Knowledge Library

Specific abx regimens for manual extraction, MVA/D&C, Bakri, OASIS, IAI, and endometritis (Epic dot phrase: .abxld).

Medicaid pathway, hospital-donated supply criteria, page 970-2835 workflow for inpatient Nexplanon/LARC placement.

Medicaid BTL paperwork must be signed ≥30 days prior to delivery. NPO + consent + posting workflow.

Rh-, MMR (live-attenuated CI), Tdap, Varicella, Flu, COVID — postpartum vaccination decision rules.

What to assess at each magnesium check — vitals, UOP, worsening PreX/HELLP sx, mag toxicity, DTR loss.

Steroid windows (22w5–34w + ALPS 34–36w6), GBS prophylaxis, mag neuroprotection by GA, tocolysis (indomethacin vs nifedipine).

No digital exam unless >34w or strong painful contractions. Latency abx specifics. Counseling stats. Steroid rules in diabetics.

Inpatient mag protocol (4g bolus → 2g/hr × 24h), Q4–12h labs, severe-range BP order set name.

Term labor evaluation, term ROM, decreased fetal movement, vaginal bleeding >20w, non-labor abdominal pain DDx — common triage presentations.

Headache cocktail, GI cocktail, chest pain workup regimens for triage.

Confirm dating, full hx documentation, OB No Prenatal Care order set labs.

Pitocin, Methergine, Hemabate, Misoprostol, TXA — doses, contraindications, and use notes for postpartum hemorrhage.

Steroid course windows, rescue criteria, ALPS counseling, contraindications.

After-delivery, antepartum admit, active admit, triage discharge checklists + the full Duke OB dot-phrase reference table.

PPALM VFB CC mnemonic, BP / temperature / HR triage, physical exam pearls, daily 9:15 AM huddle on 5300.

Order reconciliation, Lovenox by VTE, HTN flowsheet + BP cuff, patient instruction dot phrases, D/C summary timing.

How to triage incoming pages by acuity — high, medium, low.

Form locations, naming convention, copy routing, NEO order set, time-out checklist, off-service workflow, supervision rules.

Discharge actor responsibilities, 3 pathways (Care Companion / Virtual / In-person), DRH vs DUH routing tables, RN triage IDs.

EPIC context + dot phrases, no-computer workflow, DCHD pharmacy prescribing, prenatal vitals/FHTs, new + return OB visit structure.

Major + Moderate criteria for ASA eligibility, low-SES point, HROB referral threshold.

Erwin Rd 4th floor logistics, .mfmmasterlist + .hrobppplans, prechart, MA workflow, exams by delivery type, Bs mnemonic, EDPS, social work + interpreter pearls.

Who covers Labor / C-Sections / Triage / ED Consults by practice group (No PNC, DCHD/DWHA/DPC, H+S/DOB, CHOB/DWC).

BP cuff for HTN disorder, .internalcommunication dot phrase, follow-up by practice, D/C summary rules.

Prep night before, scan in triage, iPad consents, attending-specific sutures sheet, Yellow Sticky Note for deviations, CS checklist.

Pre-conference workflow with Fellow, 1–2 liner per patient, growth/AFI, atypical focus, Kuller Q&A.

OB ED 24/7 APP coverage, intern staffing rules, 7 AM/7 PM high-alert patient list (TOLAC, Cat II, PreE on mag, Breech PPROM, vasa/placenta previa, hemorrhage protocols, severe cardiac).

What to expect on L&D call by hospital — DUH (split by role), DRH (PGY 2–4), DRAH (PGY 2–4). Paging, triage acuity, scary pages, escalation principles.

Comprehensive guide to intrapartum insulin, ACOG Box 3 protocol, medication management at admission, and postpartum recommendations by diabetes subtype (A1GDM, A2GDM, T1DM, T2DM).

How to enroll postpartum patients with a hypertensive diagnosis in the right follow-up pathway (MyChart plan for English speakers; 3-day virtual/phone/in-person visit for non-English speakers), plus the BP cuff order and discharge-instructions dot phrase workflow.

Precharting by attending, ASCCP app, yellow sticky → Result Mgmt routing, weekly Pap/STI In Basket follow-up.

Patient education dot phrases (.Menonotes* series) — GSM, hormone therapy, mood, osteoporosis, sexual dysfunction. NAMS 2023 reference.

ACOG practice bulletins + committee opinions for working up AUB in adolescent patients.

When to go into Raleigh, obs-admit decision tree, OR routing, ED non-onc/urogyn → Dr. Garcia f/u, ≥20w OB transfer rule.

Touch base with attending for all consults; AM rounding notes to AM attending; pre-leave ED sweep.

CPRS SURGERY-BRIEF OP NOTE, SURGERY-DISCHARGE NOTE, post-op orders for 4B, word processing orders, op note from surgery tab, admission via GSU OBS / GSU WARD.

GYN H&P template, iMed consents, post-op pain narcotic access, RTC scheduling, hyst 2+6 week visit rule.

Mife / miso doses, GA decision rule (>9 wks = 2 doses; >11 wks = 3 doses; 12w0d hard cutoff), patient counseling.

Comprehensive workflow — clinic meds, consents, intra-op orders, OR workflow (Ativan/TXA/KCl/digoxin/cabergoline), pre-op cytogenetics, full 17-step procedure walkthrough.

Cannula size, paracervical block, cervical prep, and ultrasound requirements by gestational age.

NC abortion 72-hr counseling rule, NPO/clears timing, consent who-can-sign rules, form color-coding, .fpmodsed.

EPIC episode-of-care setup, 1J triage routing, twice-weekly review, Susan's 3-strike contact rule, certified letter process.

Prep all patients, .1jepacnew / .1jepacereturn dot phrases, Box folder reading list, key practice bulletins.

EPIC context, daily handoff refresh, rounding note templates (medical / postop / chemo), labs dot phrases.

Cr-based dose ladder (ibuprofen / Tylenol / Oxy), bowel regimen, ERAS POD1 foley + POD2 epidural pause / heparin hold.

IR, palliative, gen med procedures, ID, GI, PT — what each is typically used for on the onc service.

What info to capture for SDS patients (name, procedure, dx, EBL, comorbidities, voids).

Wednesday in-between-cases conference, .newoncpreop template, VTE (moderate = heparin, not SCDs only), PASS documentation, Rossi pyridum rule, Junior/Senior pre-op assignments.

When to repeat, when to scan, IVF-specific rules. Use cases: ectopic, anticoagulated, RPL, inappropriate rise.

Estradiol thresholds for oncofertility post-retrieval; progesterone thresholds for FET and ovulation detection.

Baseline visit, monitoring, trigger options (hCG vs Lupron), stimulation meds, surge prevention strategies.

Clinic prep, problem-based charting templates, POP-Q exam expectations and online calculator.

Post-op orders, discharge instructions, admit-to-obs, Epic email for void trial results so fellows know disposition.

Brief op note, discharge orders/instructions, first-call coverage of MIGS patients PACU/ACU/admitted, postop check requirements, AVS dot phrases.

Admitted-awaiting-bed vs no-dispo patient handling; .accassume note for assuming care.

Friday 10pm coverage submission, Sunday admin chief release, Qgenda integration, what ORs Benign covers (excludes FP attendings except Hagey ASC), medical student placement, daily 0700–1800 coverage windows.

Level 1 vs Level 2 rules, case request, anesthesia attending paging (919) 970-9111, consent + roll workflow.