BUMC Basics.pdf - Anesthesia Home

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• M-F, Code team runs codes starting at 7 a.m. until your
resident lets you know you are off codes, at which time the
on-call team takes over codes. On Saturday, the on-call
team takes codes from 8 a.m. until 8 a.m. Sunday.
Sunday, the on-call team takes codes from 8 am Sunday
to 7 a.m. Monday.
• The supervising resident runs the code. Medical
students often do chest compressions. Interns will
intubate if needed, run lines, and review the chart and
other responsibilities as needed.
• Simultaneous codes or codes within 30 minutes of one
another: Response to the first code is by the code team.
The on-call ward team should go to the second code. If
there is a third code, one intern from each code team and
on-call team should go to that code. If the code team is
gone and the on-call team is called to a code, a second
code within 30 minutes will be run by the CCU
intern/resident on call.
Procedures:
• The ABIM requires that graduates be proficient in the
procedures listed below. There is no specified number, but
a minimum of 3-5 directly supervised procedures is
considered appropriate.
1. Paracentesis
2. Arterial puncture
3. Arthrocentesis
4. Central line placement
5. Lumbar puncture
6. NG tube
7. Pap smear and endocervical culture
8. Thoracentesis
• All other procedures are not required, but residents often
have the opportunity to do intubation, punch biopsies,
bone marrow biopsies.
• Each time you perform a procedure, take a sticker so
you can record it in new innovations (www.newinnov.com)
in your procedure log.
• You will be supervised by a resident until the resident
feels you are proficient, and then you can perform
procedures unsupervised. As a general rule, you are
supervised for the first 6 months of internship.
• Hints for procedures:
1. Use aseptic technique (cap, mask, gown, gloves,
large sterile drape) for central lines and arterial
lines. Other procedures can be done with sterile