HSAC.news HOUSE STAFF ADVISORY COUNCIL VANDERBILT UNIVERSITY MEDICAL CENTER February 2016 Main Agenda COMMITTEE REPORTS: Meeting minutes from ICCC—1/28/16 Provided by Venessa Lynn Pinto & Barbara Martin Organ Donor Advisory Committee—Teresa Hobt-Bingham Vanderbilt continues to perform well in organ donor metrics,with 63 organ donors through November 2015. One timing issue was noted where a family requested support be withdrawn before TDS spoke to the family regarding donation. Dr. Parmley reported that there was a request from Transplant to evaluate whether induced hypothermia in organ donors would improve rates of delayed graft function in renal transplantation. Currently the rate of delayed graft function is very low; a change in management that includes hypothermia would not change the outcome. The issue is tabled. The donor flag raising ceremony will be in early April; Songs for Life Concert will be in May. With the proceeds from the concert the planned donor memorial will be funded; a location is being identified in collaboration with VUMC. Medically Appropriate Treatment—Lee Parmley/ Carol Eck/Walter Merrill— The Medically Appropriate Treatment policy is undergoing final review and revision. The policy will serve as a resource to determine appropriate resolution to meet goals of care when there are disagreements among the health care team and/or patients and families. Current processes for resolution will not change—Clinical Ethics, Palliative Care, Pastoral Care, and others may be engaged and assist with resolution without invoking the policy and process. NEXT MEETING VUH ECMO—Jimmy Barber The CVICU is working closely with the VCH ECMO program and the VUH Perfusionists to develop the new adult ECMO Specialist Program. The ECMO specialists augment the perfusionists so that as the program expands patients will have a specialist available to support the pump continuously. There are seven specialists ready to go in the next couple of weeks. The program will be expanding; currently ECMO outside the CVICU may be covered by Children’s or by CVICU specialists. In addition, an insertion cart has been created to facilitate rapid placement of ECMO cannulas so therapy can be initiated expeditiously. Dr. Jason Kennedy is the medical director, and several intensivists are supporting the therapy. Unit Admission Criteria/Scopes of Service—Barbara Martin Michelle Hasselblad is working with all the units to come up with Scopes of Service and Admission Criteria on a single document. The ICUs will develop a document to complete the VUH information. The managers will work to develop the document with Barbara coordinating the development. ICU High Census Plan—Lee Parmley— Dr. Parmley shared the ICU High Census Plan and asked the committee how this plan is handled in their units. How decisions are made to move patients between ICUs was discussed. Patient flow is a high priority for the institution; the goal is to have patients in appropriate specialty areas. Prioritization of patients who need ICU beds (e.g., unstable ED patients, OR patients, stat bed patients) is not a formal process, but should be more clearly identified. Work is ongoing to identify a process for ensuring a STAT bed is available in one of the ICUs HOUSE STAFF ADVISORY COUNCIL VANDERBILT UNIVERSITY MEDICAL CENTER April 1, 2016 2702—2703 TVC - 12:00 p.m. - 1:00 p.m. Rishi Naik, Co-Chair /William (Billy) Sullivan, Co-Chair Margaret Burks, Vice Chair For more information: GME Office, 322-4916 E-mail: hsac@vanderbilt.edu THE VANDERBILT HOUSE STAFF ADVISORY COUNCIL (HSAC) This organization is advisory to the Executive Director of Vanderbilt University Medical Center for the purposes of communication of information to house staff, problem identification, provision of counsel to other hospital organizations, when required, and to provide representation of the house staff in these and all other matters pertinent to house staff, patients and the Vanderbilt affiliated hospital programs. The Council is composed of one representative and alternate from all ACGME accredited programs. The Director of Graduate Medical Education is an ex-officio member and does not vote. The representatives are appointed annually and may serve an unlimited number of terms. At the discretion of individual departments, representatives may be elected to office by a majority of residents within that department or may be appointed by the department Chief Resident or residency director. They shall hold office from July 1st until the following June 30th. The HSAC will be advised at the last meeting of the academic year whether the acting representative intends to continue in this position for the next 12 months or whether the representative will step down and be replaced, and, if possible, the HSAC should be notified as to who that replacement will be. Are You Being Represented? HSAC Members 2015-2016 Last Name First Name Department Pager # Last Name First Name Department Pager # Alabi Elizabeth Anand Manish Barraza (Alt.) Michael Barry Megan OB/GYN Nephrology Diagnostic Radiology Child Neurology 835-0566 835-0566 835-4169 835-1522 Matthias McNeely Moreno Naik Adam C. David Tomas Rishi Oral Surgery Cardiovascular Disease Ophthalmology Internal Medicine 835-5868 835-9643 835-0449 835-5412 Bass Jennifer M. Peds - Internal Med 835-9780 Nathan Niraj Ophthalmology 835-0445 Burks Casey Margaret Carolyn Internal Medicine Rheumatology 835-0381 835-8233 O'Connor Ogu O'Leary Michael Iheanyichukwu Jared Peds Pulmonary 835-1904 Nephrology 835-7190 Cardiovascular Disease 835-9642 Clark Conklin Matthew David Gen Pediatrics General Psychiatry 835-9251 835-8751 Patrylo Penrod Morgan John Cody Neurology Pediatrics EM 835-9585 835-8395 Craig Elizabeth Diagnostic Radiology 835-4171 Pinto Venessa Peds Critical Care 835-1439 Craig Brian General Surgery 835-8427 Pippen Jessica OB/GYN 835-0560 Danish (Alt) Timothy F. Dare Ryan Keith Thoracic Surgery Infectious Disease 831-6169 831-6275 Rice Robertson Sean Cheryl Internal Medicine Interventnal Cardio 835-5478 831-8573 Darragh Charles Dermatology 835-0457 Robinson Jamie General Surgery 835-1329 Dei-Tutu Selorm Aseye A. Peds Endocrinology 835-9613 Sample Matthew Interventnal Cardio 831-8668 Dingle Jodi Gen Pediatrics 835-1964 Samuelson Madeleine Otolaryngology 835-0732 Dott Daltry Anesthesiology 831-8520 Seltz Lara Urology 835-8760 Douds (Alt.) Jonathan Pathology 835-4126 Shah Hetal Nephrology 835-7193 Dudley Dufendach Eckhart (Alt.) Friedman Anne Kevin William (Bill) Eitan Peds Urology Neonatology Neurology Interventional Cardio 835-4157 831-4831 835-5066 831-6235 Shah Shepherd Smith Stimpson Karan Casey Clayton Sarah-Jo Emergency Medicine Oral Surgery Radiation Oncology Peds Hem/Onc 835-1190 835-8025 835-1478 835-8183 Gettler Erin Internal Medicine 835-0357 Stoudenmire Charles Pathology 831-6189 Sturos Eric PM&R 835-8133 Greene He Matt Lucy (Le) Infectious Disease Neurosurgery 835-0636 835-9545 Sullivan Suojanen William M. Krista Internal Medicine Internal Medicine 835-1386 835-5468 Huang Derek Neurology 835-4066 Thomas Brian Dermatology 835-0461 Iams Wade Internal Medicine 835-5463 Todd Henry Frank Thoracic Surgery 835-0988 Jamison Justin Paul Child Psychiatry 835-1352 Vu NgocHanh Child Neurology 835-9567 Johnson Emily C. Neurology 835-9986 Walls Sara Peds Anesthesia 835-9706 Johnson Vanessa Dermatology 835-0464 Watson Graham Adult Hem/Onc 835-7177 Katsantonis Kingeter Lalor Lennon Nicolas-George Adam Kathryn Christen Jane Otolaryngology Adult CT Anesthesia Child Neurology Otolaryngology 835-0725 835-5207 835-1931 835-9822 Westbury Wilson Winberry Winocour Emily L. Robert Gabe Julian Neurology Ortho Surgery Peds GI Plastic Surgery 835-8479 835-0283 831-4335 835-9352 Lester Michael Internal Medicine 835-7372 Wood Cory Orthodontics 835-1019 Livingood Matthew Dermatology 835-0460 Wu Eric Emergency Medicine 835-9540 Lopez Marco Anesthesia Critical Care 835-9727 Wurth Mark Allergy Program 835-8776 Manrique M. Geraldine Otolaryngology 835-0727 Ziegler Kenneth Vascular Surgery 835-1391 Internal Medicine 835-5376 Mashayekhi Mona