Resident Handbook - UC Davis Health System

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Labs needed and next draw date:Faxed to:Physician's signature:Date faxed:Any questions, please contact us:Phone (530)225-7800Fax (530)225-7889Initials:OUTPATIENT ANTICOAGULATION FLOWSHEETTPatient’s name: ______________________________________ Date of birth: _____/_____/_____ Medical record #: _____________________Indication for anticoagulation (check one): Atrial fibrillation Deep vein thrombosis PE Mechanical valve CVA otherTarget International Normalized Ratio (INR)*: 2.0 to 3.0 2.5 to 3.5 Other: _____________________Start date: _____/_____/_____ Therapy duration: 3 months 6 months 1 year Indefinite other: ___________________________PatientEducational materials and Vitamin K prescription given and contract signed:Phone_______________________Contact Person Name________________ Phone_______________ Facility Name_________________ Faxnumber______________________Date: Current warfarin dose: INR: InteractingMed:New warfarin dose: Next INR: Patientnotifiedby:Date Re-Notified:Page 128 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
MANAGEMENT OF SIGNIFICANTLY ELEVATED INR WITH OR WITHOUT BLEEDING 4INR 5.0 to 8.9, no significant bleeding: Omit 1 to 2 doses; reduce dose 10 to 20 percent; monitor frequently. Alternately consider vitamin K2.5 mg orally.INR ≥ 9.0, no significant bleeding: Hold warfarin therapy; give vitamin K 5 mg orally; monitor frequently. Resume at lower dose whenINR is therapeutic.Serious bleeding, any INR:Hold warfarin; refer patient to the Emergency DepartmentANTICOAGULATION PATIENT ED<strong>UC</strong>ATIONYour provider has prescribed an Anticoagulant Medication. The name of the medication is:(provider to circle the medication prescribed)Warfarin (Coumadin): an oral tabletEnoxaparin (Lovenox): a small injection into the skinBenefits:Anticoagulant therapy is used to make your blood “thinner” than normal to treat or preventcomplications of a disease. “Thinning” the blood dissolves or prevents clots from forming andblocking blood vessels. This decreases the chance of stroke, heart attack and other problemsfrom blocked vessels including in the lungs, brain and legs.Risks:Potential complications and side effects of anticoagulant therapy include:Bruising of the skinIrritation at the site of injection (Enoxaparin)Page 129 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
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Resident HandbookMercy Redding Fami
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PEDIATRICS/OB......................
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MASTER SCHEDULE:...................
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Resident HandbookMercy Redding Fami
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efore the start of the rotation tha
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Cardiology Competencies - PGY3Cogni
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Understand and describe Home care a
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Page 15 of 1532. OBRA "87 & "94 Reg
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Skills1. Monitor interpretation for
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Page 19 of 153Skills1. Diagnosis an
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1. Management of well child care2.
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3. Lab interpretation of joint flui
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5. Hemorrhoid I & D6. Fluid and Ele
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B. Service DescriptionC. DutiesA tw
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C. DutiesAttendance at the cardiolo
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Dermatology Clinic (C1 and C2 - MFH
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Vasectomy Clinic (C1 - FPI)Resident
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ability to maximize their health/he
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hospital care of common ENT conditi
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viii. Resident may be responsible f
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Rawlings or Dr. Bland so we can mak
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for EM occur once a month(on the th
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Emergency Medicine Rotation Require
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HOME VISITSEach resident is to make
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Practice preceptors who rotate onto
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A. Service GoalsAs a second and thi
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attending re: the patient’s statu
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Attending duties:• Be the attendi
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11-15: the night shift resident rou
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ED, and admitted, must be discussed
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D. Service Guidelines: OBSTETRICS S
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OPHTHALMOLOGYA. Service GoalsThe go
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CLIA testing & LunchEpisiotomy Trai
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10) Concussion11) Athlete’s heart
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Significant training continues duri
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. Hospital Leadership TrainingResid
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• Health systems training• Prac
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Alternative Scholarly Activities:1.
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Page 79 and 80: • Summarize areas of needed impro
Page 81 and 82: as physicians, but especially inter
Page 83 and 84: CHIEF RESIDENTS:The Chief Residents
Page 85 and 86: . If the goal is not met as determi
Page 87 and 88: • Complete, or provide evidence o
Page 89 and 90: Grounds for Disciplinary Action:Gro
Page 91 and 92: Appeal:include the reasons supporti
Page 93 and 94: MFHC conducts a health center evalu
Page 95 and 96: UNFINISHED BUSINESS:NEW BUSINESSDEP
Page 97 and 98: must protect itself from possible s
Page 99 and 100: MEDICAL STAFF BYLAWS / RULES AND RE
Page 101 and 102: other educational items as approved
Page 103 and 104: o Schedule II drugs may be written
Page 105 and 106: GYNECOLOGY PROCEDURE LISTPROCEDURES
Page 107 and 108: Breast FNA 0 5Wound Debridement 2 2
Page 109 and 110: Addressing Patients’ Perceptions:
Page 111 and 112: Reportable Diseases and Conditions:
Page 113 and 114: admission (e.g., circumstances may
Page 115 and 116: service for which the vacation is g
Page 117 and 118: (i.e. Medicare, Medi-Cal, etc.) req
Page 119 and 120: Call Expectations and Supervision R
Page 121 and 122: Page 121 of 153WORK HOURSResidency
Page 123 and 124: IV: ADDENDUM: Mercy Family Health C
Page 125 and 126: 3. Privacy: Knock before entering i
Page 127: All new warfarin patients will be g
Page 131 and 132: Beef liver Garbanzo beans SeaweedBr
Page 133 and 134: c. When C1 reviews lab and finds an
Page 135 and 136: Colposcopy Clinics (C2 - MFHC and S
Page 137 and 138: pertinent information. Dr. DeVlamin
Page 140 and 141: 3. Perform a surgical “time out
Page 142 and 143: • If in doubt, contact the Reside
Page 144 and 145: Immediate feedback (Formative Evalu
Page 146 and 147: Please note: If you have more than
Page 148 and 149: chart holder that corresponding to
Page 150 and 151: 1. According to the ACGME program r
Page 152 and 153: 6. FPS resident if not the only sen
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Resident Handbook - UC Davis Health System

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