Who-ville
Name which APD is in charge of each class.
Jen- interns
Juniors- Dan
Seniors- Anna
You are the senior getting a call from the ED about a child undergoing a TB rule out. You know you need to talk to charge prior to accepting this patient to make sure what is available?
Negative pressure room
You are in the ED. You have a 19 yo with pyelonpehritis that requires admission for inpatient antibiotics for at least 1 day. MGH is full. Where do you send them?
NWH, MEEI, Obs
Vandana is on ID and you are consulting her on a new patient with active TB. She is going to ask you to get what before starting ethambutol and why?
Optho exam, can cause color blindness
You need to get a coffee. Name three places in the hospital you could go.
Coffee Central, New Machine, Tea Leaves, Eat Street
AHHHH, you need to call a code. (Without looking at your badge) what is the extension?
6-3333
All pubertal females must have what documented within 24 hrs prior to sedation in the PICU?
HCG
You have a 5 year old with orbital cellulitis. Where can you admit them?
MGH, MEEI, NWH
You are on wards with Shaun. You have a patient with pharyngitis. They received a throat spray in the ED and are asking for more while on the floor. He warns you that lidocaine spray can cause:
methemoglobinemia
You are on nights. It is 11 PM and all you can think about is ice cream. What are your local options?
Ben and Jerry's vending machine, Cafe 472, scoop and scootery
President of resident council
You have an 1 year old going for a sedated MRI tomorrow at 1 PM. What orders do you need to remember the night before?
Clear liquids and oral medications 2 hours • Breast milk 4 hours • All formulas, fortified breast milk, light meals 6 hours • Solid foods 8 hours
You are at NWH. Your 20 yo patient has a fever, rash, hypotension and tachycardia. You have given 3 L of fluid but their vitals are the same. Are you going to send them to MGH? Why or why not?
could keep them because you have an ICU vs send them if bed available and they need any pedi consults not in house
You are on service with Laura Wiltsie. There is a patient who comes in with a WBC count of 500,000. In anticipation that they might need rasburicase, she asks you to order what test and why?
G6PD, rasburicase can precipitate hemolysis
Darn, you dropped your pager in the toilet in the ED and you need a new one. Where do you go?
Paging office- Ellison 15
Name 2/3 of the nurse practice specialists on Ellison 17/18.
Janet, Caitlin, Carly
You have a patient admitted to you for a vEEG. You realize that part of their plan is a PET scan. What is special about the orders for this patient?
NPO at midnight and hold glucose products
You have a child in the ED with croup. They have been in the ED for the last 6 hrs and have received several doses of rac epi and one dose of decadron. What do you need to know before admitting them? And where do you admit them?
- How many doses of rac epi
- when was the last one
- Floor if it they were 2 hrs or more apart and not stridorous vs PICU if getting more frequently than q2
You are on service with Chadi. He asks you what the name is of the medication used to treat cdif other than vancomycin. You say:
Bonus points if you name Chadi's favorite candy.
Fidaxomicin, kit kats
Your beloved chiefs send out a weekly email. In today's weekly email, there were several general announcements and a few changes to ED policies. Name 1 of each.
Drowning Webinar, New GI QI project with Dr. Israel and Dr. Kaplan, annual CF conference
You are an intern on Crawford. You need to get a sedated MRI scheduled for Thursday. Who do you reach out to?
Bob LaRoque
You are discharging an infant with FTT. Your discharge meds are:
Tylenol 15 mg/kg, Omeprazole 1 mg/kg/day,- Famotidine 0.5 mg/kg
What is a special consideration for discharge for this patient?
Omeprazole is compounded and often requires a prior authorization.
You are admitting a 16 yo w/ a CF exacerbation. She is going to require tobramycin nebs. You call the charge nurse. What are things to consider before admitting this patient?
- needs a private room w/ door that can be closed
- door must be closed during administration of neb and 10 minutes following, PPE must be worn during that time
- must be administered by RT
Pseudohyperkalemia, get a VBG+
What was the hidden message in our email this morning?
MUNCHKINS!!