HSAC.news HOUSE STAFF ADVISORY COUNCIL VANDERBILT UNIVERSITY MEDICAL CENTER CENTER April 2016 Main Agenda Institutional Critical Care Committee Minutes— 3/24/16 Director Forums in the other months.— The chairs will evaluate the recommendation to change the meeting schedule. Submitted by Venessa Pinto, MD ICU Medical Director Forum: initiated with the goal of fostering collaboration among the adult ICUs, the ICU medical directors began informally meeting in 2006. The RRT Update: April KapuApril provided data through 2015 (attached) on RRTs from the REDCap database. Most calls are for the SICU team with the MICU team a close second. The highest volume units are 7T3, 9 North, 10T3 and 6 North. April noted some calls are not answered by the NPs who complete the data since they may be on other calls. Questions regarding destination of patients who are moved to a higher level of care can be answered with further review of the data set.—April will provide additional information as required. Cortrak Small Bore Feeding Tube Placement– Kathy Burns Accreditations and Standards has asked for clarification of who can place Dobhoff tubes. In most but not all of the ICUs nurses have been trained to place the tubes using the Cortrak. There is not a formal competency, but an expectation that staff who have not been trained will have hands-on oversight before preforming the procedure. To clarify who is permitted, a recommendation was made to add language that “small-bore feeding tubes are placed by staff who are trained to perform the procedure.” Kathy was asked to take the issue to the ICU managers for final resolution. Additional questions regarding use of KUB to verify placement when the Cortrak is used were deferred.—Barbara will invite Kathy to attend the next ICU managers meeting for further discussion. ICU medical directors Review clinical policies affecting medical practice, particularly those affecting critically ill patients. Provide input on development of order sets, including electrolyte protocol, sedation protocol, transfusion orders, death and donation policies, pharmacyWorking closely with Stephan Russ and the Access Center to develop the ICU High Census plan / ICU Capacity Plan ICU Manager Forum beginning late last year, the VUMC ICU managers began to meet monthly to discuss common goals, issues, and approaches to unit management. Topics have included CSL-related topics, including support for establishing a CSL forum for VUH, staffing plans and scheduling, IRound implementation, Blood Bank phone calls, Veritas reporting, and dietary issues. ICU Medical Director and Manager Forums—Barbara Martin / Lee Parmley / Carol Eck Each of these groups meets monthly; an overview of topics and priorities is below. a recommendation was made to change the ICCC to every other month, with the ICU Manager and Medical NEXT MEETING HOUSE STAFF ADVISORY COUNCIL VANDERBILT UNIVERSITY MEDICAL CENTER May 6, 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