END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY
-
Upload
roanna-abbott -
Category
Documents
-
view
14 -
download
0
description
Transcript of END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY
END OF THE DAY RELIEF:WHEN EXPECTATIONS MEET
REALITY
SCOTT HOFFMAN, M.D.DEPARTMENT OF ANESTHESIOLOGY
VANDERBILT UNIVERSITY SCHOOL OF MEDICNE
NASHVILLE, TENNESSEE
PREMISE:
• EVERYONE WANTS TO GO HOME.....EVENTUALLY!!!
SO…….
• WE NEED A PLAN!!!
SUCH A PLAN WILL….
• ALLOW FOR SOME DEGREE OF PREDICTABILITY FOR FACULTY
• BE A TOOL TO ASSIST THE AIC IN PLANNING STAFFING FOR THE NEXT DAY
• PROVIDE STAFFING INFORMATION/PLANNING FOR THE EVENING/NIGHT CALL TEAM
CHARACTERISTICS OF OUR PLAN
• FAIRNESS• CONSISTENCY• FLEXIBILTIY
SUCH A PLAN WILL….
• MEET END-OF-DAY STAFFING NEEDS• TAKE INTO ACCOUNT SUPERVISION RATIOS• HAVE BUY-IN BY THOSE AFFECTED• CAN BE EASILY MODIFIED AS NEEDS DICTATE
OUR PLAN AT VANDERBILT
• DOES NOT INCLUDE OUR CARDIAC ANESTHESIOLOGY DIVISION
• DOES NOT INCLUDE OUR OB ANESTHESIOLOGY DIVISION
• MIGHT INCLUDE AN ON-CAMPUS AMBULATORY SURGERY CENTER
END-OF-DAY RELIEF
• BASED ON PRE- AND POST-CALL STATUS
OUR PRIORITY LIST
OUR PLAN IS A GOOD ONE…BUT NOT PERFECT
• OOR LOCATIONS• LATE CALL SWITCHES• FACULTY WHO “ARRANGE” THEIR OWN RELIEF• A SHORT CALL TEAM
OUR PLAN IS A GOOD ONE….BUT NOT PERFECT
• COMPLEX CASES (e.g. BIG VASCULAR CASES)• FACULTY WHO WANT TO FINISH THEIR CASES
TEMPORARY RELIEF DURING THE CLINICAL WORK DAY
• WHAT ABOUT RELIEF FOR FACULTY WHO MUST ATTEND MEETINGS DURING THE CLINICAL WORK DAY?
WAIT…..
• NOT ONLY ATTENDING FACULTY WANT TO GO HOME!!!
THE C-1 POSITION
• MANAGES COVERAGE FOR IN-ROOM STAFF ABSENCES
• COORDINATES AFTERNOON RELIEF FOR IN-ROOM PROVIDERS
RESIDENT RELIEF
• EDUCATION VS. WORK HOUR REQUIREMENTS
TRACKING WORK HOURS
• WE TRACK OUR RESIDENTS’ AND SRNAs’ WORK HOURS
24/7
• VANDERBILT UNIVERSITY HOSPITAL’S MAIN OPERATING ROOM IS A 24/7 OPERATION
THE END
• EVERYONE HAS GONE HOME!• SEE YOU TOMORROW!
LIAM IS WAITING AT HOME!