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