How do you set up your room in the morning

[CambieMD]

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What exactly takes place when a resident shows up in the morning. The guys in my hospital never really spoke about setting up their rooms, I think that they had techs to do it. What are the crucial aspects of setting up ones room. I expect this proscess to vary with institutions but I am sure that there are some general principals that do not differ too much.

Thanks,

CambieMD

 

[cak]

What exactly takes place when a resident shows up in the morning. The guys in my hospital never really spoke about setting up their rooms, I think that they had techs to do it. What are the crucial aspects of setting up ones room. I expect this proscess to vary with institutions but I am sure that there are some general principals that do not differ too much.

Thanks,

CambieMD

Good question. I'm also curious. What is involved in "setting up a room" was never really explained to me either.

 

[soon2bdoc2003]

SOAP IM

Suction - confirm its there and working
Oxygen - turn on the machine, make sure there O2 in the tank, test circuit
Airway - 7 & 8 ett with stylets, oral airways, laryngoscope
Pharmacy - draw up my drugs
IV - turn on fluid warmer(s) hang an extra bag, make sure I have stuff to start an extra line
Monitor - make sure the pulse ox, bp cuff, and ekg leads are present

If you make up drugs the night before and stash them in the room, you can do all of that in 5 minutes. Add another 10-15 minutes for complex cases, at my program we mix all of the drips and put together our own transducers.

 

[Goose...Fraba]

SOAP is a good one, I also learned SCOM LADI

S-suction
C- Circuit (check for leaks)
O- oxygen (make sure you have enough)
M-Moniters (make sure they are working)

L-Laryngoscope- make sure that you have a bright light that doesnt flicker
A-Airway- have tubes, airway, masks all ready
D-Drugs- draw up your drugs for the next day to save time
I-IV have an extra bag ready to go

Goose

 

[thegasman]

MS MAIDS

Machine - + pressure, O2 cal etc
Suction - ie does it work?
Monitors
Airways - blades (do they work) tubes, lmas, ambu- bag
IV set up -jelcos hotline, tape, tegaderm, gauze, alcohol pads
Drugs
Supplemental - stethoscope, body warmer, scissors etc.

or DAMMITS

Drugs
Airways
Machine
Monitors
IV
Tape
Suction


You really have to check this stuff because the techs are slack and you will be missing things or blades don't work - it sucks to DL and your light goes out and then you can't see anything and then your attending yells at you for your room set up.

 

[UTSouthwestern]

Standard drugs:

Midazolam 2-5 mg
Lidocaine 1-1.5 mg/kg (likely 5-10 cc's of 1% lido)
Propofol 10 mg/cc; 20 cc's
or Etomidate 2 mg/cc; 10 cc's
Succinylcholine if high r/o aspiration, difficult airway, etc. 20 mg/cc; 10 cc's
Non depolarizer of your choice

Others:
Neosynephrine 40, 67, or 100 mcg/cc; 10 or 20 cc's
Ephedrine 5 mg/cc; 10 cc's
Esmolol, Nitro, Epi, etc. on a PRN basis

 

[Goose...Fraba]

MS MAIDS

Machine - + pressure, O2 cal etc
Suction - ie does it work?
Monitors
Airways - blades (do they work) tubes, lmas, ambu- bag
IV set up -jelcos hotline, tape, tegaderm, gauze, alcohol pads
Drugs
Supplemental - stethoscope, body warmer, scissors etc.

or DAMMITS

Drugs
Airways
Machine
Monitors
IV
Tape
Suction


You really have to check this stuff because the techs are slack and you will be missing things or blades don't work - it sucks to DL and your light goes out and then you can't see anything and then your attending yells at you for your room set up.

DAMMITS, I like that better than scomladi, thanks gasman. 👍

 

[Justin4563]

I am the MD

IV
airway
monitors
machine
drugs