Morning Handover orientation

Hi all and welcome to the General Surgery Service is

two Kids Hospital.

We made this video to orient you to how the

service is structured and run before you start, we welcome

you to the team and are excited to have you.

In this video, we will discuss how your day's organized

first with morning hand over them with rounds, then with

responsibilities following this, including on call and weekend responsibilities.

Please supplement this orientation video with the email that you've

been provided, including the resident tip sheet that you've been

sent morning to hand over typically is between six and

6:15 a.m. Every weekday morning, we meet in Hill Wing

Room 15 oh five.

The time for handover may vary, however, based on the

size and acuity of the service at the discretion of

the senior fellow.

The Post called Junior Insurers of the lists are printed

out for all team members and the Post called Team,

then hands over all new patients and acute events from

overnight to the day team.

We also utilize this time to discuss the nuances of

the day, including our assignments, clinic assignments and consulate and

pager responsibilities for the residents that are post called you

expected after handover to then round with your team and

hand over with your team to the staff.

Following this.

Once you complete any notes or orders and hand over

your patients, you may then leave post call.

As part of the team, you'll be given access to

the BCG list, which is our list of our patients.

You can find this located under your shared list on

Epic. This encompasses patients that are on five B.

Our general surgery consoles are new or pending console cube,

the impatience to our service as well as the gift

in patients.

If you are the Post call resident, it is your

responsibility to print out the list for the team.

Please ensure that you print enough list for all team

members. In order to print the list, please open the

BCG list and buying the print tab in the upper

right hand portion of the screen.

Once this is clicked, then please choose to print the

current list to ensure that you print the list in

a double sided fashion, please use the printer s K

H five b p.

D. 03 on five b please ensure that the headings

shown here are included on your list as well.

Please ensure that the list is selected to be narrow

with medium height, portrait orientation and extra small font size.

Now onto rounds while on service, you will be assigned

to one of two clinical teams divided by the staff

on each team.

We have a light team and a dark team.

The light team is made of Dr Chew, Doctor Fecteau,

Dr Langer, Dr Wales and Dr Wolinska.

Following handover, we then round on the wards and meet

to discuss patients and hand over the patient's virtually at

7 30 in the morning over Microsoft teams.

The Dark Team is comprised of Dr Azzi, Dr Bert

Sugar, Dr Hamadan, Doctor Pierrot, Dr Side and doctors.

Oni Falling hand over the team goes to the wards

to see patients and then meets with the remainder of

the team and staff in person to round on the

wards at 7 30 during the day, you will be

assigned to a variety of activities which include floor coverage

and patient assignments, clinic O.

R, as well as to cover the junior pager and

concerts. Our clinic is located on 60 at Sick Kids.

It is our goal to try to get everyone assigned

to clinic at least once a week.

Certainly you are welcome to go to clinic more if

available, even if you aren't a sign.

Our staff is currently seeing patients both in person and

virtually currently.

Clinic typically runs between 8 30 in the morning and

4 30 in the afternoon.

And even when assigned, the staff are very understanding of

the poles to the ward and patient care responsibilities if

needed. We have two sites that we operate at both

at Sick Kids as well as at Hamburg.

The assignment for both cases at either site is at

the discretion of the senior fellows.

That's the kids or start at 8 a.m. On Monday

through Thursday at 9 a.m. On Fridays.

Juniors are encouraged to get to the operating room as

much as possible.

Even when not assigned, the case is as long as

clinical responsibilities.

Air taking care of Hamburg has operating room days on

Monday and Thursday, with occasional add on days.

A separate Humber orientation is necessary in order.

Begin operating at this site, so we try to get

this orientation, taking care of his early in your rotation

as possible.

Cases started 8 a.m. and typically are located in room

10. If you are assigned a number, you do not

need to round it to kids that morning.

But please ensure that your support to Humber on time

and are prepared for the first case.

Please see your Humber cheat sheet provided in your orientation

packet when you start to assist you with managing your

day as long as you are not on call, you

do not have to report back to sick kids once

your cases at Humber are complete that day following morning

rounds, Primary Ward patients were then split up and assigned

amongst the MPs and juniors on the team.

Patients that are located outside of five B as well

as concerts off floor are taken care of by the

resident and fellows on each respective team.

Patients that you are assigned are your responsibility to take

care of, and this includes notes, orders handover and preparing

discharge summaries.

There are dot phrases that air available for you for

commonly utilized documents that typically begin with 0.0.5 B.

Please ensure that your patients air handed over or cross

covered, if ever needed.

Should you have other responsibilities or need to leave?

It's the kids where our post cough, the junior assigned

to call or to cover the pager will then respond

to all pages and new consoles during the day.

This includes concerts from the E.

R. On the floor.

Please note that you may be asked to cover the

page or even when you're not on call.

For example, on days such as Tuesday when there's resident

education or when a moonlight ER is on call as

they do not arrive until the evening junior's air not

responsible to respond to outside hospital calls or community calls,

as well as pages or concerts from the pick you

nick you or for the gift team.

If there's ever a question that you have, please reach

out to your on call fellow to discuss.

When you do receive a new console, please go and

see that patient and staff with your own call fellow.

It is absolutely okay to go to the operating room

to discuss consulates if needed.

Please make sure that you keep your own call.

Fill in the loop of any new or sick patients.

If you are receiving multiple concerts or anything else as

you concerned, you can also always reach out to other

available fellows or staff if needed.

Additionally, please respond to all traumas by reporting to the

trauma bay in the emergency room.

If a trauma is activated, your uncle fellow will triage

you to determine if you're needed to stay and assist

with managing this patient as well as with transporting or

admitting them.

Clear lines of communication is always essential.

We promise we won't get mad.

There is no question to bigger too small when it

comes to caring for our patients, especially when we're on

call. We are all the team in the afternoon.

Sign out will be determined at the discretion of the

on call.

Fellow typically is scheduled sometime between three and 5 p.m.

Sign up typically will be located in room 57 or

four in the atrium.

However, if unavailable, we will also cover Sign out on

five B.

Silent includes all available fellows, residents and peace, as well

as the Charge nurse As the on call resident, please

ensure the two new was sir printed out for yourself.

and your uncle Fellow for handover.

If you're not on call, please attend.

Sign out to hand over your patients if you're otherwise

unable to go toe handover as you are in the

O. R.

In the clinic or post call, please ensure that you

found some other means to hand over to the call

team after sign up once your floor working notes are

done for the day.

If you're not on call, you are then free to

leave. If you are on call or covering the pager,

then please respond to and see all new consoles.

Additionally, please respond to the trauma bay if there is

an activation for weekends.

Handover on Saturday and Sunday as well as on holidays,

is typically 7 a.m. in room 5704 If you are

the post called Resident, please expect to stay following handover

on weekends or holidays and round on at least the

primary patients on five B.

We'll do our best to try to get you excused

after these patients are seen on rounds.

If you are on call and you get a new

concept that requires an emission to our team, you will

have to let the charge nurse no on the floor

that be expected to be admitted on typically 5 ft.

Orders will have to be placed.

We have many general surgery order sets, as you can

see here, for example, a very commonly used order set

is our appendicitis order sets.

This here shows common antibiotics that are used for both

are perforated and non perforated pathways thes air order sets

that you will become very comfortable with.

Additionally, any new patient that you admit requires an emission

H and P.

Please link your console note to the concert order that

has been placed so that the patient will then fall

off the consul.

Cute patients will also need an admission note.

And as long as a complete history and physical was

documented in your consul to note linked to the concert

order, then your admission Agent Pino can simply say, please

see the concept note for additional details of patients Admission.

Further, while you're on call, it is important that you

continue to update I pass for our handovers.

Please ensure that your hand over includes updating both the

handoff and shortlist summary in the patient chart.

This could be found under the patients chart in the

handover tab.

On the right side, please fill out the shortlist summary

with a brief history as well as which team and

staff the patient belongs to.

Under the action items.

A brief listing of the plan can also be listed.

If you need to add any patients to a list,

please the add them by going under their care team

and adding the general surgery team to the list to

remove any patients you can right click the patient on

the list and remove the general surgery team.

Well, that's it.

We hope that this helps to orient you to being

on our team.

We know that we are a busy service, but we

want to make this rotation a great experience for you.

Please let us know if there's any particular goals or

experiences that you would like to have along the service.

Thank you so much and we welcome you to the

team

Morning Handover orientation

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