Cardiology RAH Rotations

All the necessary information you require for your rotation is available on this site. Please review all information carefully prior to the start of your rotation.

Initial Reporting is at 7:15 a.m.  in the RAH CICU, 1st Floor Robbins Pavilion. You can download the map below.

Please refer to the Call & Leave Requests page for more information.

Medical Orders (AHS Policies) Appendix 1

Medical Orders (AHS Policies) Appendix 2

CMPA End-Of-Life Care: Legal and Regulatory Proceedings

Medicine Reconciliation Program

Robbins Pavilion Map

Residents should be sure to hit the "stat" button when they do their dictations. There is a concern that should you not do this, dictations will not appear in Connect Care in an appropriate time frame. Please also write "dictated" at the top of the consult form so that staff know it has been completed.

When admitting directly to 1-East while on CICU service, make sure that the house staff know that the admitting physician is you and not the 1-East physician. If you don't let them know, the 1-East physician will have an admission history to sign on Connect Care, and may erroneously be designated as the follow-up Cardiologist.

Please take special care to read the AHS Goals of Care document attached below. Goals of Care must be completed for all patients, including both pages one and two (the tracking sheet).  

The Vivid I Ultrasound froze during a procedure. It appeared that the reason for this was that the pins in the probe plug were bent. If this happens, it needs to be sent away for repair.

If you are using the Vivid I or setting it up, please be gentle with the probe. Avoid unplugging it if you can, but if you must, gently place the plug back.

"You’ve probably heard some rumors but we had our first central line infection in almost four years!

I don’t want to dwell on the fact we got the infection as we should celebrate how well we’ve done not having any central line infections! Now we must focus on what did we do/not do that created the infection and how do we avoid it from happening again? We chart on the Kardex when those lines are put in; were they put in under sterile or dirty conditions; if it was dirty, then it is our priority to get those patients relined as soon as possible.

Hand washing, sterile fields, gowns, gloves, masks, keeping gloved hands out of the central line cart, using central line bundles, CHG dressings over sites, supporting residents so that they treat and respect these sites properly-all of this assists us in keeping these puncture sites clean and healthy. Lets plan to go for another four years minimum without a central line infection!"

Although residents are not employees of AHS and therefore cannot be MRHP (Most Responsible Health Practitioner) to sign the consents for patients, residents will be able to explain the risks and benefits to the patient. The patient can then sign the consent if they feel well enough informed of the impending procedure and the RN can sign that they witnessed the patient signing the consent. Alternatively, the physician can sign as the MRHP once the patient gets to the cath lab or the pacemaker OR. Please be sure to read the Cath Consent Education document attached below.  

Please note that Dr. Brass, Chief Cardiologist at the RAH, has requested that all residents watch the video below prior to the start of your rotation.