PROFESSIONAL AFFAIRS ORIENTATION FOR NEW CLINICIANS TABLE OF CONTENTS SCORE: CLINICAL ORIENTATION ........................................................................................... 4 I. SCHEDULE ........................................................................................................................ 5 A. QGenda ......................................................................................................................... 5 B. Weekly Schedule .......................................................................................................... 5 C. OR Daily Schedule ....................................................................................................... 5 D. Anesthesia Daily Call Team ......................................................................................... 6 II. ELECTRONIC MEDICAL RECORD ............................................................................... 6 A. BIDMC Portal: ............................................................................................................. 6 B. Anesthesia Intranet ....................................................................................................... 6 C. Perioperative Information Management System (PIMS) ............................................. 7 D. Talis: ............................................................................................................................. 7 E. Online Medical Record (OMR): ................................................................................... 7 III. CLINICIAN CONTACT INFORMATION ....................................................................... 8 IV. OVERVIEW OF ANESTHESIA LOCATIONS ................................................................ 8 A. West Main ORs ............................................................................................................ 8 B. Feldberg ORs ................................................................................................................ 8 C. Shapiro ORs .................................................................................................................. 8 D. GI Locations ................................................................................................................. 8 E. West Remote Locations: ............................................................................................... 8 F. East Remote Locations ................................................................................................. 9 G. Labor and Delivery: ...................................................................................................... 9 H. Intensive Care Units (ICUs ......................................................................................... 10 I. Offsite Locations ........................................................................................................ 10 V. DEPARTMENT MDs & CRNAs ..................................................................................... 10 VI. EAST AND WEST OPERATING ROOM WORKFLOW .............................................. 12 A. Clinician Support and Resources ................................................................................ 12 B. Preoperative Anesthesia Testing (PAT): .................................................................... 13 C. Preoperative ................................................................................................................ 13 D. Intraop ......................................................................................................................... 18 E. Postop ......................................................................................................................... 18 PROFESSIONAL AFFAIRS ORIENTATION FOR NEW CLINICIANS F. Regional Anesthesia ................................................................................................... 20 G. ICU Patients ................................................................................................................ 21 H. Nurse Practitioners (NPs): .......................................................................................... 21 I. Anesthesia Technician Support .................................................................................. 23 J. Equipment ................................................................................................................... 24 VII. West Anesthesia Supplies ................................................................................................. 25 VIII. REMOTE LOCATIONS .................................................................................................. 30 A. Electroconvulsive therapy (ECT) ............................................................................... 30 B. West CT Scan ............................................................................................................. 30 C. West IR ....................................................................................................................... 31 D. Interventional Neuroradiology (INR) ......................................................................... 31 E. MRI ............................................................................................................................. 31 F. East IR ........................................................................................................................ 31 G. Electrophysiology (EP)............................................................................................... 32 H. Cath Lab Holding- Thursday CV/TEE assignment .................................................... 32 I. GI ................................................................................................................................ 32 IX. CALL ................................................................................................................................ 33 A. Weekday Late Call ..................................................................................................... 33 B. Weekend Call (not overnight) .................................................................................... 33 C. Pager Call ................................................................................................................... 33 D. Overnight Call ............................................................................................................ 34 X. OVERNIGHT CALL RESPONSIBILITIES .................................................................... 34 A. Cases ........................................................................................................................... 34 B. PACU Coverage ......................................................................................................... 34 C. Late Call Relief ........................................................................................................... 35 D. Code Blue Coverage ................................................................................................... 35 E. Other Responsibilities................................................................................................. 35 SCORE: Administrative Information ........................................................................................... 36 I. Executive Leadership ........................................................................................................ 36 II. Division Directors ............................................................................................................. 37 III. Administrative Departments ............................................................................................. 38 Billing and Coding (Anesthesia Financial Services) ....................................................... 38 Communications .............................................................................................................. 39 PROFESSIONAL AFFAIRS ORIENTATION FOR NEW CLINICIANS Finance ............................................................................................................................ 40 Medical Education ........................................................................................................... 40 Professional Affairs ......................................................................................................... 43 Quality, Safety, Innovation and Informatics ................................................................... 45 Scheduling ....................................................................................................................... 47 General Info .................................................................................................................................. 48 Phone Card Numbers (Room Phone Cards) ................................................................................. 52 Supporting Documents (Clinical) ................................................................................................. 53 Anesthesia Administrator On Call ............................................................................................ 53 OR Crisis Manual ..................................................................................................................... 54 Post Anesthesia Transport Monitoring ..................................................................................... 55 INR Case Setup ........................................................................................................................