Raleigh (DRAH) Handoff

Address: 3400 Wake Forest Rd, Raleigh, NC 27609

• •Parking: P1 Parking Deck (closest to OR). To the right of 3320 Wake Forest Road beside the main hospital. Use your badge to enter through the courtyard gate.
• •Physician’s Lounge — accessible through courtyard. Free buffet-style lunch 11 AM – 2 PM. Snacks and refrigerated salads, wraps, and beverages in the refrigerator outside of those hours. Microwaves and refrigerators for your food in lounge. There is no GYN work room.
• •Documentation rooms for op notes: one in the sterile OR area, another outside of PACU. Two computers in the Physician’s Lounge.
• •Call rooms: we can use the Urology / General Surgery Resident call rooms. Try to get someone to escort you there the first time — on the 2nd floor in the back of the old hospital.

Create an Epic schedule list with the attendings who operate at Raleigh [DRAH]:

• •Scott Anderson · Matthew Barber · Andrew Berchuck · Joel Bernstein · Amy Broach
• •Caledonia Buckheit · Bari Byrd · Karen Corvin · Brittany Davidson · Anne Ford
• •Ira Gaines · Anna Garcia · Jill Hagey · Jillian Hale · Amal Hamdan
• •Laura Havrilesky · Emily Herfel · John Eric Jelovsek · Alison Kalinowski · Amie Kawasaki
• •Cassandra Kisby · Joseph Lafferty · Stephanie Lim · Jennifer McNally · Haley Moss
• •Lisa Norfleet · Jon Placide · Emma Rossi · Angeles Secord · Alison Shew
• •Nazema Siddiqui · Craig Sobolewski · Arleen Song · Paul Sparzak · Andreas Staebler
• •Tara Streich-Tilles · Paul Swaney · Kerry Traverso · Lauren Turker · Anthony Visco
• •Alison Weidner · Lauren Wheeler · Chelsea Zhu

Steal dot phrases from Tara Markert — use for consults you manage via phone (AUB, PUL, Torsion, general versions):

• •.consultbrief
• •.consultbriefaubtm
• •.consultbriefbetatm
• •.consultbrieftorsiontm

Reasons to go into Raleigh:

• •Hemorrhagic cyst, hemodynamically unstable.
• •Confirmed or suspected ectopic.
• •Ovarian torsion.

For patients not appropriate for discharge home — Hospitalist Medicine service:

• •Hospitalist medicine is first call.
• •Round on patient in the AM. GYN is considered a consult service at Raleigh → write good notes because they follow them.
• •Be clear about what meds need to be discontinued upon discharge.
• •Pads count, vitals intervals, CBC repeat 4–6.
• •Obs scenarios: Hgb drop 11 to 8, PID with need for IV antibiotics.

If you think you need to go to the OR:

• •Post and consent the patient after talking to the attending.
• •Let the OR charge RN know so they can call anesthesia to come in.
• •DRH OR control desk #3: (919) 954-3299

Only first call on inpatient when Urogyn/MIGS admits someone post-op or rarely an Onc case. Admit to GYN. You’ll be responsible for all nursing messages, including overnight.

• •Emphasize not conducting any workup that will delay transfer.
• •While awaiting transfer can collect CBC, Coags → inform GYN for awareness if fibrinogen <200.
• •For OB, Heritage and Durant Road division see OB patients that want to stay in Raleigh or Wake Forest, or they can go to Durham or 1J.

• •As a PGY-2, expectation is to generally touch base with attending for all consults.
• •Good practice to contact attending first time you work with them and ask what their expectations are.
• •If you have a patient admitted overnight, send AM rounding note to AM attending on call schedule.

If you want, before leaving for the day, go to the ED and ask if anyone would benefit from a GYN consult — good way to lay eyes on people and look at imaging, save yourself a trip.

• •Wednesday PM after didactics → Dr. Lachiewicz in 1J.
• •Switch off with Chief every other week.

Dot phrases from Dr. L:

• •.OBTURATORBLOCK
• •.PUDENDAL
• •.JOURNAVXSCRIPT

Raleigh Tip Sheet from Box: https://duke.box.com/s/jaf0y1li13efprki6l5w19k3k75r4kox