1. House Staff Orientation David Tompkins, MD Medical Director – Medical Education June 25, 2015
LMC

2. 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

3. 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)

4. 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

5. 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

6. What are you here to learn?
The Medicine…
Diagnosis
Management
Ordering
Best Practices
Procedures
Compassion
Communication
Professional Behavior
To Think Independently

7. 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

8. 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

9. 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

10. Interdisciplinary Bed Board
Everyday Care Team reviews need for:
Foley Catheter
Central Line or IV
DVT Prophylaxis
Ambulation
Other important indicators 10

11. 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 !!!!

12. Sentinel Event Statistics

14. Date & Time
Every Entry!
Don’t forget to use your name stamp! 14

15. “Please HELP Me”
What do you do when you don’t know what to do?

16. “HELP ME”
Pray
Go Play Scrabble
Press the Help Button Or
You Can …

17. 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”

18. 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

19. House Staff Orientation
So how much information can you absorb and remember - tomorrow, next week, next month, next year?

20. ? ? What Will I Remember ? The Big Picture Quality Compassion Safety
Escalation
The Big Picture

21. The details are in your packet, on the LMC Intranet and the GME website!

23. And Finally…