Anesthesiology Housestaff Manual

Prepared by Michael E. Mahla, MD, and the Faculty and Administration of the Department of Anesthesiology

Gator Sedator! This on-line housestaff manual is made available to you 24 hours a day from our website.  It will always be up-to-date.  This housestaff manual is for use by the core Anesthesiology training program, the Critical Care Medicine Fellowship Program, and the Pain Management Fellowship Program.  Whenever a change is made to any policy or procedure, you will receive an e-mail indicating that you need to check this web page for changes.  You can then print the changed policy and insert it into your printed housestaff manual you received when you arrived here at the University of Florida.  For your convenience, the manual has been broken up into sections as shown by the links below.  Click on the section you would like to review.  Sections marked with an * are subject to frequent changes.  Please check often.

 

Housestaff Manual Quick Access Links

      (or you may select a PDF version of this document for your files or to print.  The PDF version will also allow you

             to copy pictures for your use.)

 

Departmental News

 2008 JCAHO Patient Safety Goals

NEW AFTER HOURS CONTROLLED SUBSTANCE PROCEDURES (NO MORE NARCOTIC KEYS TO LOSE!!)

SHANDS CONNECT Web Portal (formerly myMedic, Stentor, HIS).  Shands has implemented a new web portal to access patient data.  These data will be available from ANY browser using ANY operating system.  I strongly urge you to familiarize yourselves with this new portal.  Please note, the DOS version of HIS, the old myMedic link, and the old STENTOR links will stop working during the next year.  Also by the end of January, 2006, there will be a single sign-on from this page which will grant access to all applications to which you have privileges without entering any further passwords. 

The ACGME would like housestaff in residency training programs to be more aware of its various functions that impact importantly on their training.  The ACGME has sent out an open letter to residents in training program across the country to help accomplish this.  The letter can be viewed here or on the ACGME Web Site.  Please take the time to read this important document. 

2007-8 New Resident Introduction to the Department  
(or, you may select a PDF version of this document for your files or to print.  The PDF version will also allow you to copy pictures for your use.)

UpToDate Online is now available to users from the University of Florida and Shands Hospital (Access from the VA is already available).  UpToDate is specifically designed to answer the clinical questions that arise in daily practice and to do so quickly and easily so that it can be used right at the point of care.  The  physician editors and authors review and update the content on a continuous basis and a new, peer-reviewed version is issued every four months. Published evidence is summarized and specific recommendations are made for patient care.  A permanent link to this resource will be in Section III - Clinical Care section of the Housestaff Manual and in the Frequently Accessed Links. A Users Guide is also available with the permanent links below.

Introduction and Welcome from the Chairman

FREQUENTLY USED LINKS

PART I:  RESIDENCY TRAINING INFORMATION

Anesthesiology Program Requirements

Anesthesiology Residency Review Committee

Book Listing - Reference Texts helpful for Anesthesiology GME (Not complete, but helpful)

Case Log Data Entry System (ACGME web-based system) 

Core Education Materials - Anesthesiology Residency

Current Lecture Schedules

Description of Each Training Year

Didactic Training Program

Evaluation Processes - both residents and faculty

Faculty Advisors

Faculty Information - Subspecialty training, areas of interest

Gainesville Anesthesia PDA Software (GAPS) Installation Instructions

Goals and Objectives for Anesthesiology Rotations

Goals and Objectives for the Medical Student Anesthesiology Clerkship - All housestaff MUST read and be familiar with these.

Goals and Objectives / Program Description for the Fellowship Program in Pain Management

Grievance Policies for Residents and Fellows

In-Training Examination Information and Specific Instructions

Jeopardy / PBL Group Assignments

Practice Oral Board Examinations

Resident Schedules

Resident / Fellow Selection Policies

Surgical ICU Rotation Guidelines and Information

*Training Documentation Requirements for the RRC

University of Florida Resident Assistance Program 

PART II:  ADMINISTRATIVE INFORMATION- POLICIES AND PROCEDURES

Accident and Illness Policies (including reporting policies and NEW information regarding UF Blood-Borne Pathogen Exposure Policy - updated 8/1/2003)  

Allergies - Patient Identification Bands  

*Call - Mole - Late Stay Policies

Controlled Substances and Prescription Writing Policies (Revised - please read)  

Drug Infusion Labeling Policies  

Do Not Resuscitate (DNR) Orders and the Operating Room

Duty Hours Policies

FICA Alternative Plan (Applies to ALL Anesthesiology Housestaff at ALL levels) - PLEASE READ!! 

Florida Surgical Center Operational Policies and Resident Guidelines

General Residency Information (Beepers, lockers, meals, parking, and other survival information)

Housestaff Fringe Benefits Information (Complete Version - College of Medicine Web Site)

Housestaff Stipend Information (updated for 2006-7)
 

Housestaff Information 1:  Addresses, phone numbers, etc.

Housestaff Information 2:  Photos, brief biosketch (Includes all levels including new housestaff)

Impaired Physician / Substance Abuse Policies

Infection Control Policies

International Graduate Information

International Medical Student Rotation Policies

Key Personnel - Survival Information

Leave and Absence Policies

Library Computer Use Policies    

Magnetic Resonance Imaging Safety Web Site

Medical Records Policies

Moonlighting - Outside Employment Policies

OR Attire and Conduct Policies

PACU - SICU Hold Policies (Effective 12/5/2005)

Parking Information

Patient Rights and Responsibilities

Policies for Provision of Anesthesia Care

Postoperative Care Policies - Transfer to ICU and PACU

Record Keeping - Intraoperative Anesthesia Record

Research - Helpful information regarding Institutional Review Board and Human / Animal Research Policies

Resident and Fellow Selection Policies

Risk Management - Reporting Perioperative Complications (IMPORTANT, PLEASE READ)  

Safety Policies

 

Shands at AGH 

Shands Communications (CHRIS) (This site may be used to update your pager and contact information for the Shands Paging Operators)

Shands Housestaff Guide

Shands Information Services

Shands Medication Reconciliation Policy

Shands Information Services Network/User ID/ Password Request Form (will allow access to clinical information via the new Shands Portal)

Surgical ICU Rotation Guidelines and Information

Texas Heart Institute Policies    

Transportation of SICU Patients for Diagnostic Studies and / or Therapeutic Procedures 

University of Florida Sexual Harassment Policies

Veterans Affairs Hospital Anesthesiology Service Policies

PART III:  CLINICAL CARE INFORMATION

 2008 JCAHO Patient Safety Goals

Anesthesia Preoperative Evaluation and Consent Forms (together) 

Cardiovascular Anesthesiology Rotation Information

Check the Operating Room Schedule at Shands / FSC 

Children with Hemoglobinopathies

Critical Care Library (Lippincott) (Restricted to Intranet.  To view from home you will have to install UF's Virtual Private Network - click HERE for instructions)

Deep Brain Stimulation - Anesthetic Considerations and Potential Complications - PowerPoint Presentation by Troy N. Cummens, D.O., and Dietrich Gravenstein, MD

Dextran 40 or Dextran 70 Infusions

Electronic Textbook

Prevention of Infective Endocarditis:  New Guidelines from AHA and Implications for Anesthesiologists (ASA Newsletter, March 2008)

Endovascular Aortic Surgery Clinical Pathway Guidelines and Considerations - Steven Robicsek, MD, PhD

Evaluation of Patients with Cardiac Disease for Non-Cardiac Surgery (A Palm OS Application prepared by StatCoder.com entitled STAT Cardiac Clearance v 1.3).  This is a Palm OS application (approximately 100k in size).  To download this to your computer, click on the link.  Once you have downloaded the file, use the quick install tool to put the application on your Palm OS PDA.  Use is self-explanatory.

Fire Safety and Prevention in the Operating Room


Guidelines for Preoperative Timing of Non-Insulin Medications Used in the Treatment of Diabetes Mellitus

 

Heparin Effect Monitoring

Jehovah's Witness Information

Latex Allergy Information for Anesthesiologists

Liver Transplant Room Setup

Liver Transplant Case Considerations

Malignant Hyperthermia - History, Inheritance, Pathophysiology, Diagnosis, Treatment

MEDICAL ABBREVIATIONS - Acceptable and unacceptable uses

NeoPuff Infant Resuscitator Information

OB Anesthesia Recipes

Obstetrical Patients with Prior Spine Surgery

PACU Bypass Protocol / Form 

Pancreas Transplant Protocol

Pen-Computer Automated Record Keeper

Preoperative Laboratory Guidelines - October 2007      These guidelines will be distributed to surgical services as of October 1, 2007.  These guidelines contain what you can expect the surgical services will order with respect to preoperative laboratory and testing.  The guidelines do not include preoperative medical evaluations - only laboratory testing.  The preoperative evaluation clinic personnel may choose to order additional testing - and the assigned OR team will be responsible for any followup on addition laboratory ordered.

Prevention of Catheter Related Bloodstream Infections (Laura Larson, MD, Shands Hospital Epidemiologist)

Regional Anesthesia  

SURGICAL CARE IMPROVEMENT PROJECT

Sevoflurane Warning regarding Fires / Excess Heat Production with Desiccated CO2 Absorbent 

Shands Hospital ADULT Pain Assessment and Management Protocols   

Shands Hospital PEDIATRIC Pain Assessment and Management Protocols

SHANDS CONNECT Web Portal (formerly myMedic, Stentor, HIS)  Please note, the DOS version of HIS, the old myMedic link, and the old STENTOR links will stop working during the next year.  Also by the end of January, 2006, there will be a single sign-on from this page which will grant access to all applications to which you have privileges without entering any further passwords.  Please see Dr. Mahla or Joanie Nyland in the Anesthesiology Office at Shands for further instructions before beginning the process below.

TRANSPORT AND MONITORING OF ICU PATIENTS REQUIRING DIAGNOSTIC AND THERAPEUTIC PROCEDURES

UpToDate Online

PART IV:  CAREER PLANNING and PROFESSIONAL INFORMATION

American Board of Anesthesiology (Intro)

American Board of Anesthesiology 2008 Booklet of Information (Outlines ALL Certification Processes) (Click HERE to see changes from previous version)

          ABA Written Examination Content Outline

          ABA-ASA Retired In-Training Examinations - Available Exams 1990-1995

          ABA Written Examination Process Description (CA-3 residents please read!) 

          ABA Oral Examination Overview

          ABA Oral Examination Description

          ABA Initial Certification - Housestaff Please Read

          CCM Certification Information

          Pain Management Certification Information

American Society of Anesthesiologists Information

ACGME Introduction

Board Certification Process

Florida Medical License  and General Medical Licensure (USMLE) Information

Florida Society of Anesthesiologists Information

International Anesthesia Research Society Information

Job Opportunities (Edited and Managed by Drs Cohen and Mahla) 

National Association of Interns and Residents   ****useful site for help with finances, mortgages ,  insurance, etc.

National Board of Echocardiography - Certification Information (TEE)

PART V:  ANESTHESIOLOGY EQUIPMENT AND MEDICATION INFORMATION

PART VI: NON-ADMINISTRATIVE INFORMATION AND FUN ITEMS

Departmental Memories

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