[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-174331-en":3,"doc-seo-174331-105":31,"detail-sidebar-cat-1-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":21,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":15,"update_tm":29,"read_time":30},174331,687207017582,"Ethan Miller","https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d",1,18,"Letters","Surgical Internship at Mount Sinai - Surgical Workflows and Post-Op Management","Surgical internship guide from the Department of Surgery at Icahn School of Medicine at Mount Sinai (July 2024), organized as an actionable table of contents for daily handoffs, surgical documentation, and perioperative checklists. It explains SBAR hand-off communication and provides structured workflows for surgical notes, on-call responsibilities, pre-op/OR checklists, signout, and post-op orders. It further covers wound classification, discharge planning including prescriptions and AMA processes, and core post-op problem pathways such as fever, hypoxia, chest pain, hemodynamic instability, altered mental status, coding concerns, consult etiquette, and reference resources.","Surgical Internship at Mount Sinai\nDepartment of Surgery\nIcahn School of Medicine at Mount Sinai\nJuly 2024\n\u000f\nTABLE OF CONTENTS\n1. \tAlways Remember\n2. \tWhat is SBAR?\n3. \tThe Surgical Note\n4. \tThe On-Call Checklist\n5. \tThe Pre-Op Checklist\n6. \tThe OR Checklist\n7. \tThe Brief Op Note\n8. \tWound Classifications\n9. \tThe Post-Op Order Set\n10. The Signout\n11. The Post-Op Check\n12. How to Book a Case\n13. Discharge Planning/E-Prescriptions\n14. How to Discharge an Admitted Patient\n15. Leaving Against Medical Advice\n16. Imaging\n17. Diets\n18. GI Prophylaxis\n19. Bowel Regimen\n20. Total Parenteral Nutrition\n21. IV Fluids\n22. Repleting Electrolytes\n23. DVT Prophylaxis\n24. Anticoagulation\n25. Diabetes Management\n26. Pain Management\n27. Antibiotics\n28. Tubes & Drains\n29. Central Lines\n30. Post-Op Problems: Fever\n31. Post-Op Problems: Hypoxia/Dyspnea\n32. Post-Op Problems: Chest Pain\n33. Post-Op Problems: Tachycardia\n34. Post-Op Problems: Hypotension\n35. Post-Op Problems: Hypertension\n36. Post-Op Problems: Altered Mental Status\n37. I Think My Patient is Coding...\n38. Patient Deaths/D.A.V.E. application\n39. Autopsy\n40. Consult and Paging Etiquette\n41. Websites\n42. Computer Programs\n43. Dictation Procedures\n44. Shuttle Schedules\n45. The Glossary\n46. OR Floor Plans\n47. MSH Directory\n48. MSW Directory\n49. MSM Directory\n50. Elmhurst Hospital\n\u000f\n1 |ALWAYS REMEMBER\nDon’t worry, you’re not alone!\nHierarchy exists for a reason.\nSee the patient, assess the situation...\n...then call your senior or your chief!\nIf your seniors and chiefs are scrubbed, you can still go to the OR and update them... If the ship is going down, load the boat! Update the team and make sure everyone is aware of the situation.\nIf you can’t find your senior, here are some other folks who can help in a pinch:\n* Surgery consult resident *\n* Surgery residents on other teams *\n* The in-house senior surgery resident overnight *\n* Anesthesia for patients in respiratory distress *\n* The Rapid Response Team (p:1RRT) *\n* The medical teaching resident for any medical questions *\nALWAYS DO YOUR BEST... AND NEVER LIE.\n(“I don’t know” is better than a lie!)\n\u000f\n2 | WHAT IS S-B-A-R?\nS-B-A-R is Mount Sinai’s Hand-Off Communication Policy.\nSituation is used to identify a caregiver and patient (MRN, name, age, sex, DOB, diagnosis, etc) and a brief statement of the patient’s condition.\n“I am concerned about Mr X as he is POD#4 s/p colectomy and...”\nBackground is for the patient’s most up-to-date and accurate condition with information such as medications, vital signs, pre-op mental status, etc. as appropriate to the situation\n“Mr X is currently febrile to 38.7 and tachycardic to 110s, though his pressures, mental status and abdominal exam are stable”\nAssessment is for the caregiver to convey his/her professional opinion of the situation\n“I think Mr X may be septic from a leak, though pneumonia is also possible...”\nRecommendation is for the caregiver to state his/her request or recommendation. The caregiver may request a specific test or that another provider see the patient immediately. The caregiver should include a state of what to anticipate.\n“I’d like to know what antibiotics you think we should start Mr X on. When do you think you will be able to see him? I’ve already ordered a stat CXR, blood and urine cultures, is there anything else we need in the meantime?”\n\u000f\n3 | THE SURGICAL NOTE\nNote that all surgical notes are completed in EPIC. It is not acceptable to simply copy/paste notes from the previous day. Notes should be filed as early in the day as possible, but no later than 10 AM.\nSubjective/Overnight Events\nMajor events from last 24h – e.g. OR, RRT\nNew events or complaints overnight\nBowel function – flatus? BM?\nDiet – tolerating PO? N/V?\nPain control – using PCA? asking for meds?\nAmbulating?\nOther complaints – chest pain? SOB? fever? chills?\nObjective (type .vitals for smart text input in EPIC)\nVitals: \tTmax/24h, Tcurr, BP, HR, RR, Sat\nIns: IVF at rate and type of IVF? + boluses?\nOuts: Urine/shift","cbCailEaHraLQCC5","https://ap.wps.com/l/cbCailEaHraLQCC5","docx",459723,2,115,"English","en",105,"# TABLE OF CONTENTS\n## Always Remember\n## What is S-B-A-R?\n## The Surgical Note\n## The On-Call Checklist\n## The Pre-Op Checklist\n## The OR Checklist\n## The Brief Op Note\n## Wound Classifications\n## The Post-Op Order Set\n## The Signout\n## The Post-Op Check\n## How to Book a Case\n## Discharge Planning/E-Prescriptions\n## How to Discharge an Admitted Patient\n## Leaving Against Medical Advice\n## Imaging\n## Diets\n## GI Prophylaxis\n## Bowel Regimen\n## Total Parenteral Nutrition\n## IV Fluids\n## Repleting Electrolytes\n## DVT Prophylaxis\n## Anticoagulation\n## Diabetes Management\n## Pain Management\n## Antibiotics\n## Tubes & Drains\n## Central Lines\n## Post-Op Problems: Fever\n## Post-Op Problems: Hypoxia/Dyspnea\n## Post-Op Problems: Chest Pain\n## Post-Op Problems: Tachycardia\n## Post-Op Problems: Hypotension\n## Post-Op Problems: Hypertension\n## Post-Op Problems: Altered Mental Status\n## I Think My Patient is Coding...\n## Patient Deaths/D.A.V.E. application\n## Autopsy\n## Consult and Paging Etiquette\n## Websites\n## Computer Programs\n## Dictation Procedures\n## Shuttle Schedules\n## The Glossary\n## OR Floor Plans\n## MSH Directory\n## MSW Directory\n## MSM Directory\n## Elmhurst Hospital","[{\"question\":\"What does SBAR stand for and what should each component include?\",\"answer\":\"SBAR refers to Situation, Background, Assessment, and Recommendation. Situation identifies the caregiver and patient with key identifiers and a brief condition statement; Background provides the most up-to-date accurate context; Assessment conveys professional opinion; Recommendation states the specific request and what to anticipate.\"},{\"question\":\"How should surgical notes be handled in EPIC during the day?\",\"answer\":\"All surgical notes must be completed in EPIC and should not be copy/pasted from the previous day. Notes should be filed as early in the day as possible, but no later than 10 AM.\"},{\"question\":\"What are the priority expectations for an on-call junior during rounds and emergencies?\",\"answer\":\"Unstable patients take priority. The on-call checklist emphasizes arriving early for signout, confirming readiness of vitals/I\\u0026Os/labs, running the list with other juniors and the PA, placing orders, notifying seniors for abnormal labs, and calling radiology and consults early while preparing for pre-op and post-op tasks.\"}]","Surgical Internship at Mount Sinai - Surgical Workflows and Post-Op Management | DOCX",1788311952,40,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":14,"keywords":35,"description":15,"schema_data":36,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":29},"surgical-internship-at-mount-sinai-surgical-workflows-and-post-op-management","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,48,51],{"item":42,"name":43,"@type":44,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":21},"https://docshare.wps.com/template/","Template",{"item":49,"name":13,"@type":44,"position":50},"https://docshare.wps.com/template/letters/",3,{"item":52,"name":14,"@type":44,"position":53},"https://docshare.wps.com/template/surgical-internship-at-mount-sinai-surgical-workflows-and-post-op-management/174331/",4,{"url":52,"name":14,"@type":55,"author":56,"headline":14,"publisher":58,"fileFormat":61,"inLanguage":24,"description":15,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":42,"name":59,"@type":60},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-03","2026-09-02",true,{"@type":66,"interactionType":67,"userInteractionCount":21},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What does SBAR stand for and what should each component include?","Question",{"text":76,"@type":77},"SBAR refers to Situation, Background, Assessment, and Recommendation. Situation identifies the caregiver and patient with key identifiers and a brief condition statement; Background provides the most up-to-date accurate context; Assessment conveys professional opinion; Recommendation states the specific request and what to anticipate.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"How should surgical notes be handled in EPIC during the day?",{"text":81,"@type":77},"All surgical notes must be completed in EPIC and should not be copy/pasted from the previous day. Notes should be filed as early in the day as possible, but no later than 10 AM.",{"name":83,"@type":74,"acceptedAnswer":84},"What are the priority expectations for an on-call junior during rounds and emergencies?",{"text":85,"@type":77},"Unstable patients take priority. The on-call checklist emphasizes arriving early for signout, confirming readiness of vitals/I&Os/labs, running the list with other juniors and the PA, placing orders, notifying seniors for abnormal labs, and calling radiology and consults early while preparing for pre-op and post-op tasks.","https://schema.org",{"og:url":52,"og:type":88,"og:title":14,"og:site_name":59,"og:description":15},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":93},[94,99,104,109,114,119,123,126,131],{"id":95,"doc_module":11,"doc_module_name":47,"category_name":96,"show_sort_weight":97,"slug":98},11,"Presentations",90,"presentations",{"id":100,"doc_module":11,"doc_module_name":47,"category_name":101,"show_sort_weight":102,"slug":103},12,"Resumes",80,"resumes",{"id":105,"doc_module":11,"doc_module_name":47,"category_name":106,"show_sort_weight":107,"slug":108},14,"Invoices",70,"invoices",{"id":110,"doc_module":11,"doc_module_name":47,"category_name":111,"show_sort_weight":112,"slug":113},15,"Posters",60,"posters",{"id":115,"doc_module":11,"doc_module_name":47,"category_name":116,"show_sort_weight":117,"slug":118},16,"Social Media",50,"social-media",{"id":120,"doc_module":11,"doc_module_name":47,"category_name":121,"show_sort_weight":30,"slug":122},17,"Forms","forms",{"id":12,"doc_module":11,"doc_module_name":47,"category_name":13,"show_sort_weight":124,"slug":125},30,"letters",{"id":127,"doc_module":11,"doc_module_name":47,"category_name":128,"show_sort_weight":129,"slug":130},21,"Paper Templates",5,"papers-templates",{"id":132,"doc_module":11,"doc_module_name":47,"category_name":133,"show_sort_weight":4,"slug":134},158,"General","general-158"]