Download Residency Training Program PDF - Ross Eye Institute

who has recently undergone surgery. Discuss the problem
with the patient and tell them you will contact their doctor.
Call the attending and discuss your thoughts, impressions,
and plan of action.
When seeing an emergency patient on call, make every
attempt to have the patient seen in the eye clinic rather than
at the bedside. Keys will be provided. Hospital security
can also open the eye clinic at the VA. If this is not
possible (eg. ICU consults, etc.,), an AON CALL BAG@ is
available along with a portable slit-lamp and indirect
ophthalmoscope. The bag is full of necessary items for
patient examinations and should be fully stocked with
drops, penlight, near vision card, +3.00 spectacles, and the
Tonopen. Residents must be cognizant of the fact that
these pieces of equipment are costly (Tonopen is $2700!)
and will not be replaced without long delays if they are
misplaced: treat them as if you own them yourself!
The senior resident on call should be contacted with any
questions regarding a patient that is being seen. If
questions remain, the senior resident should see the patient
themselves. A junior resident should never hesitate to call
the senior resident for advice or request their presence
when seeing a patient. If any difficulties arise or a senior
resident hesitates to see a patient, the program director
should be called immediately. If questions remain, or upon
completion of the consultation, the attending physician on
call should be contacted. The resident on call should never
be intimidated nor reluctant to call the attending, regardless
of the hour.
On call responsibility from home is a privilege! A prompt
response to ER requests is mandatory, saves time, saves
sight, and maintains a standard of excellence that can only
be nurtured through hard work and a generous dose of
compulsive behavior. Do not jeopardize this privilege.
There is NEVER a time that it is appropriate to hesitate or
refuse to see a patient when requested to do so by another
physician regardless of how trivial the consult may seem.
Failure to provide efficient, professional and pleasant
consults, at any time of day or night, will be dealt with in
the strictest manner possible. Furthermore, it is never
appropriate to call a senior resident or attending to see if it
is Anecessary@ to see a patient when asked to do so by
another serviceCthe answer is always AYes@.
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