Harbor:Resident responsibilities and transitions of responsibility
- Need to put in the correct category:
- Dish Duty (yo momma doesn't live here)
- Fridge Duty (wear a mask)
- ED narcan
- .phrases, link with SUD page for outpt f/up
- 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
- Airway Team - Manny/Andrea
- 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
- Purple attending (on all shifts):
- 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
- Green attending (on all shifts):
- 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
- Purple