Resident Meeting 9/30/14

The following were discussed at the resident meeting, please review and comment if you have any additions.

• Several residents indicated that the surgical subspecialties are refusing to place post-operative orders to transfer back to the medical team. This has resulted in patients remaining in the PACU for longer than anticipated. 
• If this occurs, please report the incident to the adverse event line x23501 and report on the blog
• The Joint Commission: Accreditation, Health Care, Certification requires the post operative team to place post operative orders.
• This has been clearly accepted by the sub-speciality admission guidelines at the MedExec meeting, which can be found here (item #3)
• There have been multiple requests to have uniform adherence to the sub-speciality admission guidelines throughout the faculty. This will be discussed with Dr. Ragland
• ICU downgrades should be occurring before 5pm unless there is an bed availability issue. It is unsafe for patients to be handed off through 4 team (ICU to ICU-NF to Wards-NF to Medicine Team). We encourage Night Float to reject admissions to the floor until a policy is made. We will discuss this with Dr. Chandra and Dr. Ragland
• There will be a cardiology lecture series done by Comprehensive Cardiology. They are requesting that you submit bread and butter cases to be used during the lectures. We are looking for the following: Afib, Heart Failure, Cardiomyopathies, Pericarditis, Acute Coronary Syndromes, etc.. please send any cases to Sarah and Avi so we can arrange the lectures appropriately
• Please complete your duty hours and attending evaluations on time. This is an ACGME requirement

KMC Retreat 2014 - Hermosa Beach

Thank you Dr. Munoz for taking the following pictures

Fluid, Electrolytes and Acid Base Management

Below is a lecture Dr. Spinello, former ICU Director,  gave to new interns a couple of years ago. I found it extremely helpful and I hope you as interns do as well.

I attached the label "lectures" to it so you can always search for it on this blog in case it gets lost amongst other posts.

Fluid, Electrolytes and Acid Base Management

Landmark Studies

Dr. Chandra was able to provide us with a list of landmark studies that every internist should be aware of. I've attached the list below. If you cannot find a topic for journal club then present one of these studies. Please confirm with Dr. Ratnayake as he may be able to provide you with an article as well.

Sub-specialty Admission Guidelines

The program directors from Internal Medicine, Emergency Medicine, and Surgery have sat down and reviewed our guidelines. This is what we have come up with so far. These guidelines were run by med exec and approved.

Please remember, these are guidelines and not policies. As always, the patient comes first!