Trauma/Open Globe Policy
Every attempt must be made to have all open globe/trauma surgical cases covered by a senior resident (PGY3/PGY4).
1) Evaluation and repair of open globes presenting and going to the OR during weekdays before 5pm:
The 1st year resident should have the patient evaluated by Dr. Stefko if there is a question as to whether or not there is actual globe perforation/penetration. Once open globe confirmed, the senior resident (2nd or 3rd year) is to be contacted based on the following table:
Mon | Tues | Wed | Thurs | Fri |
Glaucoma | Neuro | Retina | Plastics | Cornea |
Cornea | Plastics | Glaucoma | Neuro | Retina |
Retina | Cornea | Neuro | Glaucoma | Plastics |
Neuro | Retina | Plastics | Cornea | Glaucoma |
Plastics | Glaucoma | Cornea | Retina | Neuro |
2) Surgical repair of open globes that present before 5pm but do not go to the OR until after 5pm:
· The senior resident who initially evaluated the patient may go to OR if they would like
· If not, the trauma senior on call
3) Surgical repair during the weekday of open globes that presented the previous night:
· If possible, the trauma senior on call who initially evaluated the patient
· If not, according to the table above
4) Evaluation and repair of open globes after 5pm or weekends:
· Trauma senior on call
5) For globes repaired during the day on Fridays:
· Post-op care will be provided the resident surgeon whenever possible.
· In instances when this is not possible, verbal sign-out of the patient will be given to the trauma senior on call, who will see the patient post-op
In the event that the senior resident who initially evaluated the patient is not the same resident going to the OR, there should be direct sign-out regarding the patient’s evaluation and status of OR booking between senior residents. Every effort should be made to see the patient prior to going to the OR.