House Staff Orientation David Tompkins, MD Medical Director – Medical Education June 25, 2015 LMC
Lutheran Health Care Hospital ~ 470 Beds Level 1 Trauma Center 911 - STEMI-PCI Center 911 - Hypothermia Center Epilepsy & Stroke Center of Excellence Bariatric Center of Excellence Lutheran Family Health Centers Augustana Extended Care/Rehab Center Senior Housing
LMC Residents Medicine - 79 Surgery - 25 Obstetrics & Gynecology - 12 Family Medicine – 25 Wright Center Family Medicine-4 Podiatry – 6 Dental Anesthesia – 12 Dental – 60 onsite; 200+ offsite Fellows – 3 (Vasc. Surgery, Critical Care Surgery, Bariatric)
The New LMC House Staff Interesting facts about some of you… Received 8th Level Diploma from the Royal Academy of Music Won the ‘All Region’ Golf title in 2007 A Hockey Coach Provided Medical Care for the Poor in Pakistan Competitive Dancer and Choreographer Traveled to over 25 countries (and counting!) Sports…Service…Reading…Dancing…Music…Films…….. 4
47+ Languages ARABIC ARMENIAN BENGALI BURMESE CANTONESE DANISH ENGLISH FARSI FRENCH FRENCH CR GERMAN GREEK GUJARATI GUYANESE HEBREW HINDI IGBO ITALIAN JAPANESE KANNADA KAREN KOREAN KURDISH MALAYALAM MANDARIN MARATHI PERSIAN POLISH PORTUGUESE PUNJABI ROMANIAN RUSSIAN SERBIAN SHANGHAINESE SINDHI SPANISH TAGALOG TAIWANESE TAMIL TELUGU TEOCHEW THAI TURKISH UKRAINIAN URDU UZBEK VIETNAMESE
What are you here to learn? The Medicine… Diagnosis Management Ordering Best Practices Procedures Compassion Communication Professional Behavior To Think Independently
Resident’s Curriculum In 1999, the ACGME & AOA endorsed 6 competencies for all residents that form the basis of your evaluation now – and later as an Attending… Patient Care Medical Knowledge Practice-based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-based Practice Quality and Safety touch all of these areas
Quality Education Hospital Wide Quality Programs JC National Patient Safety Goals (NPSG) “Time Out” before any procedure – right patient, procedure, site Medication Reconciliation VTE prophylaxis & Anticoagulation CLABS & CAUTI Prevention Appropriate and Professional Behavior – all the time! Hospital Committees with Resident participation: Department Quality, Pharmacy & Therapeutics, Clinical Management Council, Medical Exec, Graduate Medical Education
Quality Education International Quality Initiatives Prevention of Central Line Associated Blood Stream Infections – CLABS Get the lines out ASAP!! Same goes for Foleys!! Prevention of Ventilator Associated Pneumonia – VAPs Perinatal Safety Prevention of Wrong Site Surgery Patient Identification – be sure it’s the correct patient! Stop Sepsis Name & DOB
Interdisciplinary Bed Board Everyday Care Team reviews need for: Foley Catheter Central Line or IV DVT Prophylaxis Ambulation Other important indicators 10
Reporting Adverse Events What needs to be reported? Anything that has caused harm to a patient A near miss Anything you are worried about NO BLAME; NO SHAME Unless You Don’t Report !!!!
Sentinel Event Statistics
Date & Time Every Entry! Don’t forget to use your name stamp! 14
“Please HELP Me” What do you do when you don’t know what to do?
“HELP ME” Pray Go Play Scrabble Press the Help Button Or You Can …
Escalate Call for help – ANYTIME! If you are concerned If you are unsure If you are stumped If you are too tired to think straight Don’t hesitate, don’t wait until its too late! Who will help? Everyone! Resident, Nurse, Attending, Program Director, Chair, CMO and the RRT “Please state the nature of your medical emergency”
No Call Is A Bad Call Rapid Response Team The RRT brings expert help to the bedside when you are worried about a patients changing condition Anyone can call for the RRT – even Doctors! No Call Is A Bad Call
House Staff Orientation So how much information can you absorb and remember - tomorrow, next week, next month, next year?
? ? What Will I Remember ? The Big Picture Quality Compassion Safety Escalation The Big Picture
The details are in your packet, on the LMC Intranet and the GME website!
And Finally…