
*** .edairwayteam (write note even if not intubated to document response time/called off)
** Trauma Airway
** Trauma Airway - set up and running TTA1s
** ED Triage - Chappell
***where to get stuff to restock, ducanto suction, putting glidescopes back!
** ED Team Triage - Chappell
***what to do if you need a room - calling RME charge, code stroke or STEMI activations,
***ask attendings about imaging, where the specific triage equipment is like iCare, etc.
** Ambulance triage - Chappell
** Ambulance triage - Chappell
***what to do if you need a room - calling acute charge, medically clearing for psych or stable waiting room
** Triage to Psych - Chappell
** Triage to Psych - Chappell




Line 33: Line 38:
* R3
* R3
** No responsibilities=Irresponsible???
** No responsibilities=Irresponsible???
 
** New senior roles above (airway bag, TTA1s, Trauma airway prep)
** Admin phone calls (Pre-arrival notes, critical lab results?)


* R2
* R2
Line 51: Line 57:
* 5-S Duties
* 5-S Duties
** Purple
** Purple
***Purple attending (on all shifts):
****Remove any items that do not belong (food, meds, etc.)
****Securely dispose of any EKGs/papers that are left behind
****Ensure work surfaces are properly wiped down
****Ensure translator phone is docked
****Charge the attending phone
****Close any completed consults
****Ensure interqual is met for all admissions
***Purple senior (Tasks #1-3 while on airway, otherwise on every shift):
****Ensure airway bags are in correct location
****Stock airway bags according to chart in cabinet
****Check airway medication expiration dates and sign off
****Check posey manometer for Minnesota tubes
****Charge the senior phone
****Close any completed consults
****Ensure interqual is met for all admissions
***Purple junior (on all shifts):
****Ensure all US in AED/Trauma are docked
****Wipe down US machines and stock gel and grey wipes
****Clear US worklists
****Check equipment in purple doc box (op/otoscopes, ring cutter, stryker, breathalyzer, pacemaker (with cable and extra battery)
****Charge the junior phone
****Close any completed consults
****Ensure interqual is met for all admissions
** Green
** Green
** Triage/FT
***Green attending (on all shifts):
****Remove any items that do not belong (food, meds, etc.)
****Securely dispose of any EKGs/papers that are left behind
****Ensure work surfaces are properly wiped down
****Ensure translator phone is docked
****Charge the attending phone
****Close any completed consults
****Ensure interqual is met for all admissions
***Green senior (every shift):
****Ensure glidescopes are functional and are in trauma 1-5
****Ensure fiberoptic scope is in trauma 3
****Set up airways in trauma 1-5
****Stock VL blades in baskets and ensure rigid stylet available
****Check O2 tank on gurneys
****Charge the senior phone
****Close any completed consults
****Ensure interqual is met for all admissions
***Green junior (on all shifts):
****Ensure all US in RME are docked
****Wipe down US machines and stock gel and grey wipes
****Clear US worklists
****Remove items that do not belong from the rounding room
****Check equipment in green doc box (op/otoscopes, slit lamp, tonopen)
****Charge the junior phone
****Close any completed consults
****Ensure interqual is met for all admissions
** Triage/FT (7a or 9a provider)
***Ensure triage WOWs are in place
***Discard food/papers/EKGs from counters and rooms
***Plug in WOWs that are not in use
***Wipe down computer keyboards
***Charge phones when not being used
***Turn in phone to RME clerk at end of shift
***Ensure registration complete prior to transfer to UCC/psych
** PED
** PED


[[Category:Admin]]
[[Category:Admin]]

Latest revision as of 20:08, 31 January 2022

  • Need to put in the correct category:
    • Dish Duty (yo momma doesn't live here)
    • Fridge Duty (wear a mask)
    • ED narcan


  • Chiefs
    • This is the only thank you that you will get for the next year!
    • Academic
    • Scheduling
    • IT/Website


  • Senior Resident (R4/R3)
    • Airway Team - Manny/Andrea
      • sim case upstairs w/ mannequin - go through set up, get sticker or note
      • Bag
      • Meds
      • .edairwayteam (write note even if not intubated to document response time/called off)
    • Trauma Airway - set up and running TTA1s
      • where to get stuff to restock, ducanto suction, putting glidescopes back!
    • ED Team Triage - Chappell
      • what to do if you need a room - calling RME charge, code stroke or STEMI activations,
      • ask attendings about imaging, where the specific triage equipment is like iCare, etc.
    • Ambulance triage - Chappell
      • what to do if you need a room - calling acute charge, medically clearing for psych or stable waiting room
    • Triage to Psych - Chappell


  • R4
    • EKGs
    • Interviews/job searches - Chappell/Saidinejad
    • FastTrack - Chappell


  • R3
    • No responsibilities=Irresponsible???
    • New senior roles above (airway bag, TTA1s, Trauma airway prep)
    • Admin phone calls (Pre-arrival notes, critical lab results?)
  • R2
    • Psych consults (Green)
    • FastTrack - Chappell
    • Documentation and billing: Peterson/Chappell/Wu/Jang
    • EMTALA: Peterson/Chappell/Wu
    • ED nuances/follow-up/5S: Wu/Chappell
    • ED scavenger hunt - chiefs
    • Patient experience: Saidinejad/Chappell


  • R1
    • ED scavenger hunt - chiefs


  • 5-S Duties
    • Purple
      • Purple attending (on all shifts):
        • Remove any items that do not belong (food, meds, etc.)
        • Securely dispose of any EKGs/papers that are left behind
        • Ensure work surfaces are properly wiped down
        • Ensure translator phone is docked
        • Charge the attending phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
      • Purple senior (Tasks #1-3 while on airway, otherwise on every shift):
        • Ensure airway bags are in correct location
        • Stock airway bags according to chart in cabinet
        • Check airway medication expiration dates and sign off
        • Check posey manometer for Minnesota tubes
        • Charge the senior phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
      • Purple junior (on all shifts):
        • Ensure all US in AED/Trauma are docked
        • Wipe down US machines and stock gel and grey wipes
        • Clear US worklists
        • Check equipment in purple doc box (op/otoscopes, ring cutter, stryker, breathalyzer, pacemaker (with cable and extra battery)
        • Charge the junior phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
    • Green
      • Green attending (on all shifts):
        • Remove any items that do not belong (food, meds, etc.)
        • Securely dispose of any EKGs/papers that are left behind
        • Ensure work surfaces are properly wiped down
        • Ensure translator phone is docked
        • Charge the attending phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
      • Green senior (every shift):
        • Ensure glidescopes are functional and are in trauma 1-5
        • Ensure fiberoptic scope is in trauma 3
        • Set up airways in trauma 1-5
        • Stock VL blades in baskets and ensure rigid stylet available
        • Check O2 tank on gurneys
        • Charge the senior phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
      • Green junior (on all shifts):
        • Ensure all US in RME are docked
        • Wipe down US machines and stock gel and grey wipes
        • Clear US worklists
        • Remove items that do not belong from the rounding room
        • Check equipment in green doc box (op/otoscopes, slit lamp, tonopen)
        • Charge the junior phone
        • Close any completed consults
        • Ensure interqual is met for all admissions
    • Triage/FT (7a or 9a provider)
      • Ensure triage WOWs are in place
      • Discard food/papers/EKGs from counters and rooms
      • Plug in WOWs that are not in use
      • Wipe down computer keyboards
      • Charge phones when not being used
      • Turn in phone to RME clerk at end of shift
      • Ensure registration complete prior to transfer to UCC/psych
    • PED