Topping the Charts
Make Love, not Paperwork
When the Shift Hits the Fan
This Won't Hurt a Bit
Oh Yeah, That Random Stuff That Doesn't Belong Anywhere Else
100
The CT is back on the patient that BCotter signed out to you. Its negative. You go to 4B to tell the patient, and find him unresponsive and pulseless, with PEA. You code him and get him back after some epi and narcan... sweet! Just a tad too much dilaula. The CT results and the event, along with the final disposition of this sign out gift should be documented thoroughly on this T-sheet.
What is a Transfer of Care note?
100
This is the number of patient follow-ups required per ED rotation (including Peds ED, community, etc).
What is 15 patients per month?
100
If in doubt, this is probably the code for the ED doors, the central line cart, the supply room, etc...
What is 215 or 0215?
100
You are about to perform an LP on an AIDS patient with a headache. This is what you need to do to confirm the right patient and the right procedure prior to proceeding...
What is a Time-out?
100
Tristan just won front row tix to see Justin Bieber on Friday night, but he's scheduled to work. Luckily, Heather is willing to take the shift because she wants to walk that baby out! This is the first thing they should do.
What is contact the Chiefs AND the scheduler (if applicable) for approval of the shift change? Then, go to bieberfever.com to order a muscle tee and wig.
200
You just paged ACES for the 5th time in 60 minutes for sigmoid volvulus. This is how you should document this major delay in care.
What is date and time all consults, re-evaluations, and events on your T-sheet?
200
This is how you should properly log the trauma intubation, double chest tubes, thoracotomy, and cordis in the patient you had at Upper Chesapeake with an attending who is not listed in E*Value.
What is send the name and e-mail address of the attending to Nannette and log it once she has added the attending to E*Value?
200
The box goes off and there is an arrest with an ETA of "we're at the back door". You tell your new grad nurse to grab the IO and she doesn't know where it is. You tell her to find it here.
What is the Resus Med Room?
200
Your procedure note for an US-guided peripheral IV is not complete without this.
What is a picture of the cannulated vein?
200
It is 08:30 and the rack has 6 patients to be seen. Where in the H-E-double-hockey-sticks is your Internal Medicine intern???? Oh, right....he's at....
What is Internal Medicine Morning Report?
300
Med ID just accepted your cellulitis lady for admission. This is your next step.
What is document the time and name of the accepting team/resident?
300
What information must you log when on MICU, PCS, Burn ICU, PICU, Trauma, TRICU, and OB rotations?
What are duty hours?
300
Marina and Steve just intubated a septic transplant patient and started pressors and antibiotics. High five! There are no ICU beds at University or MidTown. Fail :( They should call on these people for help.
What is a Critical Care Consult?
300
You are about to drain a nasty paronychia, but you want to take a picture first for a visual diagnosis case. You must get this first...
What is a Photography Consent form?
300
You want to do a rotation on one of our awesome electives or community rotations. This is where you can find instructions, contact information and some pre-filled elective proposal forms...
What is the Rotation Info tab?
400
The sheet you fill out at 0200 after deciding to obs the drunk patient who arrived in Room 14 at 2200.
What is a 2nd Day Obs Note?
400
These are the types of Chief Complaint competency forms that are required every year.
What are Chest Pain, Dyspnea, Abdominal Pain, and SBIRT?
400
You have a burning pharmacology question for a critical patient, but Dr. Bryan Hayes is out of the ED at a meeting. This is the recommended way to contact him...
What is by pager? His pager is 11046 on the BEEP system.
400
Hoover is going to reduce a shoulder while you do the procedural sedation. These are the forms that need to be completed for the sedation...
What is a consent form, procedural sedation packet, and procedure T-sheet?
400
If you don't do this far enough ahead of an outside rotation, you may not have computer access on the first day, and may end up owing a sick call shift to one of your colleagues.
What is complete all paperwork/credentialing and verify passwords?
500
Your patient hurriedly leaves the ED despite your explanation of the risks of doing so, and refuses to sign the AMA form or wait for discharge instructions. You should document this on your chart at the very minimum...
What is the capacity to leave AMA?
500
These are the four types Procedure competency forms required each year.
What are Intubation, Central Line, Laceration Repair, & Procedural Sedation?
500
Your patient arrives diaphoretic, clutching their chest and the 12-lead shows tombstones in the lateral leads. This is the first step for activating the cath lab team (also the BAT team)...
What is call Express Care at 8-1234?
500
Our stellar residents come together to work on a cardiac arrest patient. Leke intubates the patient, Joey puts in an IO and femoral line, then attempts an A-line but stops when Ahmed is able to get one on the other side. Tupe shocks the patient. Joey can log these procedures....
What are IO, central line, A-line and Adult resus?
500
You are sick as a dog and meet 3 out of 4 SIRS criteria (you probably would have met 4, but you don't have a thermometer like everyone else in Bmore). As much as you want to, you can't make it to your shift. This is the number that you should page...
What is 3852 (the Chiefs pager)?
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