Coordinate scheduling of on-call cases in conjunction with faculty.
Respond to codes. Remember the Shrine Burn Institute and Rebecca Sealy are included. ER or ICU’s often page for help with airway management.
Consults for central, peripheral and arterial lines. Make sure faculty is aware and agrees with the line placement prior to placing the line. Get a consult form referring MD and be sure signed patient consent form on chart.
Responsible for having operating rooms set up to perform an anesthetic. Usually OR 3, 4, 13, 14, 18, 19 and 25 should be set up. Other rooms that are often used at night are 9 and 23. An extra trauma room should be set up for special weekends (i.e., Mardi Gras and Kappa weekend). However, check with the faculty on call for any additional operating rooms that need to be setup. Setting up the on call operating rooms may be assigned to students or junior residents, but the senior resident is responsible for insuring the operating rooms are set up appropriately. Trauma rooms should have routine monitors, A-line and CVP set up. All monitoring cables should be untangled. Intravenous lines should be set up with pumpers with one on a hotline. The level one with tubing should be available in the trauma room or just outside the OR door. (Do not open disposable tubing.) Check the trauma rooms for setup early in the call.
The senior resident should be familiar with the RIS and Level one set up and use. Preoperative assessment of patients going for surgery. This may be assigned to junior residents under the senior resident’s supervision.
Present the preoperative assessment and plan to the on call faculty.
Facilitate induction and extubation of patients in the operating rooms under the supervision of Faculty.
Respond to recovery room problems in a timely manner.
Changing the OR schedule for elective cases the next day is NOT the responsibility of the senior resident or the faculty on call. Please refer this person to the OR schedule runner.
Ensure that residents in rooms get breaks. This may be delegated to any free resident on call. An Emergency Airway box (small red tackle box) is available in the Anesthesia Workroom to take on codes. Hypnotics or Sux must be obtained by the SR from Pyxis and returned or signed out to patient. Return Airway Box to the workroom at end of shift for restocking. Be responsible; don’t lose blade, etc.
Covering Pain Pager Do not give verbal orders to floor nurses to change PCA or PCEA. Go examine and evaluate patient, then make changes.
Call pain fellow if you need advice.
If pain patient calls seeking prescription, do not order. Remind patient to abide by narcotic contract and advise to call the Pain Clinic (409 772-3947) during clinic hours.