Optimizing the clinical role of the ACP in Trauma Gena Brawley, ACNP Carolinas Healthcare Systems NPSS Asheville, NC

Save this PDF as:
Size: px
Start display at page:

Download "Optimizing the clinical role of the ACP in Trauma Gena Brawley, ACNP Carolinas Healthcare Systems NPSS Asheville, NC"

Transcription

1 Optimizing the clinical role of the ACP in Trauma Gena Brawley, ACNP Carolinas Healthcare Systems 2017 NPSS Asheville, NC

2 Objectives Discuss the role of the Critical Care Nurse Practitioner in Trauma Identify settings for practice Discuss daily responsibilities of the ACP

3 All about me BS Psychology Associates Degree in Nursing Bachelors in Nursing Masters in Nursing Cardiac ICU RN Acute Care Nurse Practitioner (now AGACNP) 7 years of Trauma/ Critical Care NP experience

4 My team

5 All about us 15 ACPs - 8 PAs, 7 NPs 3 ACPs dedicated to Trauma Floor, 2 ACPs dedicated to General Surgery, 4 ACPs on Critical Care Nights Shifts: Trauma floor, Float, Surgical Critical Care, Trauma ICU, General Surgery, Clinic Additional needs- High acuity, Resident coverage Schedule- 10 or 13 hour shifts, 3 or 4 days per week

6 Where I work Carolinas Healthcare Systems- Charlotte, NC Level 1 Trauma Center for Adults, Level 1 Trauma Center for Pediatrics 874 beds, 115,000 ED visits per year, 27% admitted with 1/4 admitted to ICU Trauma in Trauma activations, 6 th highest volume in US, 89% blunt trauma, 9% penetrating

7 Level I Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury from prevention through rehabilitation. Elements of Level I Trauma Centers Include: 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. Referral resource for communities in nearby regions. Provides leadership in prevention, public education to surrounding communities. Provides continuing education of the trauma team members. Incorporates a comprehensive quality assessment program. Operates an organized teaching and research effort to help direct new innovations in trauma care. Program for substance abuse screening and patient intervention. Meets minimum requirement for annual volume of severely injured patients.

8 Clinical Setting Rounding/ documentation Procedures Work under supervising and back up physicians Maintain collaborative practice agreement

9 Scope of practice Promotion and maintenance of health Prevention of illness and disability Diagnosing, treating, and managing acute and chronic illness Guidance and counseling for both individuals and families Prescribing, administering, and dispensing therapeutic measures Planning for situations beyond expertise, consulting and referring Evaluating health outcomes

10 Emergency Department Consults Trauma/ General surgery Codes Trauma codes, Code sepsis Procedures Resuscitation, Lines, Chest tubes, lacerations Triage Determining admission needs, level of care

11 Trauma Codes Ages Peds up to 18 years old Adult years old Geriatric- 55+ years old

12 Trauma code levels Trauma Code 1 -Shock, airway compromise, declining mental status, penetrating trauma Trauma Code 2 - Pulmonary injury, vascular injury, burn, marginal mental status, femur/pelvic fracture, pregnancy Trauma Alert - Suspected multiple fractures, significant mechanism, Blunt traumatic arrest

13 Trauma arrival scene

14 Primary Survey Secondary Survey Adjuncts to exam Procedures

15 Trauma Exam documentation

16 ACP Role in ED trauma management Primary survey ED procedures- Chest tubes, Lines, Chest tubes, Intubations Ordering diagnostic tests Diagnostic interpretation Consultation with specialists

17 OR First assist Consent/ updates

18 Inpatient Floor Rounding Communication with consultants Communication with multidisciplinary team Procedures

19 Inpatient ICU Rounding Procedures Resuscitation Critical care time

20 Daily Rounding Multiprofessional team RN/ RT participation in rounding Recap in afternoon with PT/OT, CCM, RT, Palliative

21

22 ICU Procedures Central/ arterial lines Intubations Bronchoscopy Chest tubes Trach/ PEGs

23 Diagnostic testing Appropriate diagnostic imaging Interpretation of diagnostics Appropriate interventions Follow up

24 Education Family/ patient Learners on service Nursing NP student Resident

25 How to effectively utilize the ACP Engagement Education opportunities Autonomy Teamwork Physician/ ancillary support Opportunities for organizational involvement

26 Engagement Identify scope of practice, work towards optimizing ACP role Encourage feedback, develop practice to meet ACP needs Promote opportunities for extracurriculars

27 Education opportunities Onboarding and mentoring new learners ACP fellows, ACP student, NP/ RN shadow opportunities Resident learners

28 Autonomy Practice at highest scope of practice Appropriate oversight Opportunity for council Challenge of difficulty patients Uphold ACP value to members outside of the team

29 Correct utilization and engagement Onboarding and proper training Involvement in trauma team and institution Trust Institutional support

30 Teamwork Multiprofessional team Nursing/ RT/ PT/OT support MDs and ACPs Residents New Learners

31 Opportunities for organizational involvement Center for Advanced Practice ACP Fellowship Process Improvement/ Case Review Developing protocols for practice

32 Practice at top of educational level Provider respect Engagement and commitment Dedication to QI, Facility, team Autonomy and development of trust in skill level Procedural opportunities High acuity patient encounters Ongoing diagnostic proficiency (US) Opportunity to educate/ mentor

33 How its not done Limiting ACP decision making- ACP level patient Limited opportunity to learn Acting as scribes Minimal procedural opportunities Repetitive work Poor compensation

34 ACP overview ACPs filling gap in healthcare, aging patient population means more complex patients Able to work alongside MDs to increase productivity, function autonomously, training upcoming generation of practitioners Procedural abilities, Operative assist, Rounding, Family/ patient education Goal of care/ our mission- To improve health, elevate hope, and advance healing for all

35 Gena Brawley are.org 2017 NPSS ASHEVILLE, NC

The curriculum is based on achievement of the clinical competencies outlined below:

The curriculum is based on achievement of the clinical competencies outlined below: ANESTHESIOLOGY CRITICAL CARE MEDICINE FELLOWSHIP Program Goals and Objectives The curriculum is based on achievement of the clinical competencies outlined below: Patient Care Fellows will provide clinical

More information

POLICIES AND PROCEDURES

POLICIES AND PROCEDURES POLICIES AND PROCEDURES POLICY: 535.10 TITLE: EFFECTIVE: 4/13/17 REVIEW: 4/2022 SUPERCEDES: APPROVAL SIGNATURES ON FILE IN EMS OFFICE PAGE: 1 of 14 I. AUTHORITY Division 2.5, California Health and Safety

More information

The Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations

The Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations The Ohio State University Department of Orthopaedics Residency Curriculum PGY1 Rotations Goals and Objectives Anesthesiology Rotation PGY1 Level I. Core Competency Areas By the end of the PGY1 rotation

More information

TRAUMA CENTER REQUIREMENTS

TRAUMA CENTER REQUIREMENTS California Trauma Center Level III Criteria California Code of Regulations,, Chapter 7 - Trauma Care System with American College of Surgeons (Green Book) references; includes FAQ clarifications TRAUMA

More information

Trauma. Level 2. This resident can lead a to recognize common. This resident can. accurately diagnose. team that cares for traumatic conditions and

Trauma. Level 2. This resident can lead a to recognize common. This resident can. accurately diagnose. team that cares for traumatic conditions and Page 1 of 7 Trauma Subject Name Status Employer Program Rotation Evaluation Dates Evaluated by: Evaluator Name Status Employer Program 1 (Trauma) Patient Care: Ward Care This resident is not able lead

More information

Supervision of Residents/Chain of Command

Supervision of Residents/Chain of Command Supervision of Residents/Chain of Command Creighton University Department of Surgery Residency Training Program Chain of command for Surgery residents at CUMC PGY1: The intern on call covers the two general

More information

ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY)

ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY) July 2011 ROTATION: TRAUMA AND CRITICAL CARE (L AND A SURGERY) ROTATION DIRECTOR: Areti Tillou, M.D. CHIEF OF TRAUMA SURGERY: Henry G. Cryer, M.D. SITE: RRUMC GOALS AND OBJECTIVES: To provide trainees

More information

Iowa Methodist Medical Center Department of Surgery Education Resident Rotation Description

Iowa Methodist Medical Center Department of Surgery Education Resident Rotation Description Iowa Methodist Medical Center Department of Surgery Education Resident Rotation Description Rotation: Trauma Surgery Service, PGY-1 General Information: 1. Postgraduate year: PGY-1 2. Rotation Length:

More information

Level 4 Trauma Hospital Criteria

Level 4 Trauma Hospital Criteria Level 4 Trauma Hospital Criteria Hospital Commitment The board of directors, administration, and medical, nursing and ancillary staff shall make a commitment to providing trauma care commensurate to the

More information

To teach residents the fundamentals of patient triage and prioritization of medical care.

To teach residents the fundamentals of patient triage and prioritization of medical care. EMERGENCY MEDICINE Overview Most of the Emergency Medicine Experience occurs predominantly during PGY-1 or PGY-2 Emergency Blocks. In addition, all inpatient rotations provide residents varying degrees

More information

Pediatric ICU Rotation

Pediatric ICU Rotation Pediatric Anesthesia Fellowship Program Department of Anesthesiology 800 Washington Street, Box 298 Boston, MA 02111 Tel: 617 636 6044 Fax: 617 636 8384 Pediatric ICU Rotation ROTATION DIRECTOR: RASHED

More information

SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow

SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow I. Clinical Mission of the North Carolina Jaycee Burn Center The clinical

More information

2015 Site Survey Information Required Form

2015 Site Survey Information Required Form SITE SURVEY INFORMATION Page 1 Applicant Hospital: Site Survey Date: Information on where Foundation staff should park the van: Person who will meet survey team upon arrival: Location where hospital staff

More information

The following policy was adopted by the San Luis Obispo County EMS Agency and will become effective March 1, 2012 at 0800 hours.

The following policy was adopted by the San Luis Obispo County EMS Agency and will become effective March 1, 2012 at 0800 hours. SLO County Emergency Medical Services Agency Bulletin 2012-02 PLEASE POST New Trauma System Policies and Procedures February 9, 2012 To All SLO County EMS Providers and Training Institutions: The following

More information

Disclosures. Costs and Benefits When Increasing Level of Trauma Center Designation. Special Thanks to Mike Williams 9/26/2013

Disclosures. Costs and Benefits When Increasing Level of Trauma Center Designation. Special Thanks to Mike Williams 9/26/2013 Costs and Benefits When Increasing Level of Trauma Center Designation Austin Hill MD MPH OTA 2013 None Disclosures Special Thanks to Mike Williams 1 Underlying Premise: Why are for-profit trauma centers

More information

Course: Acute Trauma Care Course Number SUR 1905 (1615)

Course: Acute Trauma Care Course Number SUR 1905 (1615) Course: Acute Trauma Care Course Number SUR 1905 (1615) Department: Faculty Coordinator: Surgery Dr. Joseph P. Minei Hospital: Periods Offered: Length: Parkland Health & Hospital System All year 4 weeks

More information

Trauma Rotation UMASS Memorial University Campus

Trauma Rotation UMASS Memorial University Campus Trauma Rotation UMASS Memorial University Campus * The following objectives include goals and achievements set forth for successful completion in the acute surgery & trauma rotation such that residents

More information

COURSE DESCRIPTIONS. Emergency Health Sciences (EMSP)

COURSE DESCRIPTIONS. Emergency Health Sciences (EMSP) ` COURSE DESCRIPTIONS Emergency Health Sciences (EMSP) EMSP 4010. Emer Med Serv-Ambulance. 4 Credit Hours. Orientation to the San Antonio Fire Department Standard Medical Operating Procedures (SMOPs) and

More information

PGY-1 Overall Goals & Objectives

PGY-1 Overall Goals & Objectives PGY-1 Overall Goals & Objectives PGY-1 residents are expected to accomplish and maintain the following objectives: Develop personal values and interpersonal skills appropriate for the surgical resident

More information

Appendix 1 - Licensing and Audit Requirements for Emergency Department Services

Appendix 1 - Licensing and Audit Requirements for Emergency Department Services Appendix 1 - Licensing and Audit Requirements for Emergency Department Services Number Urgent Care Centres Emergency Department Emergency Department with Major Trauma Centre 1. Access 24/7 (This requirement

More information

LOMA LINDA UNIVERSITY MEDICAL CENTER SURGERY SERVICE RULES AND REGULATIONS

LOMA LINDA UNIVERSITY MEDICAL CENTER SURGERY SERVICE RULES AND REGULATIONS I. ORGANIZATION LOMA LINDA UNIVERSITY MEDICAL CENTER SURGERY SERVICE RULES AND REGULATIONS A. Membership: 1. The Surgery Service shall be made up of Physicians and Dentists who perform surgical procedures

More information

Alfred Health Pharmacy Internships 2019

Alfred Health Pharmacy Internships 2019 Alfred Health Pharmacy Internships 2019 Alfred Health 55 Commercial Road Melbourne VIC 3004 Campuses at which pharmacy intern will work The Alfred, Caulfield Hospital & Sandringham Hospital Hospital Information

More information

Delineation of Privileges and Credentialing for Critical Care Procedures

Delineation of Privileges and Credentialing for Critical Care Procedures Delineation of Privileges and Credentialing for Critical Care Procedures Marialice Gulledge, DNP, ANP-BC Chief, Nurse Practitioner Trauma and Acute Care Surgery Disclosure Faculty/presenters/authors/content

More information

APP PRIVILEGES IN SURGERY

APP PRIVILEGES IN SURGERY APP PRIVILEGES IN SURGERY Education/Training Licensure (Initial and Reappointment) Required Qualifications Successful completion of a PA or NP program Current licensure as a PA or RN in the state of California

More information

SAMPLE Bariatric Surgery Program Survey for Facilities and Surgeons

SAMPLE Bariatric Surgery Program Survey for Facilities and Surgeons I. Facility Section (to be completed by the facility s risk and/or quality department) Facility Name: Address: Date: Contact Person: Directions Please check the appropriate yes or no answer boxes where

More information

1. PROMOTE PATIENT SAFETY.

1. PROMOTE PATIENT SAFETY. SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER GOALS & ACCOMPLISHMENTS FISCAL YEAR 2006-2007 1. PROMOTE PATIENT SAFETY. Implemented medication reconciliation processes and procedures for admitted patients.

More information

SUMMARY OF QUALIFICATIONS

SUMMARY OF QUALIFICATIONS Jennifer Labs, MSN, RN, CLNC Precision Legal Nurse Consulting 6831 N. Shoreview Drive Rhinelander, WI 54501 Phone: 715.437.0329 labsjennifer@gmail.com www.precisionlegalnurse.com SUMMARY OF QUALIFICATIONS

More information

For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert

For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert For Vanderbilt Medical Center Carolyn Buppert, NP, JD Law Office of Carolyn Buppert www.buppert.com Describe the services in critical care that nurse practitioners perform that are billable Discuss what

More information

PGY-1 Pharmacy Practice

PGY-1 Pharmacy Practice Lutheran Health Network PGY-1 Pharmacy Practice Residency Program LHN Pharmacy Residency Program Mission Statement The mission of the LHN Pharmacy Residency Program is to empower pharmacy residents to

More information

Learning Experiences Descriptions

Learning Experiences Descriptions Anticoagulation Management Clinic Learning Experiences Descriptions The Anticoagulation Management rotation is an elective learning experience that focuses on the outpatient management of anticoagulation.

More information

Surgical Critical Care Sub I

Surgical Critical Care Sub I Course Goals Goals 1. Develop the attitude, skills, and knowledge to be able to recognize the impact of the global and local health care system and its impact on patient outcomes. 2. Develop the attitude,

More information

Trauma Verification Q&A Web Conference

Trauma Verification Q&A Web Conference Trauma Verification Q&A Web Conference August 23, 2016 COTVRC@facs.org Your Trauma Quality Programs Staff Tammy Morgan Manager Trauma Center Programs Molly Lozada Verification Manager Trauma Verification

More information

Department of Health and Wellness Emergency Care Standards April 2014

Department of Health and Wellness Emergency Care Standards April 2014 Background In September 2009, the Nova Scotia government appointed Dr. John Ross as its provincial advisor on emergency care. Dr Ross s report, The Patient Journey Through Emergency Care in Nova Scotia

More information

RESOURCES FOR OPTIMAL CARE OF THE INJURED PATIENT

RESOURCES FOR OPTIMAL CARE OF THE INJURED PATIENT CALIFORNIA TRAUMA REGULATIONS (Title 22) versus ACS RESOURCES FOR OPTIMAL CARE OF THE INJURED PATIENT 2006 (Green Book) (Level I/II Trauma Centers Only) Requirement TITLE 22 ACS GREEN BOOK Trauma Medical

More information

Neurocritical Care Fellowship Program Requirements

Neurocritical Care Fellowship Program Requirements Neurocritical Care Fellowship Program Requirements I. Introduction A. Definition The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological

More information

BASIC Designated Level

BASIC Designated Level County Date of Survey BASIC Designated Level Type of Survey Name of Facility Hospital License # Address Telephone ( ) Manager / Director Fax ( ) License / Certificate # # of Bays Surveyor s Signature Date

More information

APP PRIVILEGES IN UROLOGY

APP PRIVILEGES IN UROLOGY APP PRIVILEGES IN UROLOGY Education/Training Licensure Required Qualifications Successful completion of a PA or NP program Current Licensure as a PA or RN in the state of CA Current certification as a

More information

Developing a Trauma Center

Developing a Trauma Center Developing a Trauma Center Amy Koestner, RN, BSN, MSN Trauma Program Manager Spectrum Health Medical Center Carol Spinweber, MS, RN Trauma Program Manager St. Joseph Mercy Oakland Objectives: Describe

More information

ORTHOPEDIC SURGEON OFFICE

ORTHOPEDIC SURGEON OFFICE ORTHOPEDIC SURGEON OFFICE A recent PA graduate is sought for an orthopedic surgeon office at a top teaching hospital in New York City immediately. This full time position is offered with benefits and health

More information

APP PRIVILEGES IN OTOLARYNGOLOGY

APP PRIVILEGES IN OTOLARYNGOLOGY APP PRIVILEGES IN OTOLARYNGOLOGY Education/Training Licensure (Initial and Reappointment Required Qualifications Successful completion of a PA or NP program Current Licensure as a PA or RN in the state

More information

Modesto Junior College Course Outline of Record EMS 390

Modesto Junior College Course Outline of Record EMS 390 Modesto Junior College Course Outline of Record EMS 390 I. OVERVIEW The following information will appear in the 2011-2012 catalog EMS 390 Emergency Medical Technician 1 6 Units Limitations on Enrollment:

More information

UNM SRMC CRITICAL CARE PRIVILEGES

UNM SRMC CRITICAL CARE PRIVILEGES UNM SRMC INSTRUCTIONS All new applicants must meet the following requirements as approved by the UNM SRMC Board of Directors effective May 24, 2017 Applicant: Check off the "Requested" box for each privilege

More information

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows)

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows) Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows) Definitions Pediatric Critical Care Medicine Fellowship Program Seattle Children s Hospital and Harborview Medical

More information

CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY

CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY CARDIAC CARE UNIT CARDIOLOGY RESIDENCY PROGRAM MCMASTER UNIVERSITY ROTATION SUPERVISOR: DR. CRAIG AINSWORTH OVERVIEW The Cardiac Care Unit (CCU) at the Hamilton General Hospital is a busy 14-bed, Level

More information

ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S

ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With

More information

APP PRIVILEGES IN RADIATION ONCOLOGY

APP PRIVILEGES IN RADIATION ONCOLOGY APP PRIVILEGES IN RADIATION ONCOLOGY Education/Training Licensure (Initial and Reappointment) Required Qualifications Successful completion of a PA or NP program Current Licensure as a PA or RN in the

More information

Alabama. Prescribing and Dispensing Profile. Research current through November 2015.

Alabama. Prescribing and Dispensing Profile. Research current through November 2015. Prescribing and Dispensing Profile Alabama Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points of

More information

AMERICAN COLLEGE OF SURGEONS 1999 TRAUMA FACILITIES CRITERIA (minus the Level IV criteria)

AMERICAN COLLEGE OF SURGEONS 1999 TRAUMA FACILITIES CRITERIA (minus the Level IV criteria) AMERICAN COLLEGE OF SURGEONS 1999 TRAUMA FACILITIES CRITERIA (minus the Level IV criteria) Note: In the table below, (E) represents essential while (D) represents desirable criteria. INSTITUTIONAL ORGANIZATION

More information

Component 2: The Culture of Health Care. Focus Of This Lecture. Nursing as a Profession. Unit 6: Nursing Care Processes Lecture 1

Component 2: The Culture of Health Care. Focus Of This Lecture. Nursing as a Profession. Unit 6: Nursing Care Processes Lecture 1 Component 2: The Culture of Health Care Unit 6: Nursing Care Processes Lecture 1 This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services,

More information

UNMH Anesthesiology Clinical Privileges

UNMH Anesthesiology Clinical Privileges For eligibility to request privileges in Anesthesiology, applicants must have appointment as a Faculty member of the UNM Department of Anesthesiology & Critical Care Medicine. All new applicants must meet

More information

NEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES

NEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for

More information

UNMH Critical Care Clinical Privileges. Name: Effective Dates: From To

UNMH Critical Care Clinical Privileges. Name: Effective Dates: From To All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective November 17, 2016: INSTRUCTIONS: Applicant: Check off the requested box for each privilege requested.

More information

UNIVERSITY OF KANSAS MEDICAL CENTER RESIDENT AGREEMENT

UNIVERSITY OF KANSAS MEDICAL CENTER RESIDENT AGREEMENT UNIVERSITY OF KANSAS MEDICAL CENTER RESIDENT AGREEMENT THIS AGREEMENT between The University of Kansas Medical Center (hereinafter Medical Center ) and (hereinafter Resident ) is entered into for the period

More information

Caldwell Medical Center Departments

Caldwell Medical Center Departments Caldwell Medical Center Departments Surgery Medical / Surgery Same Day Surgery Lab Education Administration Special Care Unit Women s Center Admission Emergency Services Radiology Cardiac Rehab Admission

More information

Roles, Responsibilities and Patient Care Activities of Clinical Fellows. Training Program in Clinical Cardiac Electrophysiology UWMC, HMC, VAMC, NWH

Roles, Responsibilities and Patient Care Activities of Clinical Fellows. Training Program in Clinical Cardiac Electrophysiology UWMC, HMC, VAMC, NWH Roles, Responsibilities and Patient Care Activities of Clinical Fellows Training Program in Clinical Cardiac Electrophysiology UWMC, HMC, VAMC, NWH Definitions Resident: A physician who is engaged in a

More information

AMGA Webinar: MSSP Final Rule. Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015

AMGA Webinar: MSSP Final Rule. Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015 AMGA Webinar: MSSP Final Rule Scott Hines, MD Chief Quality Officer Crystal Run Healthcare July 16, 2015 Crystal Run Healthcare Physician owned MSG in NY State, founded 1996 >350 providers, >30 locations

More information

8/31/2015. Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success. Vanderbilt University Medical Center

8/31/2015. Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success. Vanderbilt University Medical Center Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success Marilyn A. Dubree, MSN, RN, NE-BC Executive Chief Nursing Officer Vanderbilt University Medical Center

More information

EMERGENCY MEDICINE CLINICAL ROTATION COMPETENCY BASED CURRICULUM

EMERGENCY MEDICINE CLINICAL ROTATION COMPETENCY BASED CURRICULUM CLINICAL ROTATION COMPETENCY BASED CURRICULUM EMERGENCY MEDICINE During the third year of the curriculum, students expand their knowledge of emergent conditions and gain the ability to apply the knowledge

More information

Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital

Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital Med/Peds Trainee Milestones and Goals and Objectives for Promotion Protocol for when to Call Faculty Johns Hopkins Hospital PGY 1 Interns should have close supervision by a resident and/or attending and

More information

Inpatient Rehabilitation. Scope of Services

Inpatient Rehabilitation. Scope of Services Inpatient Rehabilitation Scope of Services Inpatient Rehabilitation is a 12-bed inpatient unit located within Nationwide Children s Hospital. Nationwide Children s is a 451-bed, Level I Trauma Center.

More information

Difficult Airways: All Airways are NOT Created Equal July 23, 2018

Difficult Airways: All Airways are NOT Created Equal July 23, 2018 Difficult Airways: All Airways are NOT Created Equal July 23, 2018 ACS Quality and Safety Conference Lisa Failace, MSN, RN, CCRN-K Donna Swartz, MAS, RN, CPHQ, CPPS Hackensack University Medical Center

More information

Internal Medicine Residency Program Rotation Curriculum

Internal Medicine Residency Program Rotation Curriculum University of California, Irvine Department of Medicine Internal Medicine Residency Program Rotation Curriculum DIVISION: PULMONARY AND CRITICAL CARE MEDICINE I. Rotation Sites Rotation Name: Pulmonary

More information

ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221. I. Title Trauma team Activation Protocol/Roles & Responsibilities of the Trauma Team

ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221. I. Title Trauma team Activation Protocol/Roles & Responsibilities of the Trauma Team Section: ADC Trauma ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221 Subject: Trauma Team Activation Protocol/Roles & Responsibilities of the Trauma Team Trauma Coordinator UTMB respects the diverse culture

More information

ENP Fellowships: Transition to Practice. Eric Roberts, DNP, FNP-BC, ENP-BC

ENP Fellowships: Transition to Practice. Eric Roberts, DNP, FNP-BC, ENP-BC ENP Fellowships: Transition to Practice Eric Roberts, DNP, FNP-BC, ENP-BC Why AAENP Mission Statement: Support training and education in emergency care Leadership conference: Leading the tide of change

More information

Alabama Trauma Center Designation Criteria

Alabama Trauma Center Designation Criteria 2 Alabama Trauma Center Designation Criteria Office of Emergency Medical Services Master Checklist Alabama Trauma Center Designation Trauma Center Criteria: APPENDIX A Trauma Rules The following table

More information

Objectives. Emergency Medicine Risk Factors

Objectives. Emergency Medicine Risk Factors The Uniqueness of Emergency Medicine Risk Management W. Peter Vellman, MD, FACEP Serio Physician Management, LLC Littleton, CO Objectives Recognize key areas impacting the provision of emergency medical

More information

Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency

Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency DEPARTMENT OF ANESTHESIA Critical Care Curriculum for Two-Month Rotation as Part of an Anesthesiology Residency 1. An anesthesiology resident, during a two month rotation should gain exposure to the scope

More information

ABOUT THE CONE HEALTH NETWORK OF SERVICES

ABOUT THE CONE HEALTH NETWORK OF SERVICES THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive

More information

Vanderbilt University Medical Center Nurse Residency Program Summer 2018 Cohort

Vanderbilt University Medical Center Nurse Residency Program Summer 2018 Cohort Thank you for your interest in the upcoming Vanderbilt University Medical Center which will begin: July 9, 2018 Pediatrics, Women s Health, Critical Care July 23, 2018 Adult Acute Care Tracks, Vanderbilt

More information

Emergency Medical Services Program

Emergency Medical Services Program County of Santa Cruz HEALTH SERVICES AGENCY 1080 EMELINE AVENUE, SANTA CRUZ, CA 95060 (831) 454-4120 FAX: (831) 454-4272 TDD: (831) 454-4123 EMERGENCY MEDICAL SERVICES PROGRAM Policy No. 7000 Reviewed

More information

Level 3 Trauma Hospital Criteria

Level 3 Trauma Hospital Criteria Level 3 Trauma Hospital Criteria Hospital Commitment The board of directors, administration, and medical, nursing and ancillary staff shall make a commitment to providing trauma care commensurate to the

More information

INPATIENT PROGRAM ENVIRONMENT Brain Injury Specialty Program

INPATIENT PROGRAM ENVIRONMENT Brain Injury Specialty Program INPATIENT PROGRAM ENVIRONMENT Brain Injury Specialty Program INPATIENT PROGRAM ENVIRONMENT Upon admission, patients and families are oriented to the Rehabilitation Program, and are involved in an evaluation

More information

King Saud University. Updated Study Plan. Prince Sultan Bin Abdulaziz College for EMS. Bachelor of Science Program, Emergency Medical Services

King Saud University. Updated Study Plan. Prince Sultan Bin Abdulaziz College for EMS. Bachelor of Science Program, Emergency Medical Services 2013 King Saud University Prince Sultan Bin Abdulaziz College for EMS Bachelor of Science Program, Emergency Medical Services Updated Study Plan 1433 ه 1434- Prince Sultan Bin Abdulaziz College for EMS,

More information

EMERGENCY CARE SYSTEMS

EMERGENCY CARE SYSTEMS OVERVIEW Emergency and Trauma Care Systems The DCP emergency components of essential packages WHO Emergency Care System Framework Emergency Care System Assessment Tool PREVENTION PREHOSPITAL & TRANSPORT

More information

Simulation Design Template. Date: May 7, 2008 File Name: Group 4

Simulation Design Template. Date: May 7, 2008 File Name: Group 4 Simulation Design Template Date: May 7, 2008 File Name: Group 4 Discipline: Nursing, medicine, radiology, EMT, possible consultant (specialist ie neurosurgeon via conference call), possible social work/pastoral

More information

INSTRUCTION PAGE. BCBS Blue Medicare

INSTRUCTION PAGE. BCBS Blue Medicare MIDLEVEL PROVIDERS ONLY INSTRUCTION PAGE BCBS Blue Medicare 1. Sign the attached Attestation (do not date it) 2. Initial and date this cover page 3. Provide the remaining information applicable to your

More information

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Residents

SUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Residents Roles, Responsibilities and Patient Care Activities of Residents University of Washington Child (Pediatric) Neurology Residency Program This policy pertains to the care of pediatric neurology patients

More information

SERVICE: Burn, PGY 2 JHH Bayview. SERVICE: Burn, PGY 2 JHH Bayview

SERVICE: Burn, PGY 2 JHH Bayview. SERVICE: Burn, PGY 2 JHH Bayview SERVICE: Burn, PGY 2 JHH Bayview Comment: Burn General description: The Sinai surgical residents will rotate at the State of Maryland Burn Center at Johns Hopkins Bayview Hospital during their 2nd clinical

More information

Nursing Unit Descriptions UCHealth Memorial Hospital Central

Nursing Unit Descriptions UCHealth Memorial Hospital Central Nursing Unit Descriptions UCHealth Memorial Hospital Central ACUTE CARE SERVICES Neuroscience 5C Neuroscience is a 24-bed unit with all private rooms for our patients. The department specializes in acute

More information

BACKGROUND. Emergency Departments in Smaller Centres and Rural Communities

BACKGROUND. Emergency Departments in Smaller Centres and Rural Communities EXPECTATIONS OF PHYSICIANS NOT CERTIFIED IN EMERGENCY MEDICINE INTENDING TO INCLUDE EMERGENCY MEDICINE AS PART OF THEIR RURAL PRACTICE CHANGING SCOPE OF PRACTICE PROCESS BACKGROUND The CPSO Ensuring Competence:

More information

CA-3 TRAUMA/BURN ROTATION Regions Hospital Rotation Site Director: Dr. Matthew Layman Rotation Duration: 4 weeks

CA-3 TRAUMA/BURN ROTATION Regions Hospital Rotation Site Director: Dr. Matthew Layman Rotation Duration: 4 weeks CA-3 TRAUMA/BURN ROTATION Regions Hospital Rotation Site Director: Dr. Matthew Layman Rotation Duration: 4 weeks Introduction: The purpose of this rotation is to provide residents with a focused exposure

More information

@ncepod #tracheostomy

@ncepod #tracheostomy @ncepod #tracheostomy 1 Introduction Tracheostomy: Remedy upper airway obstruction Avoid complications of prolonged intubation Protection & maintenance of airway The number of temporary tracheostomies

More information

If you feel your patient should not be on the protocol, other options for activity restrictions are available within this order.

If you feel your patient should not be on the protocol, other options for activity restrictions are available within this order. ORDERS AND POWERPLANS Mobility Protocol New Activity Order Recently, a mobility protocol was approved to facilitate increased patient activity/mobility as early as possible during the hospital stay. In

More information

Emergency Department Student Elective Goals and Objectives

Emergency Department Student Elective Goals and Objectives Emergency Department Student Elective Goals and Objectives Goals: During the Emergency Department (ED) rotation, the student will develop his/her knowledge and skills associated with the evaluation, treatment

More information

Intermediate Coronary Care Unit Rotation

Intermediate Coronary Care Unit Rotation 1 Intermediate Coronary Care Unit Rotation Section of Cardiology Dartmouth-Hitchcock Medical Center (2008-2009) I. Overview of Rotation The cardiology-specific critical care experience is in the Intermediate

More information

Survey of Nurse Employers in California 2014

Survey of Nurse Employers in California 2014 Survey of Nurse Employers in California 2014 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, California Institute for Nursing & Health Care, and the Hospital Association of Southern

More information

SUPERVISION POLICY. Pulmonary and Critical Care Medicine (PCCM)

SUPERVISION POLICY. Pulmonary and Critical Care Medicine (PCCM) Definitions Resident: Roles, Responsibilities and Patient Care Activities of Fellow Pulmonary and Critical Care Medicine (PCCM) University of Washington Medical Center Harborview Medical Center Seattle

More information

OVERVIEW OF HEALTH PSYCHOLOGY FELLOWSHIP PROGRAM

OVERVIEW OF HEALTH PSYCHOLOGY FELLOWSHIP PROGRAM OVERVIEW OF HEALTH PSYCHOLOGY FELLOWSHIP PROGRAM INTRODUCTION University Hospital offers two (2) one-year post-doctoral fellowships in clinical Health Psychology. The program involves a twelve-month, full-time

More information

EMS System for Metropolitan Oklahoma City and Tulsa 2017 Medical Control Board Treatment Protocols

EMS System for Metropolitan Oklahoma City and Tulsa 2017 Medical Control Board Treatment Protocols PROTOCOL 17A: Adult General Medical s Adult General Medical s Four (4) Levels of General Medical s Priority I and II Priority III No Will time and distance to the hospital of choice be detrimental to the

More information

Basic Standards for Residency Training in Anesthesiology

Basic Standards for Residency Training in Anesthesiology Basic Standards for Residency Training in Anesthesiology American Osteopathic Association and American Osteopathic College of Anesthesiologists Adopted BOT 7/2011, Effective 7/2012 Revised, BOT 6/2012,

More information

Leading Practices and National Benchmarks in Advanced Practice Clinician (APC)

Leading Practices and National Benchmarks in Advanced Practice Clinician (APC) Leading Practices and National Benchmarks in Advanced Practice Clinician (APC) Privileging, Competency Assessment and Leadership Structures Presented to: National Credentialing Forum March 2, 2017 Trish

More information

Benefits. Benefits Covered by UnitedHealthcare Community Plan

Benefits. Benefits Covered by UnitedHealthcare Community Plan Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current

More information

Nurse Practitioner - Outpatient Lung Transplant (1.0 FTE, Days)

Nurse Practitioner - Outpatient Lung Transplant (1.0 FTE, Days) Nurse Practitioner - Outpatient Lung Transplant (1.0 FTE, Days) Category: Nursing Advance Practice Job Type: Full-Time Shift: Days Location: Palo Alto, CA, United States Req: 5609 FTE: 1 Nursing Advance

More information

The Royal College of Surgeons of England

The Royal College of Surgeons of England The Royal College of Surgeons of England Provision of Trauma Care Policy Briefing This policy briefing outlines the view of the Royal College of Surgeons of England in relation to the planning and provision

More information

The University of North Carolina Wilmington PHYSICIAN ASSISTANT COMPETENCY PROFILE

The University of North Carolina Wilmington PHYSICIAN ASSISTANT COMPETENCY PROFILE The University of North Carolina Wilmington PHYSICIAN ASSISTANT COMPETENCY PROFILE Description of Work: Positions in this class provide patient evaluation and care in area of assignment. Duties include

More information

Vanderbilt University Medical Center. Division of Trauma and Surgical Critical Care. Clinical Management Guideline: Standard Trauma Resuscitation

Vanderbilt University Medical Center. Division of Trauma and Surgical Critical Care. Clinical Management Guideline: Standard Trauma Resuscitation Introduction Vanderbilt University Medical Center Division of Trauma and Surgical Critical Care Clinical Management Guideline: Standard Trauma Resuscitation Good communication and leadership are the keys

More information

53. MASTER OF SCIENCE PROGRAM IN GENERAL MEDICINE, UNDIVIDED TRAINING PROGRAM. 1. Name of the Master of Science program: general medicine

53. MASTER OF SCIENCE PROGRAM IN GENERAL MEDICINE, UNDIVIDED TRAINING PROGRAM. 1. Name of the Master of Science program: general medicine 53. MASTER OF SCIENCE PROGRAM IN GENERAL MEDICINE, UNDIVIDED TRAINING PROGRAM 1. Name of the Master of Science program: general medicine 2. Providing the name of level and qualification in the diploma

More information

Complexities & Progress in Graduate Medical Education

Complexities & Progress in Graduate Medical Education Complexities & Progress in Graduate Medical Education NHPF Meeting on GME Atul Grover, M.D., Ph.D., FACP, FCCP Chief Public Policy Officer, AAMC September 6, 2013 Key Principles of Accountability Measures

More information

CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM

CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM CURRICULUM ON PATIENT CARE MSU INTERNAL MEDICINE RESIDENCY PROGRAM Faculty representative: Venu Chennamaneni, MD Original document by: Davoren Chick, MD, Kelly Morgan, MD Resident Representative: None

More information

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret

More information