Rounding and Coverage
This provider rounds in Smithfield Monday through Friday.
Dr. Akhtar
Mondays in Smithfield for TEE/DCCV are assigned to this physician.
Dr. Akhtar
These two physicians admit patients for Tikosyn and Sotalol loads.
Dr. Lewis and Dr. Janis
When completing cardiology sign-out notes, the first provider listed should be this.
Attending cardiologist
This order must be placed so nurses can generate and witness procedure consents in EPIC.
If Dr. Janis is out of town for the week, this person covers his admitted patients.
Provider on call for the day
Tuesdays and Fridays for TEE/DCCV belong to this physician.
Dr. Janis
Tikosyn and Sotalol loads are admitted on this day.
Tuesday
The second provider listed in the sign-out note should be this.
Primary outpatient cardiologist
After PCI, this referral must be placed to meet quality metrics and should be ordered to the Smithfield location.
Cardiac Rehab, under Dr. Hook's name as the attending provider/authorizing provider
Sunday night on a G. Lewis weekend, the night team should do this with the patient list (unless it’s Dr. Atkeson’s Monday).
Reassign the patients to Dr. Akhtar
Wednesdays for TEE/DCCV are assigned to this physician.
Dr. French
Dr. Lewis performs EP cases at these times.
Wednesday afternoon and all day Thursday except the 3rd Thursday which is a Cooper day
If a patient was seen by Dr. Atkeson in 2019, they should now be assigned to this physician.
Dr. Atkeson
Dose for the Vancomycin Irrigation
1g in 750 mL
If Dr. Atkeson saw a Janis patient last week and Dr. Hook was on call over the weekend; the sign-out note should read this.
Atkeson/Janis
Dr. Atkeson performs TEE/DCCVs on these days.
Tuesday to Friday
This must be documented in the note regarding anticoagulation for a DCCV-only case.
Three (3) therapeutic INRs, no missed doses of OAC, and documentation that telemetry shows < 48 hours in atrial fibrillation
If an Atkeson patient was SIC over the weekend and it is now Sunday night, the sign-out note should say this.
SIC Monday
If a patient is being discharged after a cardiac admission (HF, MI, arrhythmia), follow-up should occur within this timeframe.
7 day
Who sees the patient and receives the progress note on Monday after the Atkeson/Janis scenario?
Dr. Atkeson
If an Atkeson patient needs a TEE on Monday, this is the protocol.
Check Monday Smithfield office schedule; if not in office, text him—he has first right of refusal or may defer to Tuesday
Dr. Cooper performs EP cases on these days.
1st Tuesday of the Month and 3rd Thursday of the Month
Sunday night on a G. Lewis weekend and it is also the Monday Dr. Atkeson comes to the hospital. How should the list be handled?
Divide the list by 2
STEMI, Tikosyn and Sotalol patients are admitted under this patient class
Inpatient