Resident Handbook - UC Davis Health System

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chart holder that corresponding to the room number. After completing the order, the nurse willreturn the chart to the provider or place it in his/her box.PATIENT DELIVERED PARTNER THERAPYAlthough it is ideal for the partner to be seen by a medical provider before receiving antibiotictreatment, groups such at the AMA recognize the benefits of patient delivered partner therapy(PDPT). The effectiveness of this practice was published in the New England Journal ofMedicine: Golden MR, Whittington WL, Handsfield HH, et al. Effect of expedited treatment ofsex partners on recurrent or persistent gonorrhea or chlamydia infection N Engl J Med2005;352:676-85. Be sure if you choose to write a prescription for PDPT at MFHC, pleasemake sure that a separate prescription is written for the patient’s partner. Do not addextra pills onto the patient’s prescription. A patient handout to give to a partner explainingChlamydia and its treatment can be found in the preceptor room at MFHC. The icon for thehandout has been placed on the “desktop” screen of the preceptor’s computer. Click on the iconand print the handout.PHONE MESSAGES AND RESPECTING PRIVACY - HIPPAThe HIPAA Privacy Rule permits health care providers to communicate with patients regardingtheir health care at their homes, whether through the mail or by phone or in some other manner.In addition, the HIPAA Privacy Rule does not prohibit healthcare providers from leavingmessages for patients on their voice mail or answering machines. However, to reasonablysafeguard the individual’s privacy, covered entities should take care to limit the amount ofinformation disclosed on the answering machine, voice mail or answering service. The HIPAAPrivacy Rule permits health care providers to leave a message with a family member or otherperson who answers the phone when the patient is not home, and to disclose only limitedinformation to family members, friends, or other persons regarding an individual’s care, evenwhen the individual is not present.<strong>Health</strong>care providers should also use professional judgment to assure that such disclosures are inthe best interest of the individual, and limit the information that is disclosed.Don't-Leave a message with a third party that provides any identifying details about the patientor his condition, whether speaking on the phone to an individual, via voicemail or an answeringmachine. This is a breach of confidentiality. When calling a physician about a patient, neverleave a message with a third party, on voicemail or an answering service that provides anyidentifying details about the patient or their condition.Do-Leave a brief message requesting a call back from the patient. Leave a message for thephysician requesting a call back (urgent or not urgent) regarding a patient matter.In situations where a patient has requested that the healthcare provider communicate with him ina confidential manner, such as by alternative means or at an alternative location, the healthcareprovider must accommodate that request, if reasonable. For example, the U.S. Department ofHuman Services (DHS) considers a request to receive mailings from the healthcare provider in aPage 148 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
closed envelope rather than by postcard to be a reasonable request that should be accommodated.Similarly, a request to receive mail from the healthcare provider at a post office box rather thanat home, or to receive calls at the office rather than at home are also considered to be reasonablerequests, absent extenuating circumstances.PRESCRIPTIONSPatients must be seen at least once a year in order to receive refills on their regularly prescribedmedication. If the patient requests a refill and their last appointment has been more than a yearprior, the provider will refill no more than a month supply while the patient is being scheduledfor a follow-up appointment.When unlicensed residents write outpatient prescriptions, the prescription must be co-signed bythe preceptor. Licensed residents do not need co-signatures. Prescriptions for controlledsubstances can only be written and signed by a licensed physician using his/her “ControlledSubstance” formCreate a clear, consistent and standard way for you to write every prescription. For in-patients, this couldbe: Name, DOB, Drug, Strength, Form, Route, Frequency, Duration. Example: Amoxicillin 250mg/tab,One tab p.o. q6h X 7days.An out-patient prescription should also indicate the number to dispense and refills. Example: Amoxicillin250 mg tabs. Disp #28. Sig: One tab po q6h X 7 days. No Refill.• Develop pre-printed medication orders, where possible, listing the most commonly prescribed drugs withselected dosages, frequencies for administration, and times of administration.• Refrain from using abbreviations such as:o “u” for units, “iu” for international unitso “pen” for penicillin,o “QD” for daily, “QID” for 4 times daily, “QOD” for every other day,o “MS” for Morphine Sulfate, “MSO4” for Magnesium Sulfate,o or apothecary symbols for drams, minims, or ounces. These words should be written out instead.• Write “ml” not “cc”• Eliminate the use of “trailing zero’s” – use 2mg instead of 2.0mg (easily mistaken for 20mg). Always use“leading zero’s” – use 0.125 rather than .125.• Order medications by “mcg,” “mg,” or “g” strength when possible. Example: Tylenol 650 mg instead ofTylenol 2 tabs (Tylenol comes in different strengths).• Be aware of potential look-alike and sound-alike drugs• Do not write “Resume previous orders.”• When in house, write the order, don’t make it a verbal order to the nurse on the floor. Don’t give phoneorders whenever possible.• Print your name for each order. Write clearly!!!Medical MarijuanaIn agreement with Federal Law, MFHC providers will not write prescriptions for medicalmarijuana.PROD<strong>UC</strong>TIVITY AND PATIENT PANELSPage 149 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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B. Service DescriptionC. DutiesThe
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• Summarize areas of needed impro
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as physicians, but especially inter
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CHIEF RESIDENTS:The Chief Residents
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. If the goal is not met as determi
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• Complete, or provide evidence o
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Grounds for Disciplinary Action:Gro
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Appeal:include the reasons supporti
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MFHC conducts a health center evalu
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UNFINISHED BUSINESS:NEW BUSINESSDEP
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Page 99 and 100: MEDICAL STAFF BYLAWS / RULES AND RE
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Page 121 and 122: Page 121 of 153WORK HOURSResidency
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Page 125 and 126: 3. Privacy: Knock before entering i
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Page 137 and 138: pertinent information. Dr. DeVlamin
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Resident Handbook - UC Davis Health System

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