Harbor:Resident responsibilities and transitions of responsibility

• Need to put in the correct category:
  • Dish Duty (yo momma doesn't live here)
  • Fridge Duty (wear a mask)
  • ED narcan
    • .phrases, link with SUD page for outpt f/up
      • RME & TRIAGE

• 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