EXPECTED GOALS FOR THE OB ANESTHESIA ROTATION:
I. Morning Conference: Every AM 8-9am. Resident are required to present at least one topic during their rotation. Available topics have to be related to the educational curriculum for OB anesthesia found at: http://www.soap.org/archives/obcurriculum.htm . Select your topic and schedule your presentation with the OB anesthesia faculty.
II. Resident 7:00am Conference: I encourage you to attend the departmental teaching conference whenever possible.
III. Joint Conference OB/Anesthesia: Every Wednesday starting at 7:30 am, there is a joint conference in the NICU. Topics discussed are dealing with difficult obstetric or neonatal cases. Anesthesia relevant issues are frequently discussed. Please attend these lectures after the 7:00 am resident teaching conference.
IV. Multi-disciplinary Conference: One of the above outlined Wednesday conferences will be dedicated to a topic which involves anesthesia. Anesthesia residents are expected to cover the issues relevant to the anesthetic management in a 10 minute presentation.
V. Morning
Rounds:
Preceding our morning conference/ educational discussion you
will present the current patients on the labor floor (name,
reason for admission/ obstetrical diagnosis, potential
anesthetic problems). You do not have to pre-OP all the patients
but should have an idea of whether or not that patient might
require our services.
VI. Surgical Schedule: Most scheduled surgical procedures will begin at 9:00 am. Procedures are otherwise to be scheduled with the attending faculty.
VII. Surgical Days: On the surgical days (currently Tuesday and Thursday) see the patients prior to our 8:00 am morning conference (H&P, anesthesia consent)
VIII. Anesthesia Locations System Check: Every morning perform a quick check of the OR locations (machine, drugs, etc.)
IX. Supervision of Procedures: The first five to ten epidural placements (a minimum of 5) need to be directly supervised by the anesthesia attending regardless of whether this is your first or second OB anesthesia rotation. This rule will assure that you get some feedback on your skills with epidural anesthesia early on. During the daytime, 8 am to 4:30 pm, except weekends you need to inform the attending anesthesiologists of all procedures (placements). You need to establish contact with the on-call attending to discuss guidelines for the night on an individual basis. Contact the attending anesthesiologist at any time if you encounter technical problems, or need assistance with a difficult situation of another nature.
X. Complications: Any complications or unexpected difficulties (wet taps, neurologic problems, very difficult placement, etc.) need to be documented very briefly in the Complications Book , located in the OB anesthesia resident call room. This merely helps the information gathering process should those patients seek our attention at a later time.
XI. High Risk Patients: There is a “High risk book” located at the nursing desk. This book serves as means of collecting and exchanging medical information about patients with particular issues.
XII. Childbirthing Classes: On an occasional basis you may be asked to educate prospective mothers and their partners about methods of analgesia during labor. Brenda Owens, RN is in charge of this program.
XIII. Record
Keeping:
Be meticulous about record keeping. We may not be able to bill
for incompletely filled out charts. Please feel free to contact
the faculty for any questions with regards to charting (it is a
joint faculty/resident responsibility).
IX. OB Mole
Responsibilities:
OR check (OR 1 - 3, drugs and IV set are dated), postops of
overnight operative cases, check controlled substance with the
pharmacist.
