Resident Handbook - UC Davis Health System

More documents

Recommendations

Info

Bleeding from the nose, urinary tract, stomach, or colon. Bleeding may also occur in or aroundthe brain (intracranial). In extreme cases, bleeding can result in death.Contact the clinic staff or seek emergency care immediately if any of the following occur:severe headache, dizziness, any abnormal bleeding including from the nose, urinary tract,stomach, or rectum.Your lab values will be monitored frequently while you are on this medication. It is importantthat the medical staff know what your values are so the medication can be adjusted as needed.The risk of bleeding can be increased if you are taking certain other medication or herbalproducts. Make sure that your provider and nurse have a complete list of all the medications andherbal products that you take. Contact your provider if you begin a new drug or supplementto see if additional testing is necessary.See below for some information on drug, food and herbal interactions.Enoxaparin (Lovenox) : Herb/Nutraceutical: Avoid cat's claw, dong quai, evening primrose,feverfew, garlic, ginger, ginkgo, red clover, horse chestnut, green tea, ginseng (all may increasethe risk of bleeding).Warfarin (Coumadin): Foods high in vitamin K inhibit the anticoagulant effect of warfarinincluding beef liver, pork liver, green tea, and leafy green vegetables. Do not change dietaryhabits once stabilized on warfarin therapy. A balanced diet with a consistent intake of vitamin Kis essential. Avoid large amounts of alfalfa, asparagus, broccoli, Brussels sprouts, cabbage,cauliflower, green teas, kale, lettuce, spinach, turnip greens, and watercress. It is recommendedthat the diet contain a CONSISTENT vitamin K content of 70-140 mcg/day. Check withhealthcare provider before changing diet.WARFARIN – EFFECTS OF FOODS AND SUPPLEMENTSWhat you eat can have an important effect on how much warfarin you need to maintain theproper amount of anticoagulation. You should continue to eat your normal diet. Do not makeany major changes such as: starting a weight loss diet, going on an eating binge, begin takingvitamin and mineral supplements, or alter the amount of alcohol you ordinarily drink. If youplan to make a change in your eating or drinking habits, check with your provider first.Vitamin K can also alter your anticoagulation therapy when taking warfarin. Below is a list offoods high in Vitamin K. TRY NOT TO CHANGE YOUR USUAL CONSUMPTION OF THEFOLLOWING FOODS:Page 130 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Beef liver Garbanzo beans SeaweedBroccoli Green tea Soy milkBrussels sprouts Egg yolks SoybeansCabbage Lentils Soybean oilCauliflower Lettuce Soy productsCollard greens Mung beans SpinachTurnip greens Green Peas KaleSome herbs, vitamin mineral supplements, and non-prescription medications may also alteranticoagulation and probably should be avoided. Below is a list of some of the common onesused. If you are taking these or any other herbs or supplements discuss them with your doctor,dietitian, or pharmacist.Chamomile Feverfew GarlicGinseng Ginger GinkgoSaw palmetto St. John’s wort KavaVitamin E Chondroitin Sulfate TurmericCranberry products Bilberry BromelainsCoenzyme Q-10 Dong quai DanshenHorse chestnut Meadowsweet WillowWARFARIN THERAPY AGREEMENTI have been given instructions in the use of warfarin for anticoagulation therapy and have had theopportunity to ask questions and discuss the use of this medication with my physician to mysatisfaction.I understand the risks and benefits of this medication and have received a copy of theAnticoagulation Patient Education.Page 131 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Page 1 and 2:
Resident HandbookMercy Redding Fami
Page 3 and 4:
PEDIATRICS/OB......................
Page 5 and 6:
MASTER SCHEDULE:...................
Page 7 and 8:
Resident HandbookMercy Redding Fami
Page 9 and 10:
efore the start of the rotation tha
Page 11 and 12:
Cardiology Competencies - PGY3Cogni
Page 13 and 14:
Understand and describe Home care a
Page 15 and 16:
Page 15 of 1532. OBRA "87 & "94 Reg
Page 17 and 18:
Skills1. Monitor interpretation for
Page 19 and 20:
Page 19 of 153Skills1. Diagnosis an
Page 21 and 22:
1. Management of well child care2.
Page 23 and 24:
3. Lab interpretation of joint flui
Page 25 and 26:
5. Hemorrhoid I & D6. Fluid and Ele
Page 27 and 28:
B. Service DescriptionC. DutiesA tw
Page 29 and 30:
C. DutiesAttendance at the cardiolo
Page 31 and 32:
Dermatology Clinic (C1 and C2 - MFH
Page 33 and 34:
Vasectomy Clinic (C1 - FPI)Resident
Page 35 and 36:
ability to maximize their health/he
Page 37 and 38:
hospital care of common ENT conditi
Page 39 and 40:
viii. Resident may be responsible f
Page 41 and 42:
Rawlings or Dr. Bland so we can mak
Page 43 and 44:
for EM occur once a month(on the th
Page 45 and 46:
Emergency Medicine Rotation Require
Page 47 and 48:
HOME VISITSEach resident is to make
Page 49 and 50:
Practice preceptors who rotate onto
Page 51 and 52:
A. Service GoalsAs a second and thi
Page 53 and 54:
attending re: the patient’s statu
Page 55 and 56:
Attending duties:• Be the attendi
Page 57 and 58:
11-15: the night shift resident rou
Page 59 and 60:
ED, and admitted, must be discussed
Page 61 and 62:
D. Service Guidelines: OBSTETRICS S
Page 63 and 64:
OPHTHALMOLOGYA. Service GoalsThe go
Page 65 and 66:
CLIA testing & LunchEpisiotomy Trai
Page 67 and 68:
10) Concussion11) Athlete’s heart
Page 69 and 70:
Significant training continues duri
Page 71 and 72:
. Hospital Leadership TrainingResid
Page 73 and 74:
• Health systems training• Prac
Page 75 and 76:
Alternative Scholarly Activities:1.
Page 77 and 78:
B. Service DescriptionC. DutiesThe
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 and 128: All new warfarin patients will be g
Page 129: MANAGEMENT OF SIGNIFICANTLY ELEVATE
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
show all

Resident Handbook - UC Davis Health System

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?