See side panel for who to contact.

If emailing (most cases), use the template below. Ask chief or attending if unsure about anything, including Bed/Add-ons, start time.  

Add-ons

2. Consent Patient

• Must include patient stickers on at least every first page of every consent form or otherwise write name/MRN. 
• For every surgery: print out (1) general consent form (2) surgery-specific consent form (if it exists) (3) blood consent form  
  • every spine procedure: include the phrasing "with additional levels as needed" 
  • every procedure with sidedness use the phrase "left possible right" unless it is very obvious you will do one side (e.g. crani)
  • ⚠️**EXCEPTION TO ABOVE:
    • For Moossy,  list only specific procedure on consents. No possibles.
    • For PAG: do NOT list left possible right, he wants the specific side only. Ask him or chief if you're not sure. 
  •  

• No abbreviations anywhere (especially Blue consents)

• INCLUDE SIDEDNESS where appropriate. Do not mess this up. 

• (optional) Take a picture of the consent form being placed into the correct patient chart (binder)
• If patient is in ED: not sufficient to put completed consent in the chart, they may lose it. You still put one there, but once a consent is completely filled out (signed and witnessed), make a copy in ED and put the copy in the consents bin in resident lounge).  
• Even if it was a moonlighter/trauma junior who should have consented the new consult, it's your responsibility to personally check if the patient is on your service. You can ask them if the patient still needs consent or just go check the patient's binder yourself. 

3. Preop patient

• Within hospitalization: CXR, UA, EKG 
• Within 72 hours of surgery: T&S, CBC/BMP, Coags (PT/PTT/INR)
• Midnight before: NPO, DVT ppx off, IVF on (use MD Calc maintenance fluid calculator for the rate)
• Pre-operative risk stratification if patient is not an elective case that is coming from SDS 
  • CPC is always preferred but only works business hours (no weekends/evenings). Tiffany from CPC is the PA and is great, give her a courtesy call and if you have multiple patients give her a prioritized list. 
  • Med A is the backup if needed overnight/weekends. You must consult AND page them if it is needed overnight. Don't be a gome and say "can you clear for surgery" without knowing anything about the patient. Have a quick high level understanding of their systemic health (cardiac/respiratory and liver/kidney function) status and social history (smoker/drinker) and ask them pre-op risk stratify. THIS CONSULT ALSO MUST BE SIGNED OUT TO NIGHT FLOATER. 
• (Nitin patients): Order the preop neurosurgery powerplan "Preop Neurosurgery Powerplan" 

IMPORTANT: ORDER ALL THESE THINGS ASAP TO GET THE WHEELS ROLLING AND ENSURE ALL IS COMPLETE BEFORE YOU SIGN ANYTHING OUT TO NIGHT FLOATER. It is your responsibility not merely to order these things, but to ensure they are completed and resulted in the chart and if absolutely necessary sign out to the night floater (although you really want to avoid that). Moreover it's also your responsibility to follow-up on the actual results and act as appropriate, e.g. if the pt has a UTI then it needs treating, an arrythmia then senior needs to know and pt will need a cardiology consult

If you are signing anything out to night floater, you need to call nurse and kindly ask that they get things done, that is not something you can dump on night floater.

Mizuho table

Jackson table 

Wilson Frame