STAFF
Lionel Smith, MD
Comprehensive Ophthalmology
Office: (225) 761 – 3539
Cell: (225) 335 - 8503
Gwendolyn Richardson, COT
Head Technician
(225) 761 – 3530

FACULTY
Ramesh Ayyala, MD
Glaucoma & Anterior Segment
Victor Carriere, MD
Comprehensive Ophthalmology
LASER Safety Officer
James Diamond, MD
Retina & Vitreous Surgery
Leslie Estrada, MD
Comprehensive Ophthalmology
Assistant Chief of Ophthalmology
Rebecca Metzinger, MD
Cornea, External Diseases, Anterior Segment
& Refractive Surgery
Chief of Ophthalmology
Joseph Rummage, MD
Comprehensive Ophthalmology
Low Vision
C&P Exams
HOUSE STAFF
Tulane PGY4
Tulane PGY2
LSU PGY3
LSU PGY2
STAFF
Luis Bernhard
Eye Photography/Angiography
Latrice Reaves
VIST coordinator
Sam Sorapuru, COA, LPN
Head Technician
Shirley Jones, MIT
Richard Smith, PA
Brenda Banks, RN
Red Team Nurse
Check Out
Michael Martin, PSA
Aaron Richardson, PSA

9G128
9G127
9G126
Full Eye Lane
Eye Closet
Fundus Photography x2134
Angiography
OCT x2135
2-4-3
Ophthalmic Instruments
9G125A/B 2 Full Eye Lanes x2133
Manual Lensometer
Manual Keratometer
Corneal Topographer
9G123A/B
Dr. Carriere’s Office x2132
Dr. Metzinger’s Office
Full Eye Lane
Argon LASER
YAG LASER
Pachymeter
9G118A/B Eye Clinic Check-In x2128 or 2127
Autorefractor x 2
HVF x 2
Automated Lensometer
Tonopen
Sonomed A/B Scan
IOL Master
9G117A
9G109
9G103
Full Eye Lane x2126
Dr. Estrada’s Office x2106
VIST Coordinator Room x2108
*to dial any of these rooms from outside the VA facility you must first dial 553-

It is mandatory for each resident and Fellow at the VANO is to sign in and out daily. The sign-in sheet for Ophthalmology is located in Dr. Carriere’s office (9G123). The sign-in sheets are the official records of time spent on service. These sheets are submitted to the head of Medical Education, Dr. Pappas, and each month. The respective medical schools are then paid by the VA based on the time worked by each resident.
All Leave Requests must be officially approved by Drs. Metzinger and Estrada at least 6 weeks prior to a rotation. Without official approval the resident in question will still be responsible for his/her scheduled clinic and will be considered AWOL.
Each resident slot accrues annual leave time based on time worked; therefore only a limited amount of vacation time is available. If excess vacation is taken or leave is not officially approved, the medical schools will not be paid for this time.
For Educational leave, residents must submit the official meeting pamphlet as well as an official copy of travel itinerary.

NON OR Procedures at the VA require:
1.
Mark the appropriate side with the word “YES”
2.
Pre-Procedure note by an attending Physician
3.
I-med consent form ( witness can not be the same person who does the time out)
4.
Outpatient time out note and Outpatient pre-procedure checklist (preformed by a nurse just before the procedure
5.
Non-OR Procedure note done by either surgeon or the attending surgeon that day
Computer Help Line for CPRS
Monica Cutress
(504) 539-5700
ITAC
Eguardo Montoya 553-5854
Mary Rodrigue 565-4936

Clinic Etiquette
If you have a call responsibility or emergency and will be late to clinic call an attending and let us know you will be late. Clinic #553-2127
All residents help each other regardless of school affliation—THIS IS ONE EYE
CLINIC—A JOINT SERVICE
No one leaves until ALL the eye clinic patients are seen.
Ask other providers if they are finished—if not—help them finish
Ask in the hall and in the waiting room if there are any patients waiting for
Ophthalmology—if so—See them
Never leave drops unattended in the clinic.
They must be on your person or in a locked drawer—OTHERWISE THIS IS A JOINT
COMMISSION VIOLATION
At the end of the day, shred all lists with patient information—PT INFORMATION
NEEDS TO BE PROTECTED AT ALL TIMES FROM POTENTIAL IDENTITY
THEFT
Throw all trash in the waste receptacles
Clean up your desk at the end of the day
Turn off the power supply to the chair/slit lamp at the end of the day
Turn off the light at the end of the day
Cover slit lamp at the end of the day

Va orientation
Prior to your rotation at the VA, all residents must complete a Graduate Medical
Education Application in order to get a VA provider number.
The contact person in the office of GME is Janice Williams. Her number is 504-565-
4873.
After this initial application, Surgery does its own orientation packet which allows the residents to get their computer codes.
Please contact Ms. Montrell Bogus 565-4933 or cell 957-1454 or Ms. Lumena Trufant
558-3699.
ALL residents must be fingerprinted prior to coming to the VA. The contact in Human resources is Ms. Lisa Jenkins 558-1412.
They will fill out paper work to ensure they have been trained on
1.
Privacy
2.
Cyber Security
3.
Ethics, etc.
All LSU residents must be credentialed at Tulane in order to scrub on VA cases there.
They must present to Ms Mickie Marlbrough at Tulane’s medical staff office on the 2 nd floor – just where the 2 cross walks over Tulane Ave meet.
Her contact info is:
Mickie.malbrough@hcahealthcare.com
(504)988-4257
(504)988-2211 (fax)
Present:
1.
Federally issued ID ( passport or driver’s license)
2.
Verification of enrollment in a residency program from Oschner/LSU

Glasses
Must place a consult to the prosthetic department
Residents/Staff must place the refraction on the consult
Criteria to qualify for glasses—click the yellow box top left of CPRS
1.
0% service connected for eye
2.
10 or more service connected for anything
3.
POW
4.
Purple heart recipient
5.
Aid and Attendance
6.
VA pension
7.
Post Surgical ( Cataract, Glaucoma, LASIK, pterygium, retina)
The VA only covers certain specified frames, lenses and bifocals with a line
Tint and lineless bifocals are extra
Must ask Dr Estrada for exception to the above rules:
Pts who are not service connected:
Refer to Rivertown optical (Foundation Plan)
400 Williams Blvd
461-5500
$10 for refraction
$10 for glasses

Consults for the General Eye Clinic
Check all visits to see if they are consults
Be sure to use the note title ---- Eye consult note
Eye providers must link the eye consult note to the consult request
Be sure the consult is for you—read it first
An attending must see any consult that is new to eye clinic or has a new problem.
Write at the end of your assessment and plan
Pt seen and examined by Dr _______________ Staff name

Tulane Surgical Flow Sheet
See pt in clinic and determine that Patient has a Cataract/Other surgical problems
Have staff see and approve this surgery and write a medical assessment note
Give pt a pre-op appt slot within 30 days of predicted OR date
On Pre-OP visit order
A’s and k’s
Labs
EKG
CXR prn
Medical clearance prn
Do H+P
Tulane Consent
Tulane orders
Tulane reservation form
Order Medications
Place consult to consult management
Call Consult management to alert them and Reserve the time at Tulane via the reservation form
Consult management will place on the log
The VA business office will give the surgery a number
The VA business office will give Admiting the number and go ahead to allow the patient to have surgery at Tulane
Pt will be admitted to One Day Surgery

VA Consult Management
Phone 558-1488
Eye RN Brenda Smith 558-1473
Eye PSAs Florence Franklin 558-1488
Alton Banks
Estrilita Simpson
Janie Landrum
VA Business Office
Nancy Wismer

Tulane Outpatient Surgery
Admitting 988-3492 -------------------------------- 2 nd floor
Scheduling/ 988-5957
Reservation Fax 988-7653 ---------------------- Charlotte or Loretta---- 3 rd
floor
Outpatient Surgery 988-7585----------------------Sharon--------------------3 rd
Floor
OR Supervisor/ special order 988-5906-------------Rhonda----------------3 rd
Floor

Patient flow sheet
Call Outpatient surgery the night before surgery to get the time to arrive
Go to admitting 2 nd
floor
Go to OPS get dilated start IV
Go to Pre-op to see anesthesia
Go to OR
Dictate Op Report
Fill out orders
Pt goes back to OPS to eat and change
MD will talk to family
Lens Card is given to the family
Pt will F/U the next day at VA eye clinic on 9G
VA Consult must be closed by resident, fellow or attending who did the case.

Tulane Ophthalmology Surgery
Mondays – Dr Ayyala cell 554-1756
Office 988-4334
Surgery Scheduler David Muhleisen 988-2183
Tuesdays- Dr Caldwell
Office 988-4334
Surgery Scheduler Wanda Demel 988- 1393 /cell 538-0284
Wednesdays – Dr Estrada Downtown/ Dr Diamond Lakeside
For Dr Estrada: Use VA consult management
For Dr Diamond:
Cynthia Heltz 988-1154
Cell 388-4418
Beep 538-0726
Thursdays – Dr Freidlander office 988-4334
Surgery Scheduler Nancy Hebert 988-6457/pager 489-5065

Surgery Team
Chief of Surgery Service
Dr Mary Fazekas-May
556-7287
Fax 5567163
Cell 460-1597
Administrative Officer for Surgery
Ms. Cabrina Armstrong-Phillips
412-3700 x 5359
Cell 314-324-5053
Administrative Assistant for Surgery
Ms. Lumena Trufant
558-3699
Time Keeper for Surgery/residents
Ms. Montrell Bogus
565-4933
Cell 957-1454
Fax 565-4951
Acting NOLA Clinic Manager
Janie McKenzie
553-2114/2115
Telephone Advice Program—appointments
Eleanor Chapital
Consult Management
Denise Overby-Reyes
Brenda Smith, RN – Eye