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

Size: px
Start display at page:

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

Transcription

1 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 various components of the anesthesia record and the anesthesiologist s report so as to facilitate optimal care for the patient recovering from anesthesia and surgery To observe, diagnose and manage commonly occurring medical problems arising in post operative patients To acquire management skills necessary to work with nursing and administrative personnel and to get patients as quickly as possible to their long term recovery sites (home, floor, ICU) thereby allowing efficient, continuing care in the operating room To communicate with anesthesia faculty, surgical team and other consultants, if warranted by change in patient condition Objectives by Core Competency Patient Care A. Acute pain management Be able to provide appropriate safe pain relief in the PACU using various pharmacologic measures including opioids, NSAIDS, intravenous PCA Pain management skills Develop in conjunction with pain service and the primary team the ability to place, test and use thoracic and lumbar epidural catheters In conjunction with the pain service and the primary team develop the ability to place and test common regional blocks in the postoperative patient when indicated B. Respiratory and pulmonary dysfunction Recognize and manage the obstructed airway, hypoxic or hypercarbic respiratory failure Diagnose aspiration pneumonia and institute adequate therapy Evaluate and manage patient with bronchospasm or stridor Diagnose and manage patient with postobstructive pulmonary edema Diagnose and manage patient with pneumothorax 1

2 Diagnose and manage post operative atelectasis Respiratory skills The resident should be able to maintain the airway and ventilate with mask and adjunctive airway devices, perform endotracheal intubation in either the sedated or awake patient The resident must be able to apply the ASA difficult airway algorithm The resident should be able provide mechanical ventilation The resident should utilize appropriate extubation criteria The resident will follow patients with chest x-rays and treat complications such as pneumothorax or hemothorax which could include placement of chest tubes C. Cardiovascular dysfunction Diagnose and manage cardiogenic, hypovolemic, septic and neurogenic shock Treat common perioperative arrhythmias and know when to consult specialists outside anesthesiology Diagnose and manage postoperative hypertension and hypotension Diagnose and treat myocardial ischemia Learn the judicious use of diuretics in patients who are fluid overloaded Vascular skills The resident should be able to manage basic and advanced cardiac life support and demonstrate leadership in the running of a code in the PACU The resident should be able to utilize invasive monitoring including arterial lines, central venous pressure and pulmonary artery catheters The resident should be adept at placement of arterial catheters and central venous catheters via internal jugular, subclavian or femoral route D. Renal dysfunction Assess volume status in patients Diagnose electrolyte abnormalities and correct them if appropriate E. Gastrointestinal dysfunction Identify causes of postoperative nausea and vomiting and treat appropriately GI skills The resident should be adept in the placement of nasogastric tubes in the awake patient F. Neurological dysfunction Identify, recognize and initiate appropriate therapy for delayed awakening Recognize and treat emergence related delirium 2

3 Recognize and treat acute postoperative neurological deficits in conjunction with the primary team and other specialists Recognize the common causes of motor block after neuraxial anesthesia and initiate diagnostic measures and consults if an epidural hematoma is suspected Recognize and treat inadequate return of neuromuscular function after general anesthesia G. Temperature dysfunction Diagnose and institute therapy for hypothermia Identify and treat appropriately patients with malignant hyperthermia H. Miscellaneous Problems Appropriately manage postoperative shivering Possess sufficient basic knowledge of common surgical procedures to be able to anticipate, recognize and appropriately treat postoperative problems and complications associated with each operation I. Apply criteria for safe discharge from PACU to the following: Home Inpatient Ward Intensive Care Unit Medical Knowledge A. Acute pain management Assess and develop strategies for postoperative pain management on the patient s arrival in the PACU Pain management skills Understand the theory behind multimodal analgesia and it's application in the perioperative period B. Respiratory and pulmonary dysfunction Understand the respiratory consequences of anesthesia and surgical incisions Generate a differential diagnosis of shortness of breath Respiratory skills The resident must understand the ASA difficult airway algorithm The resident should be familiar with various respiratory therapies The resident should know how to interpret blood gases The resident should know appropriate extubation criteria 3

4 C. Cardiovascular dysfunction Differentiate cardiogenic, hypovolemic, septic and neurogenic shock Develop differential diagnoses for common perioperative arrhythmias Generate a differential diagnosis for hypertension and hypotension Understand the causes and treatments for myocardial ischemia Understand the mechanisms of action of diuretics Vascular skills The resident should know the protocols for basic and advanced cardiac life support All residents must have current ACLS certification The resident should be able to select modalities of invasive monitoring including arterial lines, central venous pressure and pulmonary artery catheters D. Renal dysfunction Develop differential diagnosis for postoperative decrease in urine output and differentiate between pre-renal, renal and post-renal causes Identify causes of high urine output E. Gastrointestinal dysfunction Understand the mechanisms of action of anti-emetic agents GI skills The resident should be adept in the placement of nasogastric tubes in the awake patient F. Neurological dysfunction Identify the causes of delayed awakening and emergence related delirium Generate a differential diagnosis of postoperative neurological deficits Discuss the symptoms of an epidural hematoma and its implications Understand the implications of inadequate return of neuromuscular function after general anesthesia G. Temperature dysfunction Understand the implications of postoperative hypothermia Explain the management approach to patients with malignant hyperthermia H. Miscellaneous Problems Discuss the management of postoperative shivering and its implications I. Define criteria for safe discharge from PACU to the following: 4

5 Home Inpatient Ward Intensive Care Unit Practice-based Learning and Improvement Use down-time between patient arrivals from the operating room for independent self study or discuss with nursing and or the PACU attending, system based issues that occur at the workplace Prepare and present one 10 min. talk during the rotation to PACU nursing staff Critically evaluate intraoperative management of patients and how this impacts PACU course Interpersonal and Communication Skills Ability to communicate with anesthesia faculty and other consultants when significant changes in patient status occur Ability to communicate postoperative information to the surgical team accurately and efficiently, particularly when postoperative problems may be related to surgical complications Develop the ability to dialogue with nursing and resolve differences of opinion in the care of the patient Professionalism Coordinate postoperative care between surgical and nursing services in a way that is patient-centered Demonstrate sensitivity and responsiveness to patients culture, age, gender and disabilities Systems-based Practice Acquire management skills by working with nursing, surgical and administrative personnel to transfer patients from PACU to long term recovery sites (home, floor, ICU) Be able to discuss the concepts of Fast Tracking, Phase I and Phase II, Aldrete score and home readiness Have an understanding of the cost implications and impact on staffing on longer PACU stays 5

6 Have a basic understanding of the various anesthesia and surgery related factors, such as PONV, pain, urinary retention, etc and how they impact PACU length of stay and health care costs Advocate for quality patient care Miscellaneous Responsibilities At the discretion of the floor manager, on call attending or PACU attending, be available to help out with IV starts in the holding area, lunch breaks and urgent preops. These duties are expected to be very rare and should not be a frequent occurrence. Be responsible for cleaning up epidural carts in the holding area on a periodical basis. If the PACU is not busy the resident is welcomed to attend the daily afternoon resident lectures within the building. However the resident is still expected to field calls from the PACU nursing and be available to return if the situation warrants. Evaluation Residents will be evaluated by randomly chosen nursing staff towards the end of each rotation. Residents will be evaluated in the following competency areas and scores entered into the online resident evaluation program: o Professionalism and Honesty o Interpersonal skills and Communication o Availability and Responsiveness o Patient Care o Practice based Learning and Improvement The PACU director will also evaluate the residents that have rotated through PACU every month as will other PACU attendings as they encounter the PACU resident on a day to day basis. 6

UCSD DEPARTMENT OF ANESTHESIOLOGY

UCSD DEPARTMENT OF ANESTHESIOLOGY UCSD DEPARTMENT OF ANESTHESIOLOGY LEARNING OBJECTIVES FOR POSTANESTHESIA CARE ROTATION, UCSD MEDICAL CENTER I. PATIENT CARE Residents will demonstrate competence in: 1. Placement/Removal of central and

More information

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established

More information

ENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation

ENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT

More information

General OR-Stanford-CA-1 revised: Tuesday, February 02, 2016

General OR-Stanford-CA-1 revised: Tuesday, February 02, 2016 Stanford University Anesthesiology Residency Program Rotation specific goals and objectives for residents Core Curriculum for PGY 1 Surgery Residents on the Anesthesia Rotation Description: The General

More information

Principles In developing these recommendations the Consensus Panel first established the following principles for anesthesia outcomes capture:

Principles In developing these recommendations the Consensus Panel first established the following principles for anesthesia outcomes capture: Outcomes of Anesthesia: Core Measures The following Core Measures are the consensus recommendations of the Anesthesia Quality Institute (AQI) and the Multicenter Perioperative Outcomes Group (MPOG). They

More information

The University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia

The University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia The University of Arizona Pediatric Residency Program Primary Goals for Rotation Anesthesia 1. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation.

More information

Anesthesia Elective Curriculum Outline

Anesthesia Elective Curriculum Outline Department of Internal Medicine Texas Tech University Health Sciences Center Odessa, Texas Anesthesia Elective Curriculum Outline Revision Date: July 10, 2006 Approved by Curriculum Meeting September 19,

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

TeamHealth Patient Safety Organization, Inc. Qualified Clinical Data Registry Measure Specification Document

TeamHealth Patient Safety Organization, Inc. Qualified Clinical Data Registry Measure Specification Document TeamHealth Patient Safety Organization, Inc. Qualified Clinical Data Registry 2015 Measure Specification Document MEASURE NAME: THPSO Measure #1: Perioperative Aspiration Pneumonia rate NQF NUMBER: Not

More information

University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES

University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the

More information

Beth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.

Beth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units. Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard

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

Pediatric Intensive Care Unit Rotation PL-2 Residents

Pediatric Intensive Care Unit Rotation PL-2 Residents PL-2 Residents Residents are required to have sufficient knowledge of their patients in order to present them to the team on rounds, and to construct a differential diagnosis and treatment plan. They are

More information

GENERAL PROGRAM GOALS AND OBJECTIVES

GENERAL PROGRAM GOALS AND OBJECTIVES BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation

More information

ENVIRONMENT Preoperative evaluation clinic, Preoperative holding area. Preoperative evaluation clinic, Postoperative care unit, Operating room

ENVIRONMENT Preoperative evaluation clinic, Preoperative holding area. Preoperative evaluation clinic, Postoperative care unit, Operating room Goals and Objectives, Main Operating Room Anesthesia, VAMC, CA-3 year UCSD DEPARTMENT OF ANESTHESIOLOGY OPERATING ROOM CLINICAL ANESTHESIA AT VAMC GOALS AND OBJECTIVES, CA-3 YEAR PATIENT CARE: To provide

More information

Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland

Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland Specialized Nursing Postgraduate Diploma, Faculty of Nursing, University of Iceland, Reykjavik, Iceland Program director: Thorunn Sch. Eliasdottir, CRNA, PhD Specialized Nursing Postgraduate Diploma Faculty

More information

Institutional Handbook of Operating Procedures Policy

Institutional Handbook of Operating Procedures Policy Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer

More information

COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE

COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE (2006) The CoBaTrICE Collaboration: 1 st September 2006. European Society of Intensive Care Medicine (ESICM) Avenue Joseph Wybran 40, B-1070,Brussels.

More information

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery Curriculum Penn State Milton S. Hershey Medical Center Division of Trauma, Acute Care & Critical Care Surgery Residency-SICU The Section Chief for the Emergency General Surgery section within the Division

More information

National Healthcare Quality Institute (NHQI), Inc. Qualified Clinical Data Registry

National Healthcare Quality Institute (NHQI), Inc. Qualified Clinical Data Registry National Healthcare Quality Institute (NHQI), Inc. Qualified Clinical Data Registry 2016 Measure Specification Document 4.14.16 Page 1 MEASURE NAME: THPSO Measure #1: Perioperative Aspiration Pneumonia

More information

CA-1 Curriculum Acute Pain Service and Regional Anesthesia West Virginia University Department of Anesthesiology

CA-1 Curriculum Acute Pain Service and Regional Anesthesia West Virginia University Department of Anesthesiology CA-1 Curriculum Acute Pain Service and Regional Anesthesia West Virginia University Department of Anesthesiology Description of Rotation or Educational Experience The Regional/Acute Pain Services occurs

More information

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

Anesthesiology 302 Introduction to Anesthesia Goals and Objectives

Anesthesiology 302 Introduction to Anesthesia Goals and Objectives Anesthesiology 302 Introduction to Anesthesia Goals and Objectives I. The student will be able to perform an appropriate preoperative evaluation, including history, physical exam, and appropriate use of

More information

Pediatric Intensive Care Unit (PICU) Elective PL-1 Residents

Pediatric Intensive Care Unit (PICU) Elective PL-1 Residents PL-1 Residents Interns are required to have sufficient knowledge of their patients in order to present them to the team on rounds, and to construct a differential diagnosis and treatment plan. They are

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

Position Paper on Anesthesia Assistants: An Official Position Paper of the Canadian Anesthesiologists Society

Position Paper on Anesthesia Assistants: An Official Position Paper of the Canadian Anesthesiologists Society Can J Anesth/J Can Anesth (2018) Appendix 5 Position Paper on Anesthesia Assistants: An Official Position Paper of the Canadian Anesthesiologists Society Background Medical and surgical care has become

More information

Chapter 3M Specialty Nursing Competencies Perioperative (Recovery) Nursing Competency Workbook 6th Edition

Chapter 3M Specialty Nursing Competencies Perioperative (Recovery) Nursing Competency Workbook 6th Edition Chapter 3M Specialty Nursing Competencies Perioperative (Recovery) Nursing Competency Workbook 6th Edition The Royal Children's Hospital (RCH) Nursing Competency Workbook is a dynamic document that will

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

CA-1 CRITICAL CARE ROTATION University of Minnesota Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks

CA-1 CRITICAL CARE ROTATION University of Minnesota Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks CA-1 CRITICAL CARE ROTATION Medical Center Fairview (UMMC) Rotation Site Director: Dr. Martin Birch Rotation Duration: 4 weeks Introduction: Critical Care is an integral aspect of anesthesiology training.

More information

1. Introduction. 1 CMS section

1. Introduction. 1 CMS section 1. Introduction Anesthesiology is the practice of medicine including, but not limited to, preoperative patient evaluation, anesthetic planning, intraoperative and postoperative care and the management

More information

CPAN / CAPA Examination Study Plan

CPAN / CAPA Examination Study Plan CPAN / CAPA Examination Study Plan Candidates should prepare thoroughly prior to taking the CPAN and/or CAPA examinations. This Study Plan is based on the CPAN and CAPA Test Blueprints and a weekly learning

More information

ICU. Rotation Goals & Objectives for Urology Residents

ICU. Rotation Goals & Objectives for Urology Residents THE UNIVERSITY OF BRITISH COLUMBIA Department of Urologic Sciences Faculty of Medicine Gordon & Leslie Diamond Health Care Centre Level 6, 2775 Laurel Street Vancouver, BC, Canada V5Z 1M9 Tel: (604) 875-4301

More information

DELINEATION OF PRIVILEGES - ANESTHESIOLOGY

DELINEATION OF PRIVILEGES - ANESTHESIOLOGY KALEIDA HEALTH Name Date DELINEATION OF PRIVILEGES - ANESTHESIOLOGY PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications

More information

ENVIRONMENT Preoperative evaluation clinic, Preoperative holding area

ENVIRONMENT Preoperative evaluation clinic, Preoperative holding area Goals and Objectives, Unit Anesthesia, CA-1 year UCSD DEPARTMENT OF ANESTHESIOLOGY SURGICAL INTENSIVE CARE UNIT ANESTHESIA GOALS AND OBJECTIVES, CA-1 YEAR PATIENT CARE: To provide the resident with clinical

More information

Policy on Resident Supervision. University of South Florida College of Medicine General Surgery Residency Rev. July 2013

Policy on Resident Supervision. University of South Florida College of Medicine General Surgery Residency Rev. July 2013 Policy on Resident Supervision University of South Florida College of Medicine General Surgery Residency Rev. July 2013 Policy Definitions: 1. Resident: A medical school graduate who is enrolled in the

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

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

Your Anesthesiologist, Anesthesia and Pain Control

Your Anesthesiologist, Anesthesia and Pain Control You should avoid having pain after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in advance.

More information

Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units

Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units Background: In 2004, the CPSO adopted a model for a pilot project to institute limited

More information

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.

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

OBSTETRICAL ANESTHESIA

OBSTETRICAL ANESTHESIA DEPARTMENT OF ANESTHESIA RESIDENCY TRAINING PROGRAM UNIVERSITY OF MANITOBA OBSTETRICAL ANESTHESIA INTRODUCTION Residents will have the opportunity to gain experience in Obstetrical anesthesia in the course

More information

ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE

ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Kelly Yeh, MD Director of Pediatric Anesthesia Santa Clara Valley Medical Center kelly.yeh@hhs.sccgov.org.,

More information

MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY

MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY POLICY MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY A policy sets forth the guiding principles for a specified targeted

More information

Department of Anesthesiology Anesthesia Curriculum Clinical Base Year

Department of Anesthesiology Anesthesia Curriculum Clinical Base Year Anesthesia Curriculum Clinical Base Year Description of Rotation The goal of this month long rotation is to teach the basic skills of anesthesia and to provide a foundation on which to build the initial

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

Your Anesthesiologist, Anesthesia and Pain Control

Your Anesthesiologist, Anesthesia and Pain Control You can reduce your pain level after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in

More information

Goals and Objectives. Assessment Methods/Tools

Goals and Objectives. Assessment Methods/Tools CA-2 PEDIATRIC ANESTHESIA ROTATION Minneapolis Children s Hospital and Clinics (MCHC) Rotation Site Director: Dr. Chris Altman Rotation Duration: 6 weeks Introduction: In the CA-2 year residents have the

More information

During the hospital medicine rotation, residents will focus on the following procedures as permitted by case mix:

During the hospital medicine rotation, residents will focus on the following procedures as permitted by case mix: Educational Goals & Objectives The Inpatient Family Medicine rotation will provide the resident with an opportunity to evaluate and manage patients with common acute medical conditions. Training will focus

More information

CLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson

CLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson CLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson AIM To introduce clerks to clinical anaesthesia covering: peri-operative assessment and optimization, monitoring techniques, management of acute medical

More information

PLASTIC AND HAND SURGERY CORE OBJECTIVES

PLASTIC AND HAND SURGERY CORE OBJECTIVES PLASTIC AND HAND SURGERY CORE OBJECTIVES Through rotation on the plastic and hand surgery service, residents shall attain the following goals: I. Patient Care A. Preoperative Care: Residents will evaluate

More information

Goals and Objectives University of Minnesota Department of Anesthesiology Senior Resident Supervising Rotation

Goals and Objectives University of Minnesota Department of Anesthesiology Senior Resident Supervising Rotation UM Anesthesiology Page 1 June, 2007 Introduction Goals and Objectives University of Minnesota Department of Anesthesiology Senior Resident Supervising Rotation The ABA defines the attributes of consultant

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

Priority Topics for the Assessment of Competence: Enhanced Skills Key Features April 2017

Priority Topics for the Assessment of Competence: Enhanced Skills Key Features April 2017 Priority Topics and Key Features for the Assessment of Competence in Family Practice Anesthesia This collection of priority topics and key features for assessment was developed by the College of Family

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

SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of

More information

1. CRITICAL CARE. Preamble. Adult and Pediatric Critical Care

1. CRITICAL CARE. Preamble. Adult and Pediatric Critical Care 1. CRITICAL CARE Complete understanding of the following paragraphs is essential to appropriate billing of the critical care fees. Members of the team billing the Critical Care Payment Schedule can not

More information

Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery

Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):

More information

The ASA defines anesthesiology as the practice of medicine dealing with but not limited to:

The ASA defines anesthesiology as the practice of medicine dealing with but not limited to: 1570 Midway Pl. Menasha, WI 54952 920-720-1300 Procedure 1205- Anesthesia Lines of Business: All Purpose: This guideline describes Network Health s reimbursement of anesthesia services. Procedure: Anesthesia

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

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery

Penn State Milton S. Hershey Medical Center. Division of Trauma, Acute Care & Critical Care Surgery Penn State Milton S. Hershey Medical Center Division of Trauma, Acute Care & Critical Care Surgery Residency-Trauma Curriculum The Medical Director for the Penn State Shock Trauma Center is Dr. Heidi Frankel.

More information

NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM Accreditation Standards. Overnight Stay

NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM Accreditation Standards. Overnight Stay NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM INTRODUCTION Overnight stay is considered a post-anesthesia level of

More information

JOHNS HOPKINS HEALTHCARE Physician Guidelines

JOHNS HOPKINS HEALTHCARE Physician Guidelines Page 1 of 7 ACTION New Procedure Amending Procedure Number: Superseding Procedure Number: Repealing Procedure Number: REFERENCES: AMPT Committee ASA Guidelines CMS Guidelines I. GENERAL ANESTHESIA PROCEDURE:

More information

TITLE/DESCRIPTION: Admission and Discharge Criteria for Telemetry

TITLE/DESCRIPTION: Admission and Discharge Criteria for Telemetry TITLE/DESCRIPTION: Admission and Discharge Criteria for Telemetry DEPARTMENT: PERSONNEL: Telemetry Telemetry Personnel EFFECTIVE DATE: 6/86 REVISED: 02/00, 4/10, 12/14 Admission Procedure: 1. The admitting

More information

Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Handover Responsibilities of the Anaesthetist

Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Handover Responsibilities of the Anaesthetist PS53 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Handover Responsibilities of the Anaesthetist 1. INTRODUCTION The major responsibility of the anaesthetist during

More information

OSS 654 Anesthesiology Clerkship Syllabus

OSS 654 Anesthesiology Clerkship Syllabus OSS 654 Anesthesiology Clerkship Syllabus DEPARTMENT OF OSTEOPATHIC SURGICAL SPECIALTIES SHIRLEY HARDING, D.O. CHAIRPERSON INSTRUCTOR OF RECORD HENRY E. BECKMEYER, D.O. CHIEF, DIVISION OF ANESTHESIOLOGY

More information

Pediatric Surgery Curriculum Clinical Base Year

Pediatric Surgery Curriculum Clinical Base Year Pediatric Surgery Curriculum Clinical Base Year Collaborating Faculty: Cindi Graves, MD Residency Program Director Department of Surgery Purpose and Educational Value The purpose of the Pediatric Surgery

More information

Surgical Residency Curriculum

Surgical Residency Curriculum Community Memorial Hospital Surgical Residency Curriculum Program Director: G. W. Iwasiuk MD FACS 2016 Educational Goals & Objectives Surgeons provide continuing care for patients with a myriad of surgical

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

Massachusetts Eye and Ear Infirmary CA-3 Rotation in Anesthesiology for Otorhinolaryngologic & Ophthalmolic (ENT) procedures

Massachusetts Eye and Ear Infirmary CA-3 Rotation in Anesthesiology for Otorhinolaryngologic & Ophthalmolic (ENT) procedures Massachusetts Eye and Ear Infirmary CA-3 Rotation in Anesthesiology for Otorhinolaryngologic & Ophthalmolic (ENT) procedures I. Medical Knowledge A. Cognitive objectives 1. Know age and size appropriate

More information

Part II. The CCT in. Intensive Care Medicine. Assessment System. The Faculty of. Intensive Care Medicine

Part II. The CCT in. Intensive Care Medicine. Assessment System. The Faculty of. Intensive Care Medicine Part II The CCT in Intensive Care Medicine Assessment System The Faculty of Intensive Care Medicine Contents 1. Principles of Assessment... 3 1.1 Training Stage Records... 3 1.2 How many workplace-based

More information

Submit your bills as soon as possible. Please check to see that the correct date is on the top with the month in writing rather than numbers.

Submit your bills as soon as possible. Please check to see that the correct date is on the top with the month in writing rather than numbers. OHIP BILLING for ANESTHESIOLOGY (Updated November 2007) Getting started. Keeping on track Review the SOB (Schedule of Benefits) on line at either the OMA website or the MOHLTC website at www.health.gov.on.ca/english/providers/providers_mn.html#ohip.

More information

Peri-operative Pain Management - a multi-disciplinary team-based approach

Peri-operative Pain Management - a multi-disciplinary team-based approach Peri-operative Pain Management - a multi-disciplinary team-based approach Dr Steven Wong Chief of Service Department of Anaesthesiology & OT Services Queen Elizabeth Hospital Outline Development of postoperative

More information

Take Charge of Your CE

Take Charge of Your CE Take Charge of Your CE And Build Your Lifelong Learning Record in Healthcare Today! The Nurses Network is a leading content publisher focused on building courseware BY Nurses FOR Nurses, offering both

More information

Family Medicine Residency Surgery Rotation

Family Medicine Residency Surgery Rotation Family Medicine Residency Surgery Rotation Rotation Goal The overall goal for the educational experience provided in the areas of general surgery, trauma surgery, office orthopedic surgery and sports medicine,

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

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

Curricular area: Inpatient Internal Medicine Specific Rotations: Medicine Inpatient Service Responsible faculty:

Curricular area: Inpatient Internal Medicine Specific Rotations: Medicine Inpatient Service Responsible faculty: Curricular area: Inpatient Internal Medicine Specific Rotations: Medicine Inpatient Service Responsible faculty: Goals: develop and refine the necessary knowledge base, medical interviewing skills, and

More information

*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer

*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer Gaining information about resident transfers is an important goal of the OPTIMISTC project. CMS also requires us to report these data. This form is where data relating to long stay transfers are to be

More information

Carol J. Peden BSC, MB ChB, MD, FRCA, FFICM, MPH Royal United Hospital, Bath

Carol J. Peden BSC, MB ChB, MD, FRCA, FFICM, MPH Royal United Hospital, Bath Carol J. Peden BSC, MB ChB, MD, FRCA, FFICM, MPH Royal United Hospital, Bath Up to 25,000 surgical deaths per year 5-10% of surgical cases are high risk 79% of deaths occur in the high risk group Overall

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

SPECIALTY SPECIFIC OBJECTIVES

SPECIALTY SPECIFIC OBJECTIVES Family Medicine Residency Internal Medicine In-house II Rotation Rotation Goal Admission, evaluation, treatment and appropriate specialty consultation of adult hospitalized patients from either the ER,

More information

Pediatric Anesthesia Fellowship The Hospital for Sick Children

Pediatric Anesthesia Fellowship The Hospital for Sick Children Pediatric Anesthesia Fellowship The Hospital for Sick Children Fellowship overview: The Pediatric Anesthesia Fellowship at the Hospital for Sick Children is a twelvemonth education and training program

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

STATEMENT ON GRANTING PRIVILEGES FOR ADMINISTRATION OF MODERATE SEDATION TO PRACTITIONERS WHO ARE NOT ANESTHESIA PROFESSIONALS

STATEMENT ON GRANTING PRIVILEGES FOR ADMINISTRATION OF MODERATE SEDATION TO PRACTITIONERS WHO ARE NOT ANESTHESIA PROFESSIONALS NOT ANESTHESIA PROFESSIONALS (Approved by the ASA House of Delegates on October 25, 2005, and amended on October 18, 2006) Outcome Indicators for Office-Based and Ambulatory Surgery (ASA Committee on Ambulatory

More information

Guidelines on Postanaesthetic Recovery Care

Guidelines on Postanaesthetic Recovery Care Page 1 of 10 Guidelines on Postanaesthetic Recovery Care Version Effective Date 1 OCT 1992 2 FEB 2002 3 APR 2012 4 JUN 2017 Document No. HKCA P3 v4 Prepared by College Guidelines Committee Endorsed by

More information

Case 1 Standard of Care. Disclosures. Defending Critical Care: Navigating Through the Malpractice Maze 5/9/2015. Defending Critical Care:

Case 1 Standard of Care. Disclosures. Defending Critical Care: Navigating Through the Malpractice Maze 5/9/2015. Defending Critical Care: Defending Critical Care: Navigating Through the Malpractice Maze Defending Critical Care: Navigating Through the Malpractice Maze Joseph Picchi, JD Richard Schoenberger, JD Critical Care Medicine Update

More information

Australian and New Zealand College of Anaesthetists (ANZCA)

Australian and New Zealand College of Anaesthetists (ANZCA) PS08 2016 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Assistant for the Anaesthetist 1. PURPOSE The purpose of this document is to recognise the importance of and to promote

More information

POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM CERTIFIED REGISTERED NURSE ANESTHETIST

POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM CERTIFIED REGISTERED NURSE ANESTHETIST POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM JOB TITLE CERTIFIED REGISTERED NURSE ANESTHETIST JOB CODE 0265 DEPARTMENT FLSA (Exempt/Non-Exempt) ANESTHESIA Non-Exempt DEPARTMENT DIRECTOR SIGNATURE

More information

CA-3 Curriculum for Cardiac Anesthesia West Virginia University Department of Anesthesiology

CA-3 Curriculum for Cardiac Anesthesia West Virginia University Department of Anesthesiology CA-3 Curriculum for Cardiac Anesthesia West Virginia University Department of Anesthesiology Description of Rotation or Educational Experience This rotation is a continuation of the CA-2 Cardiothoracic

More information

Colorectal PGY3 Tuesday, February 02, 2016

Colorectal PGY3 Tuesday, February 02, 2016 Stanford University General Surgery Residency Program Colon and Rectal Surgery Service Goals and Objectives for Residents: R-3 Rotation Director: Andrew Shelton, MD Description The Colon and Rectal Surgery

More information

Policy on Supervision: Roles, Responsibility and Patient Care Activities for Residents. Department of Medicine Internal Medicine Residency

Policy on Supervision: Roles, Responsibility and Patient Care Activities for Residents. Department of Medicine Internal Medicine Residency Policy on Supervision: Roles, Responsibility and Patient Care Activities for Residents Department of Medicine Internal Medicine Residency Philosophy Residents are physicians in training. They develop and

More information

AHU-FON-NUR- CS -ACD 15 Al Hussein Bin Talal University Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus

AHU-FON-NUR- CS -ACD 15 Al Hussein Bin Talal University Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus Department: Nursing Course Title: Critical Care Nursing (theory) Credit Hours: 3 Hours Course Number: 0901421 co-requisites: Course Year Level: Faculty Member Day- Time: E-mail: Office Hours: Course Website:

More information

Surgical Oncology II: R5 Tuesday, February 02, 2016

Surgical Oncology II: R5 Tuesday, February 02, 2016 Stanford University General Surgery Residency Program Surgical Oncology II Goals and Objectives for Residents: R-5 Rotation Director: Ralph Greco, MD Description The Surgical Oncology II rotation at Stanford

More information

Two Midnight Rule What does it mean for Coders?

Two Midnight Rule What does it mean for Coders? Two Midnight Rule What does it mean for Coders? Heather Greene, MBA, RHIA, CPC, CPMA Vice President, Compliance Services AHIMA Approved ICD-10 CM/PCS Trainer 1 Agenda The Two-Midnight Rule Supportive documentation

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

CVICU. Attending feedback in the course of patient care. Assessment of clinical decisions Observation on Rounds. Annual In-service evaluation

CVICU. Attending feedback in the course of patient care. Assessment of clinical decisions Observation on Rounds. Annual In-service evaluation ACGME Competency-based Goals and Objectives ROTATION Cardiovascular Critical Care Unit, PGY 4, 5, 6 CVICU Goal 1. Develop a comprehensive and physiology-based understanding of evolving illness in children

More information

CA-1 NEUROANESTHESIA ROTATION University of Minnesota Medical Center Rotation Site Director: Dr. Thomas Kozhimannil Rotation Duration: 4 weeks

CA-1 NEUROANESTHESIA ROTATION University of Minnesota Medical Center Rotation Site Director: Dr. Thomas Kozhimannil Rotation Duration: 4 weeks CA-1 NEUROANESTHESIA ROTATION Medical Center Rotation Site Director: Dr. Thomas Kozhimannil Rotation Duration: 4 weeks Introduction: The goal of the Neurosurgical Anesthesia Rotation at the is to train

More information

ABG QCDR MEASURES LIST 2017

ABG QCDR MEASURES LIST 2017 2017-2018 Anesthesia Business Group, LLC All Rights Reserved. ABG QCDR MEASURES LIST 2017 ** Labor Epidurals are excluded from the definition of cases in operating rooms/procedure rooms. Measure # Measure

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