Medical Staff House Staff Orientation Manual - Montefiore Medical ...

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• Failure to follow universal precautions regarding blood-borne pathogens as mandated by the Department of Health • Committing unprofessional conduct, as defined by the Board of Regents in its rules or by the Commissioner in regulations approved by the Board of Regents Physicians, the Hospital's Medical Director, the President of the Medical Board and the Director of each Service are also required by law to report any information, which reasonably appears to show that a physician is guilty of professional misconduct. However, a physician is not required to report any information which the physician learned solely as a result of rendering treatment to another physician. Meal Tickets Residents on MMC payroll or on Jacobi Payroll but doing a rotation at MMC are provided at no charge with weekly meal tickets for up to three meals a day while they are on duty. The tickets are given to the residency departmental coordinators for distribution every four weeks. The coupons can be used at the MMC Food Pavilion (located in Silver Zone on 2nd Fl.), the cafeteria at Einstein Hospital or the kiosk in the Children’s Hospital at MMC (CHAM). On-Call Rooms The hospital will provide each House Staff Officer with an on-call room, which is cleaned daily, in good condition and secure. The on-call rooms are located in the Blue Zone - Loeb Building in the rear of the Activity Room on the first floor (opposite Nurse's Station). To access a room, please see the Security Officer in the 210th Street Lobby of the Moses site. He will present you with a key upon checking his copy of the on-call schedule. Please check with your department for location of additional on-call room sites. Paychecks Paychecks are issued every other Thursday and are available to the House Staff. The checks may be picked up at the House Staff Office located at 150 East 210th Street. Residents may enroll in Direct Deposit to the bank of their choice however, there is a policy they must read and adhere to before direct deposit is allowed. The applications are available in the House Staff Office. Direct Deposit Slips will be kept in the House Staff Office for pick-up or mailed to your home. Voluntary Service on -MMC Administrative Committees The Committee on Graduate Medical Education (COGME) is an organized administrative committee of the Albert Einstein College of Medicine that oversees all residency programs and has the responsibility for monitoring and advising the sponsored institution on all aspects of residency education. The committee has representation of key academic and hospital administrators, as well as residents. Included in the responsibilities of the COGME are the establishment and implementation of policies that affect all residency programs regarding the quality of education and the work environment of the residents in each program. MMC and JMC are active participants on this committee and strongly support the mandated mission of the committee. It is the intention of MMC that residents have active participation on important hospital committees that serve to formulate hospital policy. All residents are invited to provide voluntary service on the administrative committees of this Institution. The representation of residents on our administrative committees will give the 40
participants the opportunity to communicate and exchange information on their working environment and their educational programs. Any resident who is interested in providing this voluntary service can pick up a form from the House Staff Office or call Elaine Taylor or Justice Gaba at the House Staff office (718) 920-4091 and a form can be faxed to your location. Admissions, House Staff Montefiore Medical Center shall accept patients whose care and treatment are appropriate to an acute care hospital, based upon accuracy and bed availability, to either a teaching or nonteaching service, based upon the policies and procedures of each admitting/clinical department. The hospital shall admit as patients only those persons who require the type of medical service authorized by the hospitals operating certificate. These services shall include: medicine, neurology, neurosurgery, ophthalmology, pediatrics, surgery, radiation oncology, oncology, cardiac surgery, thoracic, vascular, oral surgery, otolaryngology, plastic surgery, urology, orthopedics, gynecology and psychiatry. Except in emergencies, the hospital shall not admit any patients to a clinical service which it is not authorized to provide by the current operating certificate. No person shall be denied admission to the hospital because of race, creed, color, natural origin, sex, etc. (see policy # EEO statement or Institution) or source of payment except for fiscal capability thereof. Patients may be admitted only by those physicians holding active appointments to the Medical Staff. The responsibility for initiating the admitting process resides with the attending physician, or his/her designee. Each patient admitted shall have an attending physician at the time of admission. The attending physician shall be responsible for the medical care and treatment of each of his/her patients throughout the hospital stay. Except in cases of emergency, no patient shall be admitted until a provisional diagnosis has been stated. In cases of emergency, the provisional diagnoses shall be stated as soon as possible following admission. Each patient shall be admitted to that service of the hospital appropriate to the treatment of the condition of the patient. Each intensive and special care unit has a Medical Director responsible for managing the care within the unit. Admissions and transfers to/from the units are the responsibility of the Unit Medical Director, or designee in consultation with the attending physician/house officer and nursing services. No patient on a teaching service shall be exempt from participation in a medical student or house staff educational program. Each patient on a teaching service shall: • Be seen by a house officer on the admitting service promptly following admission (on nonteaching services, the attending provider or his/her designee will see the patient promptly following admission). • Each patient must have a complete history and physical examination including a breast, uterine cytology and rectal examination, as appropriate, documented in the medical record within 24 hours of admission. • The Attending Physician or designee shall be responsible for countersigning the history and physical examination. • Qualified oral surgeons who admit patients without medical problems may perform the history and physical examination on those patient, if the oral surgeon has been granted privileges. • If a qualified member of the hospital's medical staff has obtained a complete history or has performed a complete physical examination within seven (7) days prior to the patient's 41
Page 1 and 2: Medical Staff House Staff Orientati
Page 3 and 4: We would like to take this opportun
Page 5 and 6: Montefiore’s Institute for Reprod
Page 7 and 8: TABLE OF CONTENTS SECTION 1- Genera
Page 9 and 10: Plastic and Reconstructive Surgery
Page 11 and 12: SECTION 1 • GENERAL INFORMATION 1
Page 13 and 14: Contract Management Organization (C
Page 15 and 16: Neurology M 4656 3351 Steuben A 316
Page 17 and 18: MOSES NURSING STATIONS C 741-2377 P
Page 19 and 20: M 5584 Lupus Clinic M 5584 Neurolog
Page 21 and 22: MEDICAL STAFF CREDENTIALING OFFICE
Page 23 and 24: MONTEFIORE INTEGRATED PROVIDER ASSO
Page 25 and 26: • Referral by the ED physician is
Page 27 and 28: HOUSE STAFF OFFICE 150 East 210th S
Page 29 and 30: • Institutions must have a GME Co
Page 31 and 32: accreditation, then the institution
Page 33 and 34: and the conditions under which livi
Page 35 and 36: • Patient support services, such
Page 37 and 38: following: counseling, appointment
Page 39: Physician Impairment and Drug Abuse
Page 43 and 44: WALDO AVENUE SHUTTLE Those resident
Page 45 and 46: First Year Residents: Assignments o
Page 47 and 48: SECTION III • MONTEFIORE MEDICAL
Page 49 and 50: Administrator: Jennifer Ortiz Medic
Page 51 and 52: Medical Director: Marta Rico, MD, A
Page 53 and 54: 2532 Grand Concourse Bronx, New Yor
Page 55 and 56: Briggs Avenue Academy 3010 Briggs A
Page 57 and 58: Nurse: Maria Campos, LPN Sheila Mon
Page 59 and 60: Gloria Feliciano - Director FRANKLI
Page 61 and 62: ANESTHESIOLOGY Chairman 718-920-280
Page 63 and 64: Director John Fisher, MD 718-920-42
Page 65 and 66: Christine Clarke 718-920-5996 PROGR
Page 67 and 68: SOCIAL PEDIATRICS 3544 Jerome Ave.
Page 69 and 70: Vladimir Kvetan, MD 718-920-5440 De
Page 71 and 72: Residency Program Director Eugene S
Page 73 and 74: No procedure can be performed until
Page 75 and 76: Bronx, New York 10461 Administrativ
Page 77 and 78: Director, Education Programs Rasim
Page 79 and 80: North Central Bronx Hospital 718-51
Page 81 and 82: Arlene Saunders 718-741-2492 Admini
Page 83 and 84: printed name of the referring physi
Page 85 and 86: The radiology department at Jack D.
Page 87 and 88: Pediatric Surgery 718-920-7200 Burt
Page 89 and 90: SECTION V • POLICIES AND PROCEDUR
Page 91 and 92:
Note: This summary contains key poi
Page 93 and 94:
WHERE: • Advance directives are a
Page 95 and 96:
• family has moral or religious o
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• OD1091-4 Affidavit of Close Fri
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Bioethics (Moses) 718- 920-6226 (We
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HOW: • Capacitated patients may r
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VERIFICATION OF OPERATIVE PROCEDURE
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INFECTION CONTROL PROGRAM Moses Nur
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person who feels that he/she may be
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CONTROLLED SUBSTANCES IN THE MEDICA
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• Practitioners will immediately
Page 113 and 114:
One Quality Improvement Plan exists
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SECTION VI • SERVICE DEPARTMENTS
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Legal Certificates 718-904-3456 Fin
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CHILD PROTECTION CENTER The Childre
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CME REQUIREMENTS: Attending physici
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Hours: Monday - Friday 8:00AM - 5:0
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delivery system. Medical record inf
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All physician orders whether writte
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additional information is uncovered
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THE TISHMAN LEARNING CENTER HEALTH
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MAILROOM MOSES Brown Zone, Moses Ba
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The mission of the Occupational Hea
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• Families and caregivers need as
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The Patient Safety Officer and the
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Unified Director of Pharmacy Frank
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successful, expanded to other areas
Page 145 and 146:
• Professional Misconduct • Pho
Page 147 and 148:
Outpatient testing, evaluation and
Page 149 and 150:
Office Coordinator Lillian Zambardi
Page 151 and 152:
E Educational Administration 28 Eme
Page 153 and 154:
Paychecks, House Staff 40 Pediatric
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