Harbor:Resident responsibilities and transitions of responsibility

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  • 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