ROTATIONS‎ > ‎

FLUOROSCOPY


FLUORO ROTATION

FACULTY REPRESENTATIVE: Dr. Benjamin Bashist


HOURS: 8am – until attending dismissal


SLW FLUOROSCOPY ROTATION:
- Fluoro resident will be responsible for cases at SLW ONLY


BI FLUOROSCOPY COVERAGE:
- BI fluoro cases will be covered and performed by the Body CT S residents when requested by hospital staff

For both SLW and BI sites, the resident is responsible for confirming the scheduled the day prior on IDX and should provide the fluoro techs with their cell phone or pager number.


SLW FLUOROSCOPY SCHEDULE:

Confirm fluoro cases at SL and West the day before to confirm which site you should arrive to first. If no cases are scheduled, refer to the schedule below.

 MONDAY TUESDAY WEDNESDAY THURSDAYFRIDAY 
Report to SL


Report to
West

Report to SL

(Bashist)

11:30 jitney to West for conference
Report to SL

(Priority)

Expect post-op leak studies every 4th Thursday of the month.
Report to SL

Also note that MBS can be frequently ordered at MSW, so if no cases are ordered or if you've finished your scheduled cases at SL, please remain or head to MSW for potential add-ons. 

If an inpatient case gets added on at ANY site, your priority should be to travel immediately to that site.

Inpatients always take priority. Outpatients and MBS may be scheduled as time allows, dependent upon on-site coverage.


TECHNICIANS:
BI: 38-6191
W: 23-7499 / 36-3382
SL: 23-4272 / 23-4275


SCHEDULING OUTPATIENTS:

Outpatient add-ons for Tuesdays, Thursdays, and  Fridays must be approved first by Attendings who's covering fluoroscopy at their respective sites. 

    - BI:         outpatients should only be scheduled on Mondays and Wednesdays. 
    - West:     outpatients should only be scheduled on Mondays. 
    - SL:         outpatients should only be scheduled on Wednesdays.


INPATIENTS & MBS:

Emergent fluoroscopy studies (r/o leak after bypass, etc), as well as any Modified Barium Swallow studies, wil be performed by an onsite resident.

Should an emergent study arise and the SLW Fluoro resident is performing cases at another site, resident coverage will be provided using the site-specific hierarchy below:

    - BI:         Body CT S --> NM BI
    - SL:        US SL --> Neuro SL
    - West:    Body CT W --> Neuro W --> Chest CT

GOALS AND EXPECTATIONS

GOALS:

Residents will become proficient in performing many non-interventional fluoroscopic examinations including but not limited to upper GI studies, barium swallows, esophagrams, small bowel follow through, barium enema, diaphragmatic sniff test, intussusception reductions, enteric tube placement, and fistulograms.


EXPECTATIONS
  • Dressing in scrubs is appropriate
  • Give your pager number to techs at 3 sites at the start of your rotation. 
  • Use IDX to see the schedule for the next day, and coordinate with the techs so that the patient's are scheduled at a time when you will be on site
  • The schedule for each day should have been finalized/planned the previous day
  • Complete fluoroscopy studies, initially with attending guidance and later on your own
  • Backup Body/Chest CT - As fluoro is sometimes slow, while waiting for fluoro studies (or when there simply are none), touch base with Body/Chest CT attending at the site you are currently located, and read Body CT cases, including protocolling



Ċ
Charles,
Jul 4, 2018, 7:59 PM