Holy Cross Guidelines | OB/GYN Clerkship

Please identify yourself as the students on call to the on call residents, either by pager or in
person.
Two students on call each day (1 Ob/1Gyn).
Wear student pagers.

Ob student on call:	Gyn student on call:
shadow Ob resident on call	shadow Gyn resident on call
write H&P’s on laboring pts	write H&Ps on ED consults
deliver patients with Ob resident	should not be in OR
round on postpartum patients	involved in add-on cases
involved in Cesarean sections	back up for Ob duties
	round on admitted or post-op patients

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Always introduce yourself.
You will round on all patients you were directly involved with, within reasonable learning limits. Please inform your resident if you feel your patient load is excessive.
Rounding should be done by 6:30am M-F, 8:30am Sat/Sun, unless otherwise specified.
If there is a question or concern regarding a patient’s physical exam findings, lab/diagnostic test results, etc., please discuss them first with the resident (page them if you do not see them).
Make yourself part of the health care team.

Please wear professional attire. Holy Cross Hospital provides clean scrubs. HCH scrubs must be worn if you are scheduled for an OR case or are on call. They can be worn in the clinic if you are scheduled for a case that day or are on GYN call. Scrubs are located at entrance to hallway of call rooms. You must get the code for the machine from Audrey. Please do not wear scrubs from other hospitals or from home (OSHA guideline).

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It is located on the ground floor (follow the signs).
Clinic begins Wednesdays at 9am, other days at 8:30am.
Patients are to be seen and then presented to a resident, except on Mondays (high-risk clinic)
where you will see the patients with the residents.

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OR located on the 1st floor.
See daily schedule in residents’ call room for daily assignments.
Introduce yourself to the patient (in pre-op holding) about 15-20 minutes before the surgery;
familiarize yourself with the patient’s history, reason for surgery, past Ob/Gyn history,
surgeries, etc. Do a brief H&P if there is not one on the chart.
Upon entering the surgical area, wear only scrubs (no lab coats please!) You may assign
yourself a empty locker and bring a lock if you please or can leave your stuff in your call room.
Upon entering the operating room, introduce yourself to the circulating nurse, the scrub nurse,
etc. Ask the scrub nurse if a gown needs to be pulled for you. You will also need to pull
gloves for yourself and give them to the scrub nurse in a sterile fashion. Ask if you need help.
Observe and learn to help with the per-op and post-operative patient preparations, i.e.,
transferring the patient, placing compression stockings, attaching arm boards, stirrups,
cleaning the patient, etc.
Write the brief op note and round on your patients while in the hospital.

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You may park in the parking lot directly across from the emergency room entrance. No ID needed for entrance

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Page System:
To page in house at Holy Cross-dial 7111. Outside the hospital the number is 301-754-7111.	At the voice prompt dial the pager id number followed by the #, then the call back number followed by the #.
OB student pager is 1202	The OB resident pager is 1095 the GYN is 1096
The chief resident is 1345.	The other residents vary and the call room posts a list.

Some important phone numbers (all begin with 754 when calling from an outside line) are L&D 7590, Clinic 7630, ER 7500, and OR 7250.

There are three computer systems at Holy Cross.

Clinstar is used for labs.
The vitals are in a program called Emtek, for which Audrey will give you a userid and password.
The third system is called QS and used only by residents, attendings, and nursing staff.

Medical Student Schedule

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