LALLIE KEMP EMERGENCY DEPARTMENT
Orientation:
Residents must contact Melanie Zaffuto prior to their rotation in order to arrange their orientation and
obtain their name tag. Her contact info is: 985-878-1349 or mzaffu@lsuhsc.edu. Please also speak with
Kathy Whittington prior to the rotation so you can fill out the application to rotate there - this
application will contain all of the information Lallie Kemp needs to allow you to rotate. Mrs. Zaffuto is
usually in her office between 7:45 and 4:30. Orientation begins at 8:00a.m. and lasts about 45 minutes.
You may meet with her the morning of your first shift, orient and then begin your shift at 9:00. Upon
arrival on the day of your orientation, enter the hospital through the front (main) entrance and ask the
operator to contact Mrs. Zaffuto for you.
For questions, comments or issues, contact: Drs. Ancelot and Lindley lalliekemped@gmail.com
Schedule:
Residents doing a two week rotation are required to do 7 ten hour day shifts (9a-7p).
Housing:
There are two apartments available - one female and one male. Both have two single beds and WiFi. If
you think you'll be using them, let Mrs. Zaffuto know so she make sure it will be clean and ready for you.
This is especially helpful if are working several shifts in a row and do not wish to drive back to New
Orleans.
Directions:
The hospital is located at 52579 Highway 51 South, Independence, LA 70443. Their phone number is
(985)878-9421. Their map is found here: http://www.lsuhospitals.org/hospitals/lk/LK-map.htm. When
arriving at the hospital on Highway 51, you will come to a flashing yellow light. Make a left at this light
and then take the second left to find the parking lot in the back of the hospital. If you have an access
card, you can enter through the back. If you have not yet obtained one, you can enter through the main
entrance in the front of the hospital
Conference:
You are required to attend EM conference and journal club.
Extras:
All procedures must be recorded in NewInnovations. Residents must document gas mileage in order to
be reimbursed for travel expenses. Residents must complete the attached time sheet and email it or
drop it off to Melanie Zaffuto (mzaffu@lsuhsc.edu) at the end of the month.
Supervision:
EM Residents receive continuous supervision by EM boarded faculty while rotating through Lallie Kemp
Medical Center.
Evaluations:
Composite evaluation at the end of the rotation on New Innovations will be completed by Dr. Beran.
Responsibilities:
EM residents are expected to function as integral team members of this community-based Emergency
Department, participating in the management of trauma and medical ED patients. Duties include
independently evaluating patients, which includes performing a timely, focused history and physical
examination, and formulating a diagnostic evaluation and management plan. Residents present all
patients to the attending emergency physician and discuss their assessment and plan. Residents are
expected to manage multiple patients simultaneously, and must be aware of the status of pending
diagnostic tests, and patient response to any medications administered. Residents are responsible for
the ongoing management and disposition of their assigned patients while in the Emergency
Department.
GOALS and OBJECTIVES of Community ED rotations
1. While in the community ED, the resident will demonstrate skill in “Data Gathering” that includes
but not limited to:
a. PGY1: Perform an appropriate focused history and physical exam (* PC, MK, ICS, PR)
b. PGY2: Appropriate ordering and interpretation of ancillary tests (* PC, MK, SBP)
c. PGY3: Gather essential and accurate information from all available sources (* PC, SBP)
d. PGY4 Challenges assumptions. Able to establish rapport in order to obtain historical
date in difficult situations. (* PC, IPC & PR)
2. While in the community ED, the resident will demonstrate skill in “Problem Solving” that
includes but not limited to:
a. PGY1: Generate an appropriate and complete differential diagnosis for an
undifferentiated patient (* PC, MK)
b. PGY2: Appropriate organization of data collection in relation to patient management
decisions (* PC, MK, PBL)
c. PGY3: Generate an expanded differential diagnosis including possible atypical
presentations (* PC, MK, PBL)
d. PGY4: Able to supervise and teach problem-solving skills to lower level residents. (* PC,
MK, PBL)
3. While in the community ED, the resident will demonstrate skill in “Patient Management” that
includes but not limited to:
a. PGY1: Development of a basic treatment plan (* PC, MK, SBP)
b. PGY2: Prompt recognition and appropriate emergency stabilization of the unstable
patient (*PC, MK, SBP)
c. PGY3: Institutes appropriate advanced treatment plans autonomously (* PC, MK, ICS,
PR, SBP)
d. PGY4 Multitasks, appropriately utilizes resources, facilitates patient flow. (* PC, MK, ICS,
SBP)
4. While in the community ED, the resident will demonstrate skill in “Medical Knowledge”
appropriate for level of training that includes but not limited to:
a. PGY1: Demonstrates a basic fund of medical knowledge (*MK)
b. PGY2: Understands the scientific basis for their decisions (*MK, PBL)
c. PGY3: Demonstrates an advanced fund of medical knowledge (*MK)
d. PGY4: Demonstrates an advanced fund of knowledge and challenges assumptions using
problem-based learning techniques. (*MK, PBL)
5. While in the community ED, the resident will demonstrate technical proficiency in “Procedural
Skills” consistent with level of training that includes but not limited to:
a. PGY1: Suturing, lumbar puncture, splinting, I/D abscess (*PC)
b. PGY2: Endotracheal intubation, central venous access, direction of medical and trauma
resuscitation (*PC)
c. PGY3: Conscious sedation, ultrasound, and direction of medical and trauma
resuscitation (*PC)
d. PGY4: As above, but also skilled in teaching procedures to lower level residents.
6. While in the community ED, the resident will demonstrate skill in “Efficiency” of care that
includes but not limited to:
a. PGY1: Effectively manages 1 patients per hour (*PC, MK, SBP)
b. PGY2: Effectively manages 1.5 patients per hour (*PC, MK, SBP)
c. PGY3: Effectively multi-tasks and adjusts to increased patient care demands as needed,
with a goal of 2 patients per hour (*PC, MK, SBP)
d. PGY4 Effectively multi-tasks and adjusts to increased patient care demands as needed,
with a goal of >2 patients per hour (*PC, MK, SBP
7. While in the community ED, the resident will demonstrate appropriate “Interpersonal and
Communication Skills” that includes but not limited to:
a. PGY1: Demonstrates effective information exchange with patients, their families, and
professional associates (*ICS, PR)
b. PGY2: Demonstrates appropriate conflict resolution skills (*ICS, PR)
c. PGY3: Works effectively with others as a leader (*ICS, PR)
d. PGY4: Models and teaches leadership skills to lower level residents. (*ICS, PR)
8. While in the community ED, the resident will demonstrate appropriate “Professionalism” that
includes but not limited to:
a. PGY1: Introduces self to patient and/or family (*PR)
b. PGY2: Respectful of patient’s privacy and confidentiality (*PR)
c. PGY3: Demonstrates respect, compassion, and integrity, even under stressful situations
(*PR)
d. PGY4: Models and teaches professionalism skills to lower level residents. (*PR)
9. While in the community ED, the resident will demonstrates skills in proper “Documentation”
that includes but not limited to:
a. PGY1: Medical record is accurate, complete, timely, and appropriate (*PC, ICS)
b. PGY2: Appropriately documents medical decision making (*PC, ICS)
c. PGY3: Documents ED course including re-evaluation of patient if applicable (*PC, ICS)
d. PGY4: Models and teaches verbal and written documentation skills to lower level
residents. (*PC, ICS)
Lallie Kemp Medical Center Emergency Medicine Resident Timesheet
Name:
Month:
Date
Signature
Time In
Time Out
For Office Use Only
Physician
Total Units
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Units
X