Gyn Onc Handoff

• •If you get out early from an OR or have nothing going on, check in on clinic if no resident is there.
• •Prep all new patients on clinic template for attending(s) you are with. Usually Rossi, Berchuck, Moss, or Davidson clinic. No Secord clinic for residents.
• •Put in orders that were discussed, do pre-op tasks if surgery planned.
• •Dress professionally.

Round by 6:30 AM, possibly later. Chief sends out rounding time each day.

• •Sit in 9100 work room for running the list before team walking rounds.
• •Get there a little early to help intern if needed — can alternate with Chief.
• •Can get Consults until 5:45 PM.

Generally 2–3 days in the OR a week.

• •ORs can go late — don’t make plans after work. Can leave at 9 PM if no critical parts of the case left. Have night team return to roll patient / scrub in.
• •Everyone who stays overnight needs a post-op check unless otherwise specified.
• •Triple check that everyone has labs ordered that are needed if staying inpatient.
• •Clarify with fellow who is doing op note if you do a significant portion of the case.
• •Do day-of-discharge summary for everyone. Dot phrase: .gynoncsameday. No void trials.

Pre-op conference with Fellows on Wednesday in between cases. Text Fellow whenever done with pre-op so they can find a time to review.

Steal dot phrase from Natalie Wickenheisser for pre-op template: .newoncpreop

• •Put template in patient chart as progress note under surgery encounter.
• •Put in orders, VTE (moderate risk = always heparin, not SCDs only).
• •Document PASS.
• •List to-dos for things that need to be done for pre-op (consent needed, medical clearance, etc.).
• •Rossi: all patients get pyridum.

Pre-op assignments:

• •Junior Fellow — Mon/Tue; Rossi (Wed). Usually PGY-3.
• •Senior Fellow — Thu/Fri; Hav (Wed). Usually PGY-4.