Pediatric Intensive Care Unit
Resident Survival Guide
Daniela Davis M.D.
Athena Zuppa M.D.
Costa Dimitriades MD
To access this guide online :
www.phillypeds.com
Some critical reminders at a glance:
 Call 41868 with Primary Medical Doctor information for every patient
(Page 6)
 Write daily progress notes in each chart for every patient (Page 4)
 Write transfer notes and page receiving resident for all transfers. (Page 6)
 Take the end of rotation exam on www.picucourse.org, print and submit
(Page 8)
 Complete discharge summaries in Medical Records before completing
rotation (Page 6)
 Don’t hesitate to ask your Fellow or Attending if you need help.
1
Revised August 5, 2003
Welcome to the Pediatric Intensive Care Unit (PICU). It is a 38 bed unit that provides care to
children with a variety of medical and surgical issues. Our goal is to have fun while providing
thoughtful, compassionate service for patients who are critically ill. The educational objective
is to help you learn more about the pathophysiology of pediatrics and critical care, and build
upon what you have already learned.
The residents are primarily responsible for caring for the children that they are assigned to as
well as the children that they may be covering for another resident. The residents are
integral members of the team, and are first in line in diagnosis and implementation of care.
The residents work closely with the patients under more senior level guidance from the
fellows and attendings.
There will be two independent teams in the PICU, identified as the “red” team and the
“green” team. Each team will round separately from the other with its own attending. One
team will consist of three CHOP residents and one rotating resident, while the other will
consist of two CHOP residents, two rotating residents. The hierarchical responsibilities for
patient management in the PICU is the house officer, fellow, attending on call, Division Chief,
Dr. Mark Helfaer and finally the Department Chair, Dr. William Greeley.
In addition to the physician staff, a nurse practitioner and a clinical nurse specialist and level
IV RNs participate in the care of patients on both teams. A charge nurse is assigned to
coordinate the daily function of the unit and the Nurse Manager and the Director of Critical
Care Nursing oversee the unit.
The PICU has a designated social worker, pharmacist and dietician. Each team is also
assigned a case manager.
Contact List
Critical Care Fellow
Sr. Chief Surgical Resident
Charge RN
10082
Paula
Agosto
14269
Andrew
Balluffi
14872
Pattie
Hubbs
18742
Deb
Maka
14530
Joanne
Mullin
15782
Kathyrn Roberts
14630
Tara
Trimarchi
14394
10006
10260
Nurse Director
Social Worker
Nurse Manager
Clinical Pharmacist
Case Manager
Clinical Nurse Specialist
Nurse Practioner
PICU Attending List
Name
Beeper Number
Troy
Rodolfo
Mark
Sarah
Jimmy
Richard
Brad
Vinay
Robert
Joel
Margaret
Steven
Sarah
Athena
Dominguez
Godinez
Helfaer
Hoehn
Huh
Lin
Marino
Nadkarni
Nelson
Portnoy
Priestley
Schultz
Tabbutt
Zuppa
2
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
215-719-5510
215-719-4913
215-719-8982
215-719-0071
215-719-2508
215-719-4920
215-719-0261
215-719-1602
215-719-5607
215-719-0016
215-719-4919
215-719-0140
215-819-4100
215-719-2006
Revised August 5, 2003
CCM Fellow List
Brian
Arun
Costa
Aaron
Stuart
David
Shoba
Laura
Glenn
Pete
Akira
Vijay
Felice
Boville
Chopra
Dimitriades
Donoghue
Friess
Hehir
Krishnan
Lee
Levine
Meaney
Nishisaki
Srinivasan
Su
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
M.D.
15435
14694
17400
10432
19945
18415
10078
15434
14557
10588
10299
10380
17388
RED TEAM
Fellow
Resident
Crozer
Temple
Judith
Megan
Giuliano
Johnston
Mullin
Case Manger
Nutritionist
19038
19053
14684
19514
14775
10344
GREEN TEAM
Fellow
Resident
Einstein
HUP
Susan
Pearl
Joanne
Mullin
Darla
Bradshaw
Case
Manager
Case
Manager
Nutritionist
19037
19041
19516
18718
15786
15786
16207
Paging instructions from within CHOP are as follows:
Dial 81. When prompted for pager number enter the five digit pager number followed by “#”.
Enter the call back number followed by #.
To dial a pager number from outside of CHOP, dial the following:
215-363-5000 or 610-314-5000
Please pass your beeper to the next rotating resident from your home institution. If
there is no one scheduled to rotate following you, kindly return your beeper to the
Critical Care Medicine Fellow or Diane Miller in the Critical Care Medicine Office Suite.
3
Revised August 5, 2003
Text Paging:
In the near future all residents, fellows, and nurses in the PICU will carry text pagers.
Appropriate use of text messaging will enhance efficiency and quality of care in the unit. To
use text paging, go the www.phillypeds.com web page. At the bottom of the home page click
on “WEBXCHANGE.” If you are prompted to enter a password it is “residents” followed by
“80hours.” You can either search for a pager by name or department, or if you know the
pager number enter it directly. All messages should be tagged with a name and call back
number or pager number. In addition, all computers in the unit should have a desktop link to
phillypeds. Text pages should be classified according to three levels of acuity: emergent
attention, immediate call back, and FYI (no call back needed.) A protocol is being developed
with the nursing staff to identify which information should fit into these categories. In general
use common sense and respond promptly when necessary.
I.
Clinical Responsibilities
Monday-Friday: Residents should arrive in the morning early enough to receive sign out
from the person who was on call, and round on their individual patients in time for morning
team rounds. Team rounds will begin with both teams reviewing the radiology board. Both
teams may then proceed to round together on a medically complex or challenging patient,
but eventually split to round independently. Rounds will begin at 8:00 am on Monday and
Thursday. On Tuesday and Friday there are PICU resident teaching conferences at 7:15 –
8:00 am, with rounds immediately following. Residents should be ready for rounds at 7:15
on these days. On Wednesday, the Department of Pediatrics Grand Rounds starts at 8:00
am. Team rounds will begin at 7:15 am, break for Grand Rounds, and resume at 9:00 am.
On Thursday, each team will attend a 30 minutes mock code in the PICU treatment Room.
Teams will alternate each week.
Please refer to the
intranet at:
http://intranet.chop.edu/anesth/educate/conf_sched.html for schedules.
Monday:
Tuesday:
8:00 am PICU rounds
7:15 am PICU resident teaching conference
8:00 am PICU rounds
Wednesday: 7:15 am PICU rounds
8:00 am Department of Pediatrics Grand Rounds
9:00 am PICU rounds resume
Thursday:
7:30 am Mock Code
8:00 am PICU rounds
Friday:
7:15 am PICU resident teaching conference
8:00 am PICU rounds
Saturday, Sunday, and Holidays Rounds always begin at 8:00 am. Residents should
arrive approximately 7:00 am to help the post-call person gather patient data. Both the red
and green teams will continue to round separately on the weekends. The post-call resident
is responsible for presenting all of the patients on his/her team during morning rounds. The
on-call resident should take sign out during morning rounds.
The resident on call for the team should have a list of all the patients in the PICU prior to
morning rounds. On rounds the resident should take notes on each patient to make sign out
later in the day more efficient. Residents should establish prior to morning rounds who will
need to be signed out for clinic, who will take the post-call resident’s sign out and who is first
up for an admission. Residents may not sign out to members of the other team.
4
Revised August 5, 2003
Residents should be readily available to the intensive care unit and may not leave the
hospital unless they have signed their patients out. There will be a board in each patient’s
room that identifies the team, nurse, primary resident and covering resident. The board will
need to be updated to assure seamless communication. This is important when the resident
who is post-call or in clinic signs his/her patients out to another individual prior to 4pm
evening rounds.
When you admit a patient, please write your name and pager number on the line “Continuity
Resident” on the name card outside the patient’s door.
You are responsible to check all of the labs on your patients and be prepared to report on
them during rounds.
After morning rounds, residents will proceed with the day’s work. TPN/HAL orders need to
be placed by 1 p.m. Radiologic studies and consults should be ordered as early as possible.
Evening rounds will start promptly at 4 p.m. Residents are expected to provide an update on
their patients’ clinical condition. The on-call resident will take sign out during rounds. Sign
out to the on-call resident prior to evening rounds may occur if a resident is post call or has
clinic, but should not otherwise occur unless special circumstances exist and the senior
fellow is informed. If the on-call resident is in clinic, the team will wait for him/her to return to
the PICU before beginning evening rounds.
Call
As much as possible, there will be two residents and two fellows call each night, one from
each team. The on-call resident is responsible for all of the patients on his/her respective
team, as well as any new admissions to that team. Later in the evening, usually around
midnight, the team specific fellows will round with the team specific residents. On the
weekends and holidays the schedule remains the same. Obviously, CHOP residents are
expected to help visiting residents with SCM, ordering, obtaining films, etc. Although the
teams are functionally independent, the fellow or attending may call upon a resident from one
team to help out with the other team if things are very busy.
All residents must receive permission from CHOP Chief Residents or CCM Fellows listed
below prior to making any changes in their call schedule.
CHOP Chief
Residents
Pager
Bimal Desai, M.D.
Elise DeVore
Amy Winklestein
215-905-6838
215-406-1393
215-905-6909
Costa Dimitriades
Shoba Krishnan
17400
10078
CCM Fellow
Please see list below for important numbers.
Admissions
Residents can receive admissions from the Emergency Department, the Transport service,
the inpatient unit and the operating room. Admitting services include all surgical and medical
subspecialties including trauma surgery, general surgery, neurosurgery, otorhinolaryngology,
orthopedics, pulmonary, nephrology, metabolism, endocrine, neurology, oncology,
5
Revised August 5, 2003
hematology, and gastroenterology. The primary pediatrician of every patient admitted to the
PICU should be notified as soon as possible. When taking care of a patient from another
subspecialty service, the resident should contact the fellow or attending of that service on a
daily basis to review the plan for the day. Residents will also be taking care of patients that
are followed solely by the critical care service. Patient assignment will be based on team
census and complexity of care, not subspecialty. The senior fellow is responsible for keeping
the teams balanced with regard to workload and educational opportunities.
Residents are required to write an admission note, a daily note, a transfer note, and
procedure notes on every patient and additional notes documenting any change in a
patient’s status. Daily progress notes are faxed to the referring or primary pediatrician. It is
the responsibility of the resident to obtain the name of the Primary Medical Doctor,
telephone number and fax number. This information must be called into extension
41868. If voice mail comes on, please hit # to bypass message. Residents are also
required to dictate the charts of all the patients that they discharge from the unit,
including death summaries, discharge summaries and transfer summaries if the
patient is going to another hospital.
Patient Transfers
When transferring a medical patient from the PICU to a pediatric floor team, the PICU
resident is responsible for writing a transfer note, and calling the senior resident of the team
to which the patient is going. Many times, the patient has been co-followed by a subspecialty
service while in the ICU. Under those circumstances, the care of that child will be assumed
by that subspecialist on the Regular Inpatient Care Area (RIPCA). The “Med Info” option on
the main SCM screen contains the beeper numbers for the senior residents of the
subspecialty teams. If a patient has a general pediatric issue, s/he will be assigned to one of
the general pediatric floor teams. The pager numbers for the senior residents on the
pediatric services will be posted at the PICU Clerk Desk and PICU Workroom. Under no
circumstances can a patient be transferred until the accepting Senior Resident has been
paged. If the patient initially was admitted to a pediatric team and subsequently transferred
to the PICU, s/he should go back to the original admitting team. Patients with surgical
disease followed by any of the surgical subspecialties in the PICU do not need to be “called
out” since the team that manages these children in the PICU is the same team that will
assume care for them in the RIPCA.
Please refer to the attached flow diagram depicting the steps for a patient transfer.
Orders
The SCM computerized ordering system is utilized in the PICU. Residents will have access
to stationary and portable SCM computers. Visiting residents will need to obtain an access
code. The SCM system can be used for admission, lab, blood bank, nursing, activity,
radiology, diet, TPN and medication orders. The SCM system can also be used to order
consults. The resident should call the fellow of the consulting service after placing the order.
Respiratory orders are hand written at the patients’ bedsides. Any verbal orders given to the
nursing staff must be eventually entered into SCM.
When ordering CT scans, MRIs or any special radiographic procedure the SCM system
should be used. However, it is helpful to call and speak with a scheduler to help arrange a
time. On the weekends, the CT scan technician should be paged at 10505. The radiology
resident on call can be paged at 10132 to help with a reading.
6
Revised August 5, 2003
When ordering labs, the resident has the opportunity to use either the schedule for the
phlebotomy service, or the “nurse draw” option. Since many patients will have central access
the nurses are able to draw labs. This is especially helpful in caring for patients who need
frequent lab draws.
Procedures
The Critical Care attending is responsible for any procedures on patients in the PICU and
should be aware of these procedures prior to their occurrence. Therefore, residents should
review the procedure plan with the senior fellow or attending. Residents must be supervised
during a procedure. These procedures included intubation, lumbar puncture, chest tube
insertion, central line placement, and arterial puncture. If the resident feels that such
procedures must be done emergently, the resident should get the closest fellow or attending.
All procedures should be documented in the patient’s chart, including the informed
consent and/or attempt to notify the appropriate guardian in the cases when
emergency procedures must be done.
Discharges
All medical patients (including patients on the Critical Care Service) who are discharged from
the PICU require a discharge summary dictation. The last week of your rotation, please
call Health Information Management (HIM) at extension 45821 to make arrangements to
complete your charts. Dictation instruction cards are available from HIM. Any unfinished
charts after you leave will still require dictation and this task will then fall on the
attending (AVOID THIS!) if you are rotating from another institution. If your patients get
discharged on your day off (i.e., the last weekend of service on your day off), then it is your
responsibility to dictate the summary. Likewise, if your patient gets discharged your first day
of service, it is your responsibility.
In addition, the discharge form (located in the chart) should be filled out with any
prescriptions attached to the form. Prescription pads are stored with the medications and are
available from the nurses.
II. Education
In addition to bedside teaching, the residents are provided with formal teaching
opportunities with a structured conference schedule.
Monday
Tuesday
Wednesday
Thursday
Friday
Critical Care Medicine Conference
Large Anesthesia Conference Room
ER/CCM Conference (3rd Monday of the month)
Large Anesthesia Conference Room
*PICU Resident Teaching Conference
PICU Conference Room
*Pediatric Grand Rounds
Stokes Auditorium
CCM Case Management
PICU Conference Room
Department of Anesthesiology and Critical Care
Medicine Grand Rounds
Large Anesthesia Conference Room
*PICU Resident Teaching Conference
PICU Conference Room
7
7 a.m. - 8 a.m.
8:00-9:00 a.m.
7:15 a.m. - 8 a.m.
8 a.m. - 9 a.m.
12 noon - 1:30 p.m.
7:10 a.m. - 8 a.m.
7:15 a.m. - 8 a.m.
Revised August 5, 2003
CQI
12:30 p.m.
PICU Conference Room
A star indicates that residents are expected to attend the conference. Conference Schedule
can also be found on the Intranet at:
http://intranet.chop.edu/anesth/educate/conf_sched.html
The residents will have access to a folder that contains articles on diseases and
management of disease processes that are commonly found in the PICU. Residents should
ask the fellows about these articles if they are interested.
At the completion of your one month PICU rotation, there is a web-based cognitive
examination/evaluation that you must complete prior to completing the rotation. This
is NOT open book. You should allow at least 50 minutes to complete. You will receive
a Welcome/Instruction letter to access the system. If you do not receive a letter, please
contact Diane Miller at extension 41868 immediately. After completing the exam, please
print out the results and return to Diane Miller in Room 6122C – 6th Floor Main. You can
receive feedback and comparison to the CHOP and national benchmark pool for PGY2
residents completing their first month of PICU training. Please note that this is an important
part of your PICU rotation.
III. Resources
www.picucourse.org
www.picu.wustl.org
Fuhrman, Zimmerman. Pediatric Critical Care
Levin. Essentials of Pediatric Critical Care
Martin. All You Really Need to Know to Interpret a Blood Gas
Rogers. Textbook of Pediatric Critical Care
Shoemaker. Textbook of Critical Care
West. Respiratory Physiology
8
Revised August 5, 2003
The Children's Hospital of Philadelphia
Pediatric Residents 2003-2004
PL-3PHYSICIANS
Avery, Bernetta
Bell, Denise
Boswinkel, Jan
Brennan, Laura
Brown, Elizabeth
Czaja, Angela
Cole, Kristina
Dahlman, Andrea
Deardorff, Matthew
Dubow, Scott
Dugan, Matthew
Friedman, Tracey
Gibson, Elizabeth
Gien, Jason
Gipstein, Steven
Graves, Rhonda
Gupta, Abha
Gutierrez, Alejandro
Hale, Stephaine
Hayes, Darcy
Hillis, Nancy
Hoffman, Trevor
Manicone, Paul
Maraventano, Michael
Mazzaccaro, Richard
Hwang, Jen
Pai, Shilpa
Quartermain, Michael
Rickey, Stephanie
Rodriguez, Roberto
Rusk, Natalie
Saenz-Badillos, Judit
Sanchez, Pedro
Shah, Sonal
Sreedharan, Raman
Strogatz, Melissa
Thahane, Lineo
Topjian, Alexis
Wright, Tracey
BPR
10051
10107
10169
18397
10650
18419
10286
10600
10604
10605
10606
10610
14017
19959
10613
10618
10620
18398
10631
10632
10646
10649
17371
10656
10659
10699
10757
10054
10398
10599
19804
19805
19807
19808
17372
17373
18452
18456
19806
Clin Site/Day
39th
35th
39th
39th
63rd
39th
SP
35th
35th
39th
39th
63rd
35th
SP
35th
63rd
35th
39th
63rd
63rd
SP
63rd
35th
35th
39th
35th
SP
SP
35th
39th
39th
63rd
SP
63rd
SP
35th
SP
63rd
35th
Fri
Fri
Thu
Fri
Fri
Tues
Wed
Tue
Fri
Wed
Mon
Thu
Thu
Thu
Mon
Mon
Thu
Mon
Mon
Thu
Tue
Tue
Mon
Wed
Wed
Thu
Fri
Tue
Tue
Fri
Thu
Fri
Wed
Wed
Mon
Wed
Thu
Wed
Mon
PL-2 PHYSICIANS
BPR
Clin Site/Day
Abedin, Sakena
Auer, Jennifer
Balamuth, Naomi
Behrens, Edward
Blackstone, Mercedes
Bumatay, Christine
Carson, Shane
Chachkin, Samuel
10057
10356
10357
10396
10552
10607
17612
10609
35th
39th
35th
SP
35th
63rd
SP
39th
Tue
Wed
Mon
Fri
Fri
Wed
Fri
Thu
Evageliou, Nicholas
10612
Wed
Feemster, Kristen
10616
63rd
39th
Fitch, Pamela
10617
18251
10621
10626
63rd
63rd
SP
39th
Mon
Fitzgerald, Elizabeth
Glatz, Andrew
Gozman, Alexander
Keene, Sarah
10629
Klick, Jeffrey
LaRussa, Liborio
10630
10633
Lauren, Christine
15961
Meeker, Nathan
10638
Morein-French, Heather
10639
Nasto, Kristen
Palmer, Deborah
10645
10762
Park, Kristen
10795
Pasquali, Sara
Reichek, Jennifer
63rd
SP
63rd
Tue
Thu
Wed
Fri
Thu
Mon
Thu
35th
63rd
Thu
35th
SP
35th
Wed
Fri
10799
63rd
39th
14317
39th
Fri
Sabir, Aaliyah
Safier, Tracie
18323
15416
SP
35th
Mon
Tue
Seif, Alix
Sen, Sarbattama
15417
15428
SP
39th
Tue
Thu
Shue, Holly
15957
Sondheimer, Neal
15958
63rd
35th
Mon
Sutton, Robert
Tan, Gim
Vieira, Rebecca
15960
18466
15962
SP
39th
63rd
Thu
Tue
Tue
Winters, Sarah
Wood, Joanne
Wood, Krishna
Zalcmann, Amy
Zia, Ahmad
15963
15959
18384
18394
18246
39th
35th
39th
35th
SP
Wed
Thu
Mon
Wed
Tues
Fri
Thu
Fri
Tue
Tue
PL-1 PHYSICIANS
BPR
Clin Site/Day
Abel,Susan
Andrews, Lisa
Aylor, Megan
Baccarini, Carmen
10636
10033
10040
10042
SP
SP
35th
63rd
Wed
Mon
Tues
Fri
Barber, Aisha
Beslow, Lauren
10043
10130
63rd
63rd
Fri
Tues
Blinder, Joshua
Brackett, Julienne
10168
10218
63rd
39th
Thu
Thu
Brodzinski, Holly
Brucia, Lauren
10350
10451
SP
Thu
Wed
Chow, Andrea
Clarkin, Cheryl
10325
10340
63rd
39th
63rd
Cohn, Keri
Daymont, Carrie
10408
10409
39th
35th
Wed
Wed
Feltes, Carolyn
Fieldston, Evan
10410
10527
SP
Wed
Fri
Franciosi, James
Friedlander, Joel
Gerber, Jeffrey
Guerriere, Jennifer
Herson, Heather
Hrusovsky, Joanne
Kuck, Melissa
Kutikov, Jessica
Lee, Michelle
Markowitz, Jennifer
Melnychuk, Jennifer
10601
10603
10622
10634
10647
10651
10657
10691
10696
14021
14032
Park, Audrey
Patel, Rakhee
Querfeldt, Christina
Raabe, Eric
Rios, Danah
Schafer, Eric
Schleelein, Laura
Sievert, Angela Jae
Swami, Sanjeev
Tierney, Anna-Marie
Viswanathan, Prabha
Fri
Mon
35th
63rd
39th
39th
35th
SP
SP
39th
35th
35th
63rd
35th
Mon
Thu
Tues
Fri
Fri
Fri
Wed
Mon
Tues
Wed
Thu
14033
14034
14035
10655
19480
10615
17714
10412
19482
35th
35th
63rd
39th
SP
39th
Mon
Wed
Thu
Tues
Tue
Mon
39th
35th
Mon
Thu
19485
19483
SP
63rd
Mon
Tue
9
Revised August 5, 2003
PHONE NUMBERS
Information Systems Help Desk
Admissions
Asthma Class
Apnea Team
Benefits
Blood Bank
Child Life
Laboratories
Blood Bank
Blood Gas/ICU lab
Central Lab Services
Chemistry Lab
Coagulation Lab
GCRC
Genetics
Hemoglobin
Hematology
HUP General Lab
Immunology
Metabolism
Microbiology
Oncology
Pathology
Pulmonary Function
Sweat Lab Results
Toxicology (HUP)
Virology
41100/41114/41115
45261
41657
41932
42527
42001
Children's Seashore House (CSSH)
3E
3E (Resident Workroom)
4E
4W
4W (Resident Workroom)
ADHD
Audiology
Case Management
Child Dev
CP Clinic
Day Treatment
Feeding Team
Health Info Mgmt
Info Desk
OT
PT
Pharmacy
Psychology
Rehab
Respiratory
47709
47677
47529
47715
46777
47591
47463
47073
47079
47450
47697
47491
47720
47774
47468
47731
47531
47436
47439
46623
Echo
EEG
EKG
Emergency Department
Team 1
Team 2 & 3
Team 4(Urgent Care)
EDECU
43540
42960
41575
43480
44057, 44056
43449,44388
42410
46356
Employee Health
Endoscopy Suite
Heart Station
Home Care
Home Care-NEBS
Housekeeping
Human Resources
Infection Control
Information Desk (Lobby)
41928
43326
41792
42282
45814
42813
46186
42096
42520
4HELP(44357)
42527
42441
42278
41823
41776
43338
43550
41774
41775
662-6830
42131
43394
42330
44084
41729
44748
42878
662-3474
42050
Library
Maintenance
Managed Care
Medical Staff Affairs
Medical Records
Record retrieval
42317
41050
42896
41479
43640
44579
Nursing Stations
3E (Oncology)
3E (Resident Workroom-Fishbowl)
3NW (Sedation Unit)
4E
5E
5W
6W
6W (Resident Workroom)
7E
7W
7N
CICU
Dialysis
CHOP Newborn Ctr/NICU
Isolation
OR Holding Area
PACU
PICU
42682
42677
43476
46441
42621
44831
42611
46699
42671
42692
48711
42644
44600
43083
45347
44241
45655
42651
Nutrition Consults
Occupational Therapy
OR scheduling desk
41996
47468
43261
Pharmacies
4th floor
6th floor
7th floor
HAL/TPN
Outpatient
41912
41909
41899
41904
41147
Phlebotomy
Physical Therapy
43013
47731
Radiology
3rd Floor Rdg Room
42583
CT Scanner
42335
ER Reading Room
41554
ER CT tech
10505
File Room (A level)
42584
Fluoroscopy (be nice to Fran!)
42580
Help/Scheduling
47000
Interventional Rad
40545/45899(backline)
MRI Scanner
44119
MRI Reading Room
44131
Neuroradiology reading room
45783
Nuclear Medicine
42592/42593
Ultrasound
42539
X-ray ER
41555
Radiology Dictations
41379-116#-MR#
Social Work
SPD
SCM Help Line
Transport Office
WIC Office
42072
43517
42272
42160
41096
10
Revised August 5, 2003
OUTPATIENT CLINICS
35th Street
Appointments
43000
SAC (for all clinics)
43005
Direct line to Nurses
44118
FAX
41205
Nursing St
42838/68405
Resident Rm
61645/46/47/48
39th Street
Appointments
45090
Lab
68271
FAX
45048
Provider Rm
46460/45045
DR Conf Rm
45089
63rd Street
Appointments
476-2223
Back number
46167
FAX
68220//476-3981
South Philadelphia
Appointments
467-5870
Nurses Station
47826
FAX
44725//467-5873
Adolescent
43537
Allergy/Immunology
42549
Asthma Care
43510/42444
Community Asthma Program-classes
45261
Community Asthma-Home Visits
47845
Cardiology
44040
CARE (SCAN)
44923
CF Center
43363/43749
Child/Adol Psych
47555
Day Medicine
41166
Dental/CHOP
41563
Dental/Upenn
898-8961
Dermatology
42152
Diagnostic Center
44020
Endocrine
43174
ENT/ORL
43440
Faculty Practice
42178/44135
GI/Nutrition
43630
GI Day Medicine
41702
Genetics
42920
Gynecology
43537
Hematology
43437
Infectious Diseases
42017
Lead
43004
Metabolism
43376
Muscular Dystrophy
41725
Neonatal follow-up
42183
Nephrology
Neurofibromatosis
Neurology
Neuro-oncology
Neurosurgery
Nutrition
Oncology
Ophthalmology
Orthopedics
Plastic Surgery
Pulmonary
Renal
Rheumatology
Special Immunology
Spina Bifida
Surgery
Teen Health
Urology
42449
42920
41719
41720
42780
43630
42810
42791
41527
42208
43749
42449
42547
42956
41760
42730
43841
42754
NUMBERS outside of CHOP
CHOP Operator
CHOP Operator (NJ)
CHOP Paging
215-590-1000
609-964-5626
215-363-5000
610-314-5000
856-752-5000
609-679-5000
CHOP Phys Ref
800-TRY-CHOP (879-2467)
CHOP at Voorhees (internal)
41300
From outside
856-435-1300
UPHS/HUP
Operator
662-4000
ICN
662-3884
ICN Fax
349-5817
MATS Nursery/Well Baby
662-3891
Penn Med Library
898-5817
Philadelphia
District Health Ctrs
875-5691
Lead Results
685-2788
TB
685-6744
Poison Control
42100/215-386-2100
Red Cross
800-26BLOOD (262-5663)
BEEPERS
Apnea Team
Cardiology (Service/Consult)
Critical Care Fellow
PICU Green Fellow
PICU Red Fellow
Dermatology
EEG
EKG
Endocrine
ENT/ORL
Ethics
GI
G-tube Nurse (IR/GI)
G-tube Nurse (Surgery)
General Surgery
Genetics
ID approval for antibiotics
Infectious Disease
Infection Control
Metabolism
Neurology 24h Consult
Neurosurgery
Nighttime Phlebotomy
Nighttime IV team
Neurology Consult
Nursing Supervisor
Nutrition Consults
Orthopedics
Pain Team
Pharm D on call
Pulmonary consult to floors
Pulmonary consult to units
Radiology Resident
Radiology Tech (nights, weekends)
Renal
Respiratory Supervisor
SCAN team
SCM/IS Help Desk
Resident Beepers
Onco Resident
PICU Green Resident (nighttime)
PICU Red Resident (nighttime)
CSSH Call Beeper
19357
10184
10237
10987
18556
14443
10188
call 42730
10137
10503
10201
10467
10275
10274
17503
11017
4-2278
10579
15429
10224
41996
11014
10444
14462
10122
17212
10132
10363
10576
10504
10697
14262
15511
19041
19053
10786
10434
10154/10234
10006
19037
19038
10111
11
Revised August 5, 2003
DISASTER PLAN LEVELS & PL-3 BEEPER CODES
Level
0
1
Bpr Code
Means
999-0-46720 All clear
999-1-46721 Report of potential
disaster
999-2-46722 Disaster has
occurred!
Possibility of
patients to CHOP
So you should...
Rejoice
Don't leave CHOP if there
Tag all charts as to D/C
status or PICU
2
transferable.
Establish req'd floor
coverage
999-3-46723 Disaster has
All residents report to
occurred!
Personnel Pool (if not flr
3
Patients coming to
coverage)
CHOP
PL-3's to come in from
home.
All PL-3 beepers are on the disaster cluster and are the emergency MD pool at night; PL-3's will
be contacted by Chief Residents in the event of a true disaster. If there are any questions during
a disaster, DO NOT call ED or operators--PAGE THE CHIEF RESIDENTS.
FIRE CODES
Condition RED
Suspected fire/fire drill
Condition WHITE A REAL fire--evacuate area
Condition GREEN All clear
EMERGENCY NUMBERS
Fire, Security, Medical Emergency
Security
CODE
12
45500
42374
42633
Revised August 5, 2003
RESIDENT BLOCK SCHEDULE 03-04
Block
1
2
3
4
5
6
7
8
9
10
11
12
13
PL-1
6/23/03 - 7/20/03
7/21/03 - 8/17/03
8/18/03 - 9/14/03
9/15/03 - 10/12/03
10/13/03 - 11/9/03
11/10/03 - 12/7/03
12/8/03 - 1/4/04
1/5/04 - 2/1/04
2/2/04 – 2/29/04
3/1/04 – 3/28/04
3/29/04 – 4/25/04
4/26/04 – 5/23/04
5/24/04 – 6/20/04
PL-2/PL-3
7/1/03 – 7/27/03
7/28/03 – 8/24/03
8/25/03 – 9/21/03
9/22/03 – 10/19/03
10/20/03 – 11/16/03
11/17/03 – 12/14/03
12/15/03 – 1/11/04
1/12/04 – 2/8/04
2/9/04 – 3/7/04
3/8/04 – 4/4/04
4/5/04 – 5/2/04
5/3/04 – 5/31/04
6/1/04-6/30/04
RESIDENCY NUMBERS
Chief Residents
41464
Bimal Desai
215-905-6838
Elise DeVore
215-406-1393
Amy Winkelstein
215-905-6909
Director, Stephen Ludwig, MD
42162
Grad Ed Mgr, Tony Mauro LSW (10329)
42437
Secretary, Carolyn Trojan
44337
Assistant, Sean Faye
41220
Lounge
49961/42379/49960/41218
FAX
42768
Beeper programming (Whereabouts)
45699
Dictations
215-677-3217
VoiceMail
43689
Grp codes: All--142, PL1--143, PL2--144, PL3--145
13
Revised August 5, 2003