Locums onboarding
Why are we doing this?
As we expand our practice to other hospitals we like to bring our culture, values, and experience with it. We are utilizing locums services as a bridge as we start our services. You will be our first “boots on the ground",” the first impression we get to show the new hospital what we are all about. Hopefully this training will help you understand our values and how we do things.
We are excited you have joined the Piedmont Physicians Pulmonary and Critical Care team! This page will be your reference and resource for all things onboarding. We care about making your entrance into our program as smooth as possible. If you look to the business world, executives that have an onboarding process drastically cut down on the transition time it takes them to be effective as leaders. This is the goal of our physician onboarding program. To cut down the time it takes you to be effective physicians and leaders.
What this page is
We are hoping this will become a reference page you can use when you need to remember something.
Basics of Rockdale
Address: 1412 Milstead Ave NE, Conyers, GA 30012
Location of ICU and Layout of Hospital: PRH is like all hospitals built in stages over many years. The ICU is 18-beds located at one end of an almost 0.3-mile long building. You are in the newer part called Building A. At the other end of the building is the ER located in the older wing, and called Building B. I suggest you take a walk around the outside the entire hospital to orient yourself. I was confused inside the building for many months until I did that. The doctors lounge is located just outside the OR, down the long hall from the ICU. Your badge will give you access to the lounge. The cafeteria is located in Building B and is at approximately the mid-point of the hospital.
Services, Activity, and Patient Floors: We have three 31-bed medical / surgical wards, MS 1, MS2, and MS3. We have the capability to open up a 10-bed additional unit when our census gets high and we call it MS4. MS4 is located near the ICU on the edge of the Family Care Unit. We also have a 14-bed Clinical Decision Unit (CDU for Cath lab follow up and some overnight stays). We have an 8-room Operating Room, 3-room Endoscopy Suite, 2-room Cath Lab, and a one-room Interventional Radiology Suite. Our radiologists do a great job and offer a full service of care. We have a busy Family Care Center where 150 babies a month are delivered, and an 18-bed Neonatal ICU. Our ER sees approximately 125 patients a day, pre-COVID we averaged 150 patients / day in the ER and dropped to 75 patients/day in April-May, 2020 when the public’s COVID fear factor was high. The public is trusting us again as our ER volumes are climbing back to pre-COVID levels. We have 4-5 Hospitalists and 3-4 mid-levels on each day.
Onboarding PPTs and Quality Packets
Locums Live Onboarding Zoom Recorded Sections
If you are looking for the sessions to watch in preparation for your start date. They are located in the links below. If you have issues getting them to work please email Jessica.Shelnutt@piedmont.org or call/text 770-597-1613
Onboarding Introduction Lecture: Why are you here? Chad Case, MD
GLA Culture: Mission, Vision, Values Part 1. John Heisler, PA-C
Quality: CLABSI, CAUTI, VTE prevention, Note Writing, MODUS One
Billing + Coding by Meghan Kirkland, PA-C
Important Phone Numbers (PRH/PNwH)
Frequently Used Numbers
House Supervisor, Nursing 770 918-3149
Quarterback Hospitalist, 470 522-6588
Hospitalist Medical Director, Dr. Amanda Herin 478 714-1657
ER Nurses Station 770 918-3030
ER Medical Director, Dr. Tamaurus Sutton 919 423-2096
Director of ICU, Cynthia Palmer, RN 470 217-0952
Director of ER, Seth Duncan 803 624 7138
Piedmont Heart Institute main 770 483-9330
PHI Nurse Practitioner 404 416-9298
Radiology Main Desk 770 918-3300
Radiology Reading Room 678 714-2070
IT Help Desk (Epic and System Access) 404 605-3000
Rockdale Administration Team
Geoffrey Cole, MD, CMO 706 714-2039
Leigha Fallis, RN, CNO, 714 916-1450
Richard Tanzella, CEO, 404 293-9389
Georgia Lung Leaders
Coy Lassiter, MD 404 931-3084
Chad Case, MD 678 205-6512
Jermaine Jackson, MD 770 238-8085
GLA Culture
At GLA, we believe strongly in our culture. You will have a talk with Dr. Case during the onboarding period about this. It will be recorded and pasted here for reference.
Our Values
Medical Excellence
1. I am responsible for uncompromising quality patient care and creating a safe environment of “do no harm”.
2. I ensure our patient’s plan of care is in alignment with evidence based best practice standards, or expert opinion and in the absence of that level of guidance.
3. I will be open minded and innovative in problem solving to optimize patient care outcomes
4. I will formulate recommendations and work hard to create solutions when barriers to patient care arise
5. I believe in and strive to achieve the 3A’s of medicine: availability, affability, and ability.
6. I understand my role in achieving the components of each core metric to ensure patient safety and quality deliverance: Sepsis, CAUTI, CLABSI, Hospital Acquired infections/DVT’s, etc
Service Excellence
7. I will provide the right care, right now
8. I review the plan of care with every patient (or NOK), every day, to ensure they are pleased with our service, care plan, and all questions are answered
9. I will work to meet the needs and expectations of our patients, consultants, and colleagues daily
10. I will willingly accept all consults and service requests with gratitude and a smile
11. I own and immediately resolve patient care, consultants, or colleague issues.
12. I am proud of my professional appearance, language and behaviors while engaged at work and with patient care
13. I utilize my chain of command when needed to ensure the highest service standards are met for my patients and referring physicians
Character Excellence
14. I have complete ownership over every situation and adopt the mentality of “100% ownership, 0% excuse”
15. I will practice appreciative inquiry with my team in order to understand and improve those around me
16. I am engaged and accept accountable feedback as an important part of my team’s success
17. I will be reliable, respectful and carry integrity into every encounter
18. I care about my team members and work hard to ensure they are supported in both times of failure and times of success.
19. I own the opportunity to continually learn and grow as an individual so that I am an active participant in our mission.
Overview of ICU Services
You will have a talk on this from Dr. Case during your onboarding period. It will be posted here from reference.
Outline will include:
a. Leadership Review (who to call when you need help)
b. Scope of Services Offered By Site
c. Review of standard operating procedures for patient flow
d. Review of standard operating procedures for patient care
e. Review of standard operating procedures for provider charting and ordering
f. Handoffs (verbal/sticky notes/email reports)
g. Accepting patients from outside facilities (bed board)
h. Managing patient census reports
i. Who to consult and how to consult them
j. Special Considerations (ECMO, Transplant, Carelink)
Quality Metrics
Click on the picture above for the webpage for all our important Quality Metrics. Please sure to review the following:
Sepsis
CLABSI
CAUTI
C. Diff
VTE prevention
ModusONE
Epic Help/Tips and Tricks
Click on the image above to check out our Epic tips and tricks page. Make sure you feel comfortable with the following:
Patient Lists
Admission Orderset Advice
Basic ICU Orderset
Sepsis Orderset
Vent Orderset
There are many ways to do this, but in general ALWAYS keep the following format:
1. PROBLEM
- Etiology of problem
- Data supporting problem
- What are you going to do about it??
Example:
Acute Kidney Injury
- Etio: suspect prerenal 2/2 intravascular depletion
- Baseline creatinine 1, now elevated to 2.4
- Trend daily BMP, monitor UOP
- Consider renal US/nephro consult if worsens
The GLA Template: Instead of writing our notes from scratch, we have a template that we use to stay consistent within providers/the group. On EPIC there are things called dotphrases where you type a period followed by a word in order to bring up these templates in a blank note.
For ICU progress notes: ".glaicunote"
For ICU consult notes: ".glaconsult"
For CVL consult notes: ".glacvlconsult"
For H&P notes on admission: ".glahistory"