Content from the Journal of the American Neurological Surgeons.

Intern Survival Guide Part 2

CARDIAC SURGERYIntern “Survival” Guide Kirk J. Fleischer, M.D.  POSTOPERATIVE MANAGEMENTOF THE CARDIAC SURGERY PATIENT  Anticoagulation [Table of Contents] Coumadin dosed QAM » No running orders INR drawn routinely QPM. Depending on fellow preference and/or the patient’s condition, an additional AM INR may be drawn prior to daily dose. Case managers are a useful resource for dose conformation if…

Intern Survival Guide Part 1

CARDIAC SURGERYIntern “Survival” Guide Kirk J. Fleischer, M.D.  ROUNDS [Table of Contents] Meet with fellow between 5:15AM and 5:45AM (Monday through Saturday)6:00AM and 6:30AM (Sunday) » Depending on fellow and patient census Preround for:vital signs and fluid balance (from data board) Rhythms (from telemetry at RN station) CSICU rounds begin at 6:15AM (Mon through Sat) and 8:00AM (Sun) CSICU…

Intern Survival Guide – Table of Contents

CARDIAC SURGERYIntern “Survival” Guide Kirk J. Fleischer, M.D. At most teaching institutions, there are junior surgical housestaff on the cardiac surgery service. Because they are often unfamiliar with the “routine” of the cardiac surgery service, we developed an “Intern Survival Guide” which outlines the responsibilities of the junior housestaff and provides guidance on how best…