GUIDELINES IN DECKING OF SERVICE PATIENTS
A. Vascular Surgery Team on Duty (VTOD)
1. The Division of Vascular surgery encourages the team approach in the conduct of diagnostics and
surgical management. This is in congruence to the Philippine Heart Center Joint Endovascular Therapy
(PHC-JET) program under the Division of Vascular Medicine and Vascular Surgery.
2. The Vascular Team on Deck (VTOD) shall be composed , at minimum, of a Vascular Surgery Senior
Consultant, Vascular Surgery Junior consultant, and a Vascular Medicine/Interventional cardiology
consultant. VTOD shall be decked for 1 week.
TABLE 1 Decking of VTOD
Month 1
Week 1
VTOD 1
Week 2
VTOD 2
Month 2
Week 3
VTOD 3
Week 4
VTOD 1
Week 1
VTOD 2
Week 2
VTOD 3
Week 3
VTOD 1
Week 4
VTOD 2
3. VTOD roster shall be rotated to expose each consultant to various team members. Rotation shall take
place every 3 months.
TABLE 2 VTOD Roster rotation
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Ronal Estacio
Aquileo Rico
Anthony Manio
Timothy Dy
Aquileo Rico
Patrick Maglaya
Rowena Ona
Melissa Sia
Aquileo Rico
Marvin Martinez
Ronal Estacio
Aquileo Rico
Anthony Manio
Rowena Ona
Nelson Lee
Patrick Maglaya
Melissa Sia
Ronal Estacio
Nelson Lee
Marvin Martinez
Timothy Dee
Nelson Lee
Anthony Manio
Rowena Ona
Nelson Lee
Patrick Maglaya
Timothy Dy
Melissa Sia
Edgar Tuazon
Marvin Martinez
Rowena Ona
Edgar Tuazon
Anthony Manio
Ronal Estacio
Edgar Tuazon
Patrick Maglaya
Timothy Dy
Melissa Sia
Edgar Tuazon
Marvin Martinez
B. Decking of Elective and Emergency patients
1. VTOD shall be responsible for all elective and emergency patients referred during their tour of duty.
The VTOD Tour of duty commences Sunday 12AM up to Saturday 12 MN of the current week.
VTOD should be informed by the Vascular surgery rotator (VSR).
1.1 In the event of conflict in the schedule of elective cases, and influx of emergency cases –
decision shall be from the VTOD Senior consultant in charge, with approval of the Chief of
Vascular surgery.
1.2 In the event of excused re-decking (i.e. health reasons, conflict with private cases, holiday)
of an elective/emergency case, consultation with the incoming VTOD should be done and
arranged internally.
1.3 Monthly census on decking of cases shall be made by the VSR.
2. All patients presented during the weekly Vascular Medicine conference should have an
identified VTOD-in-charge. This is the responsibility of the Vascular surgery rotator.
3. VTOD should be decked at least (1) one case of complex thoracoabdominal aortic aneurysm per
week. Work-up and admission of such patient is the responsibility of the Vascular surgery rotator in
coordination with the Vascular medicine fellow.
Prepared by :
Patrick Louie C. Maglaya, MD
Noted by:
Aquileo C. Rico, MD, FPATACSI
Chief, section of Vascular surgery