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HouseStaff Handbook
This highlights key topics that all SAMC Family Medicine residents are recommended to acquire during their residency training. The topics included are routinely updated to reflect guideline changes and best practice recommendations. Other nuance topics that ...
ACEing Residency
General Information
How To
Inpatient Service
Outpatient Service
Cardiology
Endocrinology
Gastroenterology
Hematology
Nephrology
Pulmonary
Infectious Disease
OB/GYN
PEDS
Immunization Schedule
ACLS Protocols
Screening Schedule
Common Calls From The Floor
Acid/Base And Electrolytes
Toxicology
Neurology
Food
Free lunch at physician lounge West wing first floor (Code 135). Need to show ID Badge. Lunch hours: Monday - Thursday 11.30am to 2pm Fridays - 11.30am to 1:30pm One Main cafetaria and grill (first floor) You can pay with your badge money Hours: Monday ...
Parking
Hospital Parking Park in the parking garage. Usually the gate open before 7AM but when it's closed, you will need your badge to open the gate. DO NOT park in the physician parking area or you will get ticket. MAP (see Legend 6)Northwest Clinic Parking4770 W H...
Library
It is located on the 2nd floor near the Starbucks cafe, North Wing. Badge access is necessary. Assistance to literature resources and references for research is provided. Online assistance to OPEN-Athens, Pubmed, and UptoDate setup Monday-FridayLibrarian...
Important Door Codes
Our Rounding room : 085# Sleeping Quarter: 4th floor 611# 6th floor doctors’ lounge 33115 From elevator on 6th floor 425# From COVID area to 6th floor 425 ED lounge and bathroom code 5051#
Sick, PTO, and Emergencies
If you need to take a sick day, PTO, and other emergencies, please contact our program coordinator via doc halo/email (doc halo faster), and please inform your attending that you are sick or have other emergencies. If it happens during our clinic days, then yo...
Call Schedule AMION
go to Amion. Click secure login Type password: saintagnes When you need to make a consult and wants to know the attending on call, click on the pink arrow on the top left of screen To consult nephrology on call during inpatient, dial 559-960-0010 To see ...
Didactics
Didactics is scheduled every Wednesday starting at 1PM Location is Nursing conference in 1st floor West Wing near the endoscopy. Virtual MS Teams link will be streamed and recorded at: Virtual Didactics TEAMS Link Lecture Slides, Materials Access Link Gra...
Expectations
Outpatient Preceptorship Precept all patients with attending All Residents should: When on AMB rotation, do NOT wear scrubs. Prepare prior to seeing patient (look at chief complaint, any relevant hospitalizations, consults, history, new m...
Peds Immunization
Can also download cdc vaccination schedule app via your phone store Child and Adolescents Immunization
Adult Immunization
Download CDC vaccination schedule via your phone app Adult Immunization Schedule
Signouts
Signouts occur at 7am and 7pm promptly on a daily basis. Do NOT be late. CORES on the EMR should be updated daily. As an intern, you are responsible for your patient’s sign out and you are to be present during all of sign out to listen in case of ...
Call Days
CALL days are designated as Monday’s and Fridays. Usually interns will do 24 hour shift on these days. Please refer to AMION for schedule. These are days when the most admissions will occur, you are to see them in a timely fashion while still rounding on alr...
Admission Orders
Place admit order within 1 hour Go see the patient Do Medical reconciliation Place appropriate general orders Present and see the patient with your attending Modify orders as appropriate Repeat for next admit and curse the heavens that it arrived ...
Procedure Notes
Perform the procedure Find the appropriate procedure note in the EMR Complete the procedure note Sign and send the note to the attending you did the procedure with
Death and Documentation
When called for a patient’s death, ascertain that the patient is unresponsive to verbal and tactile stimuli without spontaneous respirations (visually and by auscultation), is pulseless and without heart sounds, and that pupillary reactivity is absent. Further...
Bradycardia
Evaluation Check if the patient is stable or unstable Get a complete set of vital signs and EKG If concerned, have pacer pads and atropine at the bedside (if unstable, see ACLS bradycardia) Determine whether this is sinus bradycardia based on EKG Take his...
Tachycardia
Narrow complex tachycardia Evaluation Obtain EKG and complete set of vital sign to check for hemodynamic instability If unstable follow ACLS protocol Management Unstable: follow ACLS protocol and do not delay synchronized cardioversion Try vagal maneuve...
Hypotension
Evaluation Decreased SVR: Exam = warm extremities, sometimes flushing Sepsis: common cause. Obtain blood culture x2, CXR, UA/micro/culture, and lactate. Rapid administration of IVF and antibiotic Medications: Look for antiHTN, pain meds, sedative, if concer...
Hypertension
Evaluation Physical examination Brain: headache, confusion, lethargy, stroke Eye: blurred vision Heart: Chest pain, dyspnea Kidney: low urine output, edema Lab: not always required. Use selectively to determine cause and whether patient meets criteria fo...
Fever
Differential - Infection (lung, heart, brain, urine, sinuses, prostate, abdomen, skin, joints, lines, etc) - Infammation (Collagen vascular disorder, neoplastic disorder) - Mucositis- Atelectasis- Blood product reaction- Drug fever (beta lactam antibiotics an...