CARDIOVASCULAR DIVISION WEEKLY SCHEDULE MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 8.30-9.30AM MORNING REPORT/CCU ROUNDS 8AM-1PM CARDIOLOGY CLINIC 8.30-9.30AM MORNING REPORT/CCU ROUNDS 8.30-9.30AM MORNING REPORT/CCU ROUNDS 8.30-9.30AM MORNING REPORT/CCU ROUNDS 10AM-11AM WEEKLY CV LEADERSHIP STAFF MEETING (Myra Maghasi, Head Nurse, Rep from Echo and EKG, Peter Park, CV Administrator, Fellow Lead) 3.30-5-15PM CARDIOVASCULAR TEACHING CONFERENCE 2PM-5PM CARDIOLOGY CLINIC 4PM-5PM RESEARCH PROJECTS CALL (Last Wednesday of the month) CARDIAC DIAGNOSTIC CENTER (EKG/ECHO) CARDIAC DIAGNOSTIC CENTER (EKG/ECHO) CARDIAC DIAGNOSTIC CENTER (EKG/ECHO) CARDIAC DIAGNOSTIC CENTER (EKG/ECHO) CARDIAC DIAGNOSTIC CENTER (EKG/ECHO) SIGN OUT “CCU ROUNDS” SIGN OUT “CCU ROUNDS” SIGN OUT “CCU ROUNDS” SIGN OUT “CCU ROUNDS” SIGN OUT “CCU ROUNDS” 05.11.2010 1 CARDIOVASCULAR DIVISION WEEKLY SCHEDULE CV DIVISION OPERATIONS 1. One CV Fellow/Attending of the CV division will be ‘on call’ daily (24 hours). The call period begins and ends at 8.30AM on a daily basis. 2. The ‘on call’ physician will be available for consultation during the 24 hour period and may be reached at any time using the CV division ‘call phone’ # 0718814703. This phone will be handed off to the next ‘on call’ physician at 8.30AM daily. 3. Night call coverage will be provided by the assigned CV Registrar and/or cardiology fellows. Keys to the cardiac center will be available through the radio room adjacent to the ER and must be signed out there in the event an EKG or Echo is required afterhours. 4. Morning report/CCU rounds will be held in the Cardiac Care Unit. 5. Patients admitted from the cardiac clinic will be assigned for follow up in the hospital by the physician admitting the patient. If the admitting physician is not the ‘on call physician’, the admitted patient will be assigned to the ‘on call physician’ of the day of admission. 6. Admitted patients or patients seen on consultation will be followed in the hospital frequently by consulting physicians, progress notes will be written and their status or change in status will be reported at morning report on a daily basis (if needed). 7. On non-call days, physicians will be assigned to the EKG/Echo/Treadmill labs where Echo/treadmill reading and teaching will occur. All EKGs will be read by the ‘Echo/EKG physician’. 8. Work on cardiac research projects will also occur during on call and non on call days as schedules will allow. 9. North American Cardiology attendings in Eldoret will be available to assist in the care of patients or Echo/EKG /treadmill evaluations as needed. Cardiac fellows will likewise be available to assist non-cardiology fellows caring for cardiac patients. 05.11.2010 2 CARDIOVASCULAR DIVISION WEEKLY SCHEDULE 10. ALL CV division physicians will help in coverage/ care of consult and ward patients as needed based on the clinical demands of a given work day. 11. Thursday CV Leadership staff meeting includes Division Chair, Myra Maghasi, Peter Park (Business/Operations), Fellow Rep, Peris Martim (CCU Head Nurse) and a rep from Echo and EKG. The staff meeting will commence at 10am in the CCU Conference room. The purpose of this meeting is to discuss operational/clinical issues that affect patient care to determine resolution. 12. The call schedule for a month will be made by the 2nd year fellow and will be published one week before the end of the month preceding the month. The call schedule will posted on the hospital wards, outpatient clinic areas, cardiac center and doctor’s mess 2 days before the end of the preceding month. 13. Vacation (leave) requests for a month must be submitted at least 2 weeks before the end of the month preceding the month in which the vacation request occurs. 14. PUNCTUALITY in attendance at all scheduled cardiology events (clinical and teaching) cannot be overemphasized. 05.11.2010 3