Every student must schedule and resident must be oriented with the GME office, have a badge and computer access prior to the start of their rotation. PA students and fellows must have an orientation scheduled with one our site lead PAs prior to the start of their first shift. This should be scheduled and done prior to the first scheduled shift.
Goals of the Rotation
1.
Seek out all procedures.
4.
Become familiar with common medication dosage.
7.
Learn how to present cases to physicians
2.
Seek out chief complaints you are less familiar or comfortable with.
5.
Learn evidence based orders.
8.
Recognize your limitations
3.
All charts with medical complaints must have a solid differential diagnosis.
6.
Learn ED time management including budgeting time to document while maintaining patient flow.
9.
All charts will be completed prior to leaving the shift
Procedures to be familiar with:
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Paracentesis
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Pelvic Exam
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Rectal/Prostate Exam
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Stool Guaiac
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Airway management/ Intubation
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Orho reductions & splinting
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Eye Exams: visual acuity, EOMI, peripheral vision, pupils, Fundoscopic exam, tonometry (for intraocular pressure), fluorescein staining & Wood’s lamp
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Ultrasound: eFAST, Ocular, Abdomen (i.e. Gallbladder), Testicular, etc.
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Peripheral IV
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IO’s
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Foley Catheter
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NG/OG Tubes
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I&D
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Toe Nail Removal
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Lumbar Puncture
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Central Line
*Roberts & Hedges’ Clinical Procedures in Emergency Medicine is the go-to resource for all ED procedures*
*Opportunities to perform procedures in the emergency department are abundant and we love to get students involved. Know the indications, contraindications, and technique for these procedures:
Be familiar with interpreting
EKG's
CXR's
CT's
Tools:
Orientation
STEP 2
Schedule orientation
Offservice Residents schedule orienation with Dr. Mark Thomas
PA Fellows Orient with site lead PAs