Page 3 - HPB Handbook - May 30 2022 (Flipbook) v2

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CONTENTS

INTRODUCTION …………………………………………………………………………………………….……….….…...5
MISSION STATEMENT AND OBJECTIVES ………………………………………………………..……………………5
UNIT POLICIES …...…………………………………………………………………………………………..……….……..6
Staff Cover
Referring MDs
Discharge Protocols
Notification of Discharge Policy
Collaborative Discharge
Collaborative Discharge on Planning 9ES
Off Hours Coverage
Fellows Cover
Mt. Sinai Call
Resource Accountability
Responsibility for documentation
O.R. Bookings & Patient Marking
Stepdown Unit (SDU)
RESIDENT AND FELLOW DUTIES ………………………………………………………………………………..….......8
Principles of Resident and Fellow Interactions
Resident Roles
Clinical Fellow Roles
Orientation and Midterm Feedback
ROUNDS ………………………………………………………………………………………………...……………………10
HPB MANDATORY CLINICAL ROUNDS
Ward Rounds
Bullet Rounds
Friday Sign-over Rounds
Weekend Rounds
ADDITIONAL ROUNDS
Quality Care Rounds
Hepatoma Rounds
GI Oncology Rounds
GI/Gen Surgery Rounds
McCain Pancreas MCCs
HPB Resident Teaching
Tri-hospital /University rounds
Fellows’ Research Rounds
Fellows’ Professor Rounds
CLINICS ……………………………………………………………………………………………………………..………11
SUPPORT STAFF ………………………………………………………………………………………………….......……12
Team HPB Physician Assistant (PA)
Nurse Navigators
Unit Pharmacist
Physiotherapist (PT)
Occupational Therapist (OT)
Social Worker
Dietitians / TPN
Spiritual Care
RESEARCH ……………………………………………………………………………………….…………………….......13
HPB Clinical Database Project
PERIOPERATIVE ISSUES …...……………………………………………………...……………………………………13
Strategies to Prevent Surgical Site Infection
Antibiotics Policy
TPN Policy
Aspirin and Plavix