Louisiana state university health science center new orleans emergency medicine residency program policies to supplement lsuhsc house officer manual



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Common Procedures


The following are Procedures and Skills Integral to the Practice of Emergency Medicine from the Model of the Clinical Practice of Emergency Medicine see also the June 2001 issue of Academic Emergency Medicine.


Airway Techniques


Airway adjuncts

Cricothyrotomy

Heimlich maneuver

Intubation



  1. Nasotracheal

  2. Orotracheal

  3. Rapid sequence

Mechanical ventilation

Percutaneous transtracheal ventilation


Anesthesia


Local infiltration

Digital block

Regional nerve block

Sedation - analgesia for procedures



Diagnostic Procedures


Anoscopy

Arthrocentesis

Bedside ultrasonography

Cystourethrogram

Lumbar puncture

Nasogastric tube

Paracentesis

Pericardiocentesis

Peritoneal lavage

Slit lamp examination

Thoracentesis

Tonometry


Genital/Urinary


Bladder catheterization

  1. Foley catheter

  2. Suprapubic

Testicular detorsion

Head and Neck


Control of epistaxis

  1. Anterior packing

  2. Cautery

  3. Posterior packing/Balloon placement

Laryngoscopy

Needle aspiration of peritonsillar abscess

Removal of rust ring

Tooth replacement


Hemodynamic Techniques


Arterial catheter insertion

Central venous access



  1. Femoral

  2. Femoral

  3. Jugular

  4. Subclavian

  5. Umbilical

  6. Venous cutdown

Intraosseous infusion

Peripheral venous cutdown

Blood and Component Therapy Administration

Obstetrics


Delivery of newborn

  1. Abnormal delivery

  2. Normal delivery

Other Techniques


Excision of thrombosed hemorrhoids

Foreign body removal

Gastric lavage

Gastrostomy tube replacement

Incision/Drainage

Physical restraints

Sexual assault examination

Trephination, nails

Wound closure techniques

Wound management

Universal Precautions

Resuscitation


Cardiopulmonary resuscitation (CPR)

Neonatal resuscitation

PALS & ACLS

Adult and Pediatric ATLS




Skeletal Procedures


Fracture/Dislocation immobilization techniques

Fracture/Dislocation reduction techniques

Spine immobilization techniques

Thoracic


Cardiac pacing

  1. Cutaneous

  2. Transvenous

Defibrillation/Cardioversion

Thoracostomy

Thoracotomy

Follow-Up Log




ED RESIDENT FOLLOW-UP SHEET
Initials: ________________

MR#: __________________


Case Details: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ED Diagnosis: ________________________________________________________________________________________________________________________________________________
Return to mail box of Dr. Detiege

Follow-up/ Inpatient Course/ Autopsy report: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Final Diagnosis: ____________________________________________________________________________________________________________
Education Point: ________________________________________________________________________________________________________________________________________________
Patient Feedback / Satisfaction: ________________________________________________________________________________________________________________________________________________
ED Resident: ____________________________________
Must submit 5 patient follow-up forms/month while in ED, including ED expirations referred to ME/coroner. Follow-up can be achieved via the cliq system. To obtain an autopsy report done at MCLANO, email Dr. Robin McGoey in the Dept of Pathology (rmcgoe@lsuhsc.edu) with the patient’s name and medical record number. The follow up documentation will be through Residency Partner.



Residency Partner



RESIDENCY PARTNER COMPUTER SOFTWARE PROGRAM

House Officer will be required to comply with institutional policy regarding duty hours monitoring / recording through the use of Residency Partner Computer Program. House Officer must record their duty hours for ACGME compliance by entering the data in the Duty Hours Module of Residency Partner. Periodic monitoring will be done to ensure that duty hours are being logged into the system.

Residency Partner is the official web-based system for tracking all resident and fellow demographic information and rotation schedules. It is also used by residents to complete duty hours, procedure logs and evaluations.

Information for residents, fellows and attendings:


  • Residency Partner login

  • Quick Start Card

  • Resident frequently asked questions

For procedures: login to residency partner, go to “cases”, click on “new”, put in correct date, institution and supervisor; the default will be “Emergency Medicine” and “ACGME”. Under ACGME procedures you will find the main procedures you should be logging. If the procedure is not listed under ACGME, then look under ER. Please use the ACGME link preferentially and just write in under comments any specifics. (ie, “central venous access” is an ACGME procedure, then you can type in “femoral” or “subclavian” under comments). You can input more than one procedure per patient, but when you are finished inputting each procedure MAKE SURE you click “Add CPT to Experience” and then click “Save” when you are finished with that patient.

Information for Program Directors and Coordinators

  • Gumbo server login

  • Residency Partner user's guide

  • Residency Partner frequently asked questions

Request Residency Partner Support - get help with obtaining access to Residency Partner.

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