Plan of the Week: Nov 6 - Nov 12


Plays of the Week:


Play of the week goes to the Red/Green PCMH teams for their impressive "Encanto" pumpkin display! Let it be known that people were in fact "talking about Bruno" that day.


Play of the week also goes to Dr. Noelle Molter pitched in to help precept yesterday when we were backed up in clinic and she had finished seeing her own patients. This was after delivering another excellent DEI workshop!



 

Schedule:

Date

Event

Time and Location

Audience/Notes

Sunday, 11/6 Andrew Warren's Birthday 🎉 and Daylight Savings Time ends

Monday, 11/7 National NP Week Starts

MR: Case and Empiric Antibiotics 101 Lecture, Helfrich

0745 - 0850

America 2525 B/C

All welcome

Tuesday, 11/8

MR: Bennett CPC


0745 - 0850

America 2525 B/C

All welcome

Wednesday, 11/9 Lisa Sukenaga's Birthday 🎉

SIM/Skills: LP (Rees/Cirks), Bladder cath (Kolasinski), and Tourniquet (Schacht)

0745 - 0850

SIM Center (4th Floor, Heroes Bldg) **3rd Deck Team report to the PICU**

Residents and Medical Students Only; before the session, please review the related modules here OR go to www.classroom.google.com and enter the class code: xwe5vzj

Thursday, 11/10 Minimal Manning Day

No Morning Report

Chief Resident Interviews

0700-1000 Allergy Conf Rm

Residency Leadership, PEC members, and Chief Resident Applicants Only

Friday, 11/11 Veterans Day 🇺🇸

No Morning Report

I will be on leave from 3NOV-13NOV. For any acute call/morning report issues, please reach out to the following:

  • 4-6Nov acting Chief Resident: CPT Elise Reddington (elise.reddington@nccpeds.com)

  • 7-10Nov acting Chief Resident: Capt Sidney Zven (sidney.zven@nccpeds.com)

  • 11-13Nov acting Chief Resident: LT Alex Mauro (alexandra.mauro@nccpeds.com)

Save the Date 🗓

Upcoming Birthdays 🎉

14NOV: Block 6 Starts

9DEC: Anthony Lucido's Birthday

15NOV: Warren Journal Club

24NOV: Thanksgiving Day (Outpatient Clinics Closed)

25NOV: Native American Heritage Day (Minimal Manning Day)

9DEC: Holiday Party ❄️

 

Announcements:


All Staff Updates


Veterans Day Events & Offers

Events


New Mask Mandate Guidelines

  • Masks are mandatory: upon entry into the medical facility, during patient encounters (with eye-pro), in all clinical and patient-facing areas, and corridors by hospital staff (buildings 1-10, 19, NiCOE, and 85T)

  • Masks are optional in spaces not engaged in patient care, meetings (i.e. morning report), spaces that are administrative in nature by supervisors, and in customer service activities

  • If at any time you experience new onset respiratory or influenza-like symptoms, immediately don a face mask and alert your supervisor (see below for further guidance on testing)

WRNMMC MASK WEAR AND METINGS POLICY 10.28.2022
.pdf
Download PDF • 183KB

Chief Resident Selection Comments

  • It's time for the Chief Resident Selection for the upcoming 2023-2024 academic year. There are four candidates, and they have all provided statements for you to read. Please submit your anonymous and confidential comments using the Google Form link below. The selection committee of staff and residents highly values your feedback.

  • https://forms.gle/ZVonovTuqugZQgEz5

  • **Please open on non-military computers**

  • The form will be open until November 8th.


Respiratory Season Updates

  • Flu and COVID vaccines

  • COVID Vaccine Site (Arrowhead Zone, Bldg 9)

  • 0700-1500, Mon-Fri

  • Flu vaccine for 2 years and up

  • COVID vaccine for 6 months and up

  • Immunizations (America Zone, Bldg 19)

  • Flu vaccine for 6 mos-2 years

  • NO COVID VACCINE

  • Patient Testing

  • See below for the respiratory testing algorithm for 2022-2023

  • The Respiratory PCR Panel 2.1 is the upper respiratory biofire panel with 22 pathogens

  • Peds ID can approve outpatient use of the biofire (respiratory PCR Panel 2.1) so please reach out to us for verbal approval if you have a clinical scenario where the expanded panel will help with management.

  • Peds ID on call phone (available 24/7): 301-648-0545

  • AMS Connect: WB Peds Infectious Disease (please include DODID in AMS connect message)

2022-23 respiratory testing13OCT
.pdf
Download PDF • 632KB
  • Healthcare Personnel Testing

  • Do not report to work if you have onset of influenza-like symptoms (fever, dry cough, other respiratory symptoms +/- myaglias, headache).

  • You must undergo testing for COVID (if testing occurs within 48 hours of symptoms you will be tested for COVID, Flu, and RSV)

  • If positive for COVID: HCP should call Occupational Health (301-400-0885) for isolation guidance. Please let your supervisor know the isolation period from OccHealth so the supervisor can help adjust manning accordingly.

  • If negative for COVID-19: isolate at home until afebrile for 24 hours without fever-reducing medications AND other symptoms are improved

  • If positive for flu: contact your PCM to discuss the option of Tamiflu

  • NICU Admissions

  • The NICU may be able to temporarily admit patients less than or equal to 2 months corrected gestational age in the setting of staffing and bed shortages on the inpatient pediatric ward. Admissions will be considered on a case-by-case basis as well as with consideration of the NICU census, anticipated deliveries, staffing and acuity levels. Back transfer to the ward should be considered whenever their space can accommodate.

  • Some appropriate diagnoses may include: Rule out sepsis, Hyperbilirubinemia, Dehydration, Failure to thrive, Meningitis, Urinary tract infection, Post anesthesia monitoring

  • The NICU does not have adequate respiratory isolation so all patients must test negative for influenza, RSV and COVID prior to arrival in the NICU.


IPASS Training

  • Please make sure to complete your IPASS training NLT 9NOV if you have not done so already

 

Resident-Specific Updates


Don't forget to reach out to your Block 6 Rotation Supervisors. View the attachment below for the most up-to-date contact information.

Rotation Contacts_for residents_UPDATED OCT 2022
.pdf
Download PDF • 76KB

MHS Genesis Updates:


PI/QI: Next Session is 6DEC

 

Educational/Teaching Opportunities

APPD AIMS (Advancing Inclusiveness in Medical Education Scholars) Program Application Opening