Trauma Coverage Schedule

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.