Section IV

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AFFILIATE HOSPITALS

BROOKDALE HOSPITAL MEDICAL CENTER

CONEY ISLAND HOSPITAL

INTERFAITH MEDICAL

KINGS COUNTY HOSPITAL CENTER

KINGSBROOK JEWISH MEDICAL CENTER (KJMC)

LENOX HILL

LONG ISLAND COLLEGE HOSPITAL (LICH)

LUTHERAN MEDICAL CENTER (LMC)

MAIMONIDES MEDICAL CENTER (MMC)

MEMORIAL SLOAN-KETTERING CANCER CENTER

OUR LADY OF MERCY MEDICAL CENTER

ST. JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE

STATEN ISLAND UNIVERSITY HOSPITAL (SIUH)

VA NEW YORK HARBOR HEALTHCARE SYSTEM

UNIVERSITY HOSPITAL OF BROOKLYN

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BROOKDALE HOSPITAL MEDICAL CENTER
http://www.brookdale.edu

Clinical Associate Dean: Richard Fogler, MD 240-5629
Personnel/Benefits Office: 240-5337

The 520 bed Brookdale Hospital Medical Center is one of Brooklyn's largest voluntary, nonprofit teaching hospitals. The Radutsky Emergency Care Pavilion is a New York City certified Emergency Trauma Center. Brookdale's outpatient services include more than 40 general and specialty clinics, a community mental health center, and a 16-chair dental suite.

Other services of special interest include: an Ambulatory Surgical Center, Interventional Radiology, an Ambulatory Treatment Suite for chemotherapy patients; a full-service Heart Center; medical surgical, neonatal and pediatric intensive care units; inpatient and outpatient hemodialysis programs; a Women's Health Center for diagnosis and treatment of infertility (including laser surgery) and pre- and postmenopause syndromes, including osteoporosis; a full-service Department of Rehabilitation Medicine for both acute and long-term therapy; a full-service Geriatric Program that includes diagnosis and treatment of Alzheimer's Disease, a Genetics counseling and research unit; a complete Psychiatric Service including both inpatient and outpatient facilities, community education, an HIV outreach program, and home visits for the elderly and a full-service Hyperbaric Oxygen and Wound Healing Center.

The institution offers undergraduate clerkships and elective rotations to third and fourth-year medical students.

Brookdale has integrated programs with SUNY Downstate in Dermatology, Emergency Medicine, Cardiovascular diseases, Gastroenterology, and Orthopedic Surgery, other file standing residencies sponsored by Brookdale and fellowships are accredited by the Accreditation Council for Graduate Medical Education. The hospital is fully accredited by the Joint Commission on Accreditation of Health Care Organizations.

Description of Benefits
The hospital provides insurance plans for SUNY Residency Salaried by Brookdale and their eligible dependents covering hospitalization, major medical, dental care and prescriptions. The hospital also provides malpractice insurance, life insurance, disability and Worker’s Compensation.

An updated benefits sheet is provided in the orientation package. Benefits are explained fully at orientation. Further clarification can be obtained from the Brookdale Benefits Office at 240-5980.

Cafeteria - The hospital cafeteria is located in the basement of the Community Health Center
building. Kosher food is always available; vending machines are available during the hours the cafeteria is closed. Weekday hours are as follows:

Breakfast: 7:00am to 10:00 am
Lunch: 11:30 am to 2:00 pm
Weekends and Holidays: The cafeteria is open for lunch only from 11:00 am to 1:30 pm

Coffee Shop - The Coffee shop is located in the main lobby. The hours of operation are as
follows:
Monday-Friday: 4:00 am to 10:00 pm
Weekends: 7:00 am to 10:00 pm

Conferences and Seminars - Residency programs make individual decisions about educational
seminars and meetings that they want residents to attend. There are no specific guidelines as to how many conference days are allowed; the Residency Coordinator or Program Director will make this decision based on residency requirements.

Linen Service - The Linen Service Department is located in the sub-basement of the Community Health Center, room C-13. Linen Services provides house staff with the following: 4 each, intern jackets, 5 sets, green scrubs (surgery), 3 sets, blue scrubs (surgery) 2 sets, scrubs (Medicine) 3 each, lab coats (Fellows)

On-Call Rooms - On-call rooms are assigned by the departments. Any problems should be reported to the Department Administrator or Residency Program Director.

Pagers - Pagers are issued to house staff by Communication Services during orientation. They are located in the basement of the Katz building. Pagers that are broken or require battery replacement should be brought to Telephone Services. Lost or stolen pagers will have to be paid for in order for you to receive a replacement. Those house staff assigned to Code Teams will receive an additional Alpha Numeric pager. These are rotated among those assigned to code teams during their on-call service. Each pager has a four-digit number. Paging may be initiated either through the Page Operator at Ext. 5444 or directly. Direct pages from inside the institution are accomplished by dialing 19 and the four-digit pager number; enter the extension number youwant the person to call and press the pound key (#) once and hang up. Pages from outside the hospital are accomplished by dialing (917)433-and the four digit number; enter the call back number, press the pound key and hang up. Any problems or questions should be addressed to Telephone Services a X5210.

Parking - The immediate perimeter of the hospital is marked by official Traffic Department signs that state Doctors Parking Only. In these zones, only cars bearing an MD/DDS license plate are permitted. Parking spots are available in the Amboy Garage for a monthly fee that is deducted through Payroll. Applications for parking are in the orientation package, or arrangements can be made between 8:00 am and 8:00 pm in the office located on the first floor of the garage.

Payroll - Resident paychecks are distributed either by the Brookdale Medical Education Office or departmental offices every other Friday after 11:00 am. Direct deposit is available with Fleet Bank. Sign-ups are done at orientation or throughout the year directly in the Fleet Bank located in the main lobby. The Fleet Bank located in the hospital is open on Tuesdays and Fridays from 9:00 am to 3:00 pm. There are two cash machines (ATMs) located in the main lobby.

Occupational Exposures (Needlesticks):- In the unfortunate instance that you sustain a needle stick an incident report must be generated. The employee must be seen in the Emergency Department or Employee Health Service within ONE hour of the incident. Appropriate prophylaxis will be made available at that time.

Employee Health - It is the hospital policy that all employees receive an annual health evaluation and PPD screening for tuberculosis. Failure to comply will result in disciplinary action. Employees exhibiting signs of infectious diseases must report to Employee Health Service.

Complaints of Sexual Harassment - If any employee believes that he or she has been subjected to sexual harassment, the employee has the right to file a complaint. This may be done in writing or orally. If you would like to file a complaint, you may do so by contacting the Director of Human Resources at x 5246 or the Senior Vice President for the Office of Legal Affairs and General Counsel at x6163. These persons are also available to discuss any concerns you may have and to provide information to you about our policy on sexual harassment and our complaint process.

Contact names and telephone number for the following relevant hospital policies and patient services:

1) Admission, Transfer and Discharge Policy Carmen Salliard 240-5600
2) Cardiac Arrest Policy Trever Gayette, Dir of Nursing 240-5375
3) Infection Control Linda Jendresky, Dir of Nursing 240-5924
4) Interpreters for non-English speaking patients Joseph Phillips, Administrator 240-5631
5) Counseling Service S.Vivik, MD, Chair Psychiatry 240-5644
6) Medical Records Mercedes Merado, Dir. 240-6231
7) Nursing Service Dept Suzanne Pennacchio, VP Pt. Serv 240-5966
8) Nutrition & Dietary Services Patricia Walker-Tulloch 240-5220
9) Organ Donation NY Organ Donor Network 1-800-443-8469
10) Pharmacy Qazi Halem, Director 240-5994
11) Radiology Services George Miller, Administrator 240-5276
12) Social Work Services Michael Moore, Director 240-5267

REFER TO THE BROOKDALE RESIDENTS HANDBOOK FOR HOSPITAL POLICIES AND PROCEDURES AND INFORMATION ON CLINICAL AND ANCILLARY SERVICES.

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CONEY ISLAND HOSPITAL
www.ci.nyc.ny.us/html/hhc/html/coneyisland.html

Clinical Associate Dean: Santi Dhar, MD 615-3786
Personnel/Benefits Office: 718-615-5030

Coney Island Hospital, a municipal facility of the Health & Hospital Corporation (HHC), is a 470 bed facility at 2601 Ocean Parkway in southern Brooklyn. The hospital has ACGME approved residencies in internal medicine, surgery, pediatrics, obstetrics-gynecology, anesthesiology, ophthalmology, orthopedics and urology. There is also a podiatry residency.

Residents receive a full benefits package including comprehensive family health insurance, life insurance and disability insurance. There is on-campus parking for all physicians.

The hospital offers programs in physical medicine and rehabilitation, alcohol and drug abuse, inpatient psychiatric services, a psychiatric day hospital, and an outpatient geriatric program. The hospital offers comprehensive programs in diagnostic and therapeutic services, ambulatory surgery, laser surgery, nuclear medicine, ultrasonography, cardiac diagnostic center including catheterization, cardiopulmonary testing, computerized tomography, a six-station chronic dialysis service, and pre-deposit autologous blood transfusion program.

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INTERFAITH MEDICAL
www.interfaithmedical.com
Clinical Associate Dean: Eric Jaffee, MD 935-7325

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KINGS COUNTY HOSPITAL CENTER
www.ci.nyc.ny.us/html/hhc/html/kings.html

Executive Director: Jean G. Leon, MPA
Medical Director: Kathie T.Rones, MD, MPH
Personnel/Benefits: (718)245-2012/13
House Staff Office: (718) 245-2026

Kings County Hospital Center (KCHC) is one of the largest municipal facilities in New York City with 744 beds. It is part of the New York City Health and Hospitals Corporation (HHC). It provides a full array of health services through its inpatient units and 85 outpatient clinics. The hospital serves more than 31,000 inpatients and almost one million outpatients annually.

KCHC supports graduate medical training in 54 integrated programs with SUNY Downstate, for nearly 400 residents. Several communities based primary care centers are planned as part of the State funded Primary Care Initiative which will serve the surrounding high risk communities and provide training facilities for health professionals. Medical services are also provided at the affiliated East New York Diagnostic and Treatment Center by hospital faculty.

The Committee of Intern and Residents (CIR) is the sole Collective Bargaining Representative for all Residents in all PGY titles paid by HHC. Enrollment forms and additional information regarding the services provided by CIR are available from the union office at (212) 725-5500 or by going to the KCHC House Staff Affairs Office, "T" Building, 4th Floor, Room T-473A.

Basic Health Coverage - All residents and dependents are covered by basic health insurance, carried by the NYC Health and Hospitals Corporation, including registered domestic partners. These plans insure you for hospitalization and major medical coverage. Please contact your hospital personnel office at (718) 245-2012 for further information or to handle claims under these policies; or contact the CIR Fund Office.

House Staff Benefits Plan (HSBP)
Residents employed by the NYC Health & Hospitals Corporation are eligible for supplemental benefits administered through the House Staff Benefits Plan of the CIR. See your HSBP benefits booklet for details. The benefits for you and your dependents include:

-$125,000 life insurance; $20,000 spouse or domestic partner life insurance
-$50,000 accidental dismemberment (participant only)
-short-term & long-term disability
-well baby care
-psychiatric coverage (out-patient)
-dental benefits
-optical benefits (CIR panel of optical providers)
-hearing aid benefit
-smoking cessation benefit
-substance abuse counseling and treatment
-supplemental obstetrical benefit
childbirth education benefit
circumcision benefit
-supplemental major medical benefit
-supplemental prescription drug benefit
-conference reimbursement benefit (Housestaff Officers in their final year of basic residency, Chief Residents and Fellows are eligible

Benefits - All HHC employees are eligible to join The Municipal Credit Union, which offers checking and saving accounts and other financial services. Information may be obtained at the Benefits Office, "T" Building, 3rd Floor. Questions regarding benefits such as TDA, Health Insurance and Pension should be referred to the Benefits Office, telephone number (718) 245-2012.

CIR Legal Services Plan (CIRLS)-All housestaff covered by HSBP are also eligible for CIR’s prepaid legal services plan. The plan is financed by employer contributions and provides the Residents and dependents with free legal assistance in a variety of personal areas. For information and assistance call the CIRLS number (212)889-9692.

In-House Pagers (Beepers) - In-House Pagers are distributed on a first-come, first-serve basis, Monday through Friday, from 8:00 am to 4:00 pm, in "T" Building Telephone Room, (located on the first floor), telephone number 245-3146.

It is a requirement of KCHC that Residents must return their pagers to the "T" Building Telephone Room when they rotate to other institutions.

Pager repairs and batteries for KCHC - issued pagers are available from the "T" Building Telephone Room.

Chaplaincy Service - There are four chaplains at KCHC - one priest, one rabbi, and two protestant ministers. Chaplains are on-call 24 hours per day, and can be reached easily through the Page Operator at 245-3142. The Chaplains' offices are located as follows:

Roman Catholic: "B" Building, Ground Floor - Room BG08
Jewish: "A" Building, 3rd Floor - Room A3201
Protestant: "A" Building, 1st Floor - Room A1230

Religious Services:
Catholic: Sundays, Mondays, Wednesdays and Fridays, 12:00 pm,
Pathology ("P" Building) Chapel

Jewish: Monday through Friday, 1:30 pm,
University Hospital (SUNY-HSCB) Chapel

Protestant: Sundays on the following schedule:
9:00 am - "B" Building 1st Floor, Medical Board Conference Room
9:30 am - "K" Building, 4th Floor, wards K41 and K42
10:00 am - "G" Building 6th floor Prison Ward, and 3rd Floor Gym
10:30 am - "E" Building, 3rd floor, psychiatry ward
2:00 pm - "E" Building, 7th floor, Patients' Lounge

8:00-9:00 am Held in A bldg. 1st floor, Rm. A1230
Sunday thru Saturday

Physical Examination Requirement - Each member of the House Staff is required to have a complete physical prior to beginning service at KCHC. Thereafter, an annual health assessment (and PPD if appropriate) is required. Clearance from the KCHC Employee Health Service is mandatory prior to final acceptance into the training program.

Identification Badges - All photo identification will be issued by SUNY Downstate’s GME Office. For further information see Section III of this manual.

Meals/Cafeteria - Meals are available for purchase at the KCHC cafeteria located on the 1st floor of the "T" Building. Bar Codes are available for all KCH/HHC paid residents, in the House Staff Office (T Bldg. Room 473-A).

Meal Hours (KCHC Cafeteria):
Weekdays 6:30 a.m. - 8:00 p.m.
Weekends & Holidays: 7:00 a.m. - 5:00 p.m.

Malpractice - HHC is self indemnified. All residents in the SUNY Downstate Residency Programs are covered for malpractice insurance.

On - Call Room - On-call rooms, including bathrooms and showers are maintained for each service. Clean linen and towels are supplied on a regular basis.

Parking - (718)245-4941/2
Paid parking, on the campus, is available on a first-come first-serve basis. To register for parking go to the Parking Office in the "E" Building, First Floor.

Payroll Information - Payroll distribution for KCHC salaried Residents occurs bi-weekly on Thursdays. A schedule of distribution dates is available at the House Staff Affairs Office. Paychecks are distributed in the House Staff Affairs from 3:00 pm - 4:30 pm on Thursday, and from 8:30 am - 4:30 pm on Friday and Monday. In the event that you cannot pick up your check, it will be held in the Payroll Department, Support Office Building. Checks will be mailed if a "Request to Mail Paycheck" form is completed and presented, with a stamped, self-addressed envelope, to the House Staff Affairs Office. Direct Deposit is also available; to sign up for direct deposit contact Human Resources, T Building, 3rd floor, Room 316.

Uniforms - Lab coats are available in the Office of Environmental Services in the "E" Building, 1st floor. All KCHC paid residents should go to the House Staff Affairs Office for a lab coat verification letter before going to the "E" Building.

POLICY ON PHLEBOTOMY SERVICES:
Phlebotomy is an ancillary service that is provided by the hospital. The primary responsibility for this service lies with the Department of Nursing. After two failed attempts in one shift by nursing personnel, the physician is responsible for drawing bloods.
The proper procedure for obtaining phlebotomy services is as follows:

-The physician will request all labs on the order sheet
- The Physician orders labs on the computer system and specifies when the labs are to be collected.
- The physician will select an option from the left-hand side of the screen under the AInpatient@ heading.
-The physician is NOT to print labels as this signals to the computer that the labs have already been drawn
-The physician will communicate with the nursing staff that labs are to be drawn especially when IV=s are being started (to prevent repeat needle sticks) and when levels are to be drawn
- For tests or specimens that cannot be ordered on the computer, an order in the order book is appropriate
- All physicians, nurses and PCA=s have been issued keys that allow appropriate access for ordering labs and printing labels.
- Phlebotomy services are available in all areas of the KCHC campus including the Emergency Room, Operating Room, ICU=s (adult medical, surgical, neurosurgical, neonatal, pediatrics) and Adult and pediatric floors as well as the Nursery.
-Bloods for HIV testing, type and screen/cross match and drug level will be drawn by nursing personnel.
- ICU staff is credentialed to draw blood from established arterial lines.
-Every nursing station is equipped with a logbook that contains information on all specimens that cannot be collected. The phlebotomist who encounters difficulty must sign off that they notified the physician and the physician must sign once the situation is resolved.
- Phlebotomy Services are available at least once per 8-hour shift on all floors with the A-B-C complex.
- All nursing keys have access to collect non-blood specimens such as cultures, urine, stool, etc.

All problems regarding implementation of these procedures should be addressed to the charge nurse on the unit in question and if a satisfactory resolution has not been achieved, the nursing supervisor/A.D.N. should be informed.

REFER TO THE CIR MANUAL FOR CONDITIONS OF EMPLOYMENT.

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KINGSBROOK JEWISH MEDICAL CENTER (KJMC)
www.kingsbrook.org

Medical Director: Mohammad Zahir, MD
Personnel/Benefits: 604-5000

The Kingsbrook Jewish Medical Center provides general medical care, geriatric medicine, rehabilitative care, and surgical specialties through its inpatient and outpatient services. It maintains an outreach clinic and is planning several primary care initiatives. Its graduate medical training programs are being reorganized to provide an enhanced ambulatory care emphasis.

Kingsbrook support a nursing home facility with 538 beds. Currently, three free Kingsbrook sponsored residency programs and two SUNY Downstate integrated programs, totaling over 100 residents, are located at Kingsbrook.

Medical Library
The Medical Library is located on the lower level of the Masin Pavilion - Room 47
Library Hours: Monday-Friday 8:00 am - 6:00 pm
Saturday 9:00 am - 2:00 pm

Cafeteria
The Cafeteria opens: Monday through Friday from 7:00 am to 10:30 am for Breakfast; 11:00 am to 1:45 pm for Lunch; and it is CLOSED for Dinner. It is also closed on weekends and holidays.
I.D. Badges are issued to all employees. By law and Hospital rules, all employees are required to wear I.D.'s while on Hospital premises.

Parking - The Hospital has a parking lot that is available to KJMC employees. Parking is on a first-come, first-served basis. Because of the limited area, all employees cannot be accommodated.

Salary checks may be picked up in your respective Department every other Thursday, unless indicated otherwise. Vacation checks must be requested a minimum of four weeks in advance.

Uniforms (jackets) will be issued to you at the start of your service with the Hospital. The Hospital will provide laundering services, mending and replacements of issued uniforms through the Linen Department at Extension 5725.

SEE THE KINGSBROOK HOUSE STAFF MANUAL FOR HOSPITAL POLICIES AND PROCEDURES AND INFORMATION ON CLINICAL AND ANCILLARY SERVICES.

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LENOX HILL
www.lenoxhillhospital.org

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LONG ISLAND COLLEGE HOSPITAL (LICH)
www.lich.org

Clinical Associate Dean: Edmund Giegerich, M.D. (718)780-4797
Personnel/Benefits Office: Donald Denninger (718)780-1771
House Staff Office: Maryanne Brown (718)780-1551

The Long Island College Hospital is a 515 bed voluntary acute care hospital located in the Brooklyn Heights area. The hospital is a prime teaching affiliate of SUNY Downstate was the College of Medicine's predecessor institution. LICH is a full service hospital with over 22,000 discharges including 3000 deliveries, 54,000 Emergency Department visits including 15,000 to the Pediatrics ED, and 170,000 other ambulatory care visits per year.

The educational programs which support undergraduate medical education include free-standing residencies in Internal Medicine, Pediatrics, Obstetrics/Gynecology, Diagnostic Radiology, Allergy and Immunology, and Dentistry. The regional chairmen of the SUNY Downstate Departments of Otolaryngology and Ophthalmology reside at LICH. In addition, the hospital supports graduate medial education with integrated programs in Surgery, Anesthesiology, Neurology, Orthopedics, Urology, Neonatology, Rehabilitation Medicine, Radiation Oncology, and Family Practice. Fellowships in Cardiology, Gastroenterology, Hematology/Oncology, Pulmonology, and Nephrology enhance the opportunities in undergraduate and graduate medical education.

The clinical facilities include a 1.5 tesla GE MRI, 2 CT scanners, including a spiral scanner, a new neuro-vascular and interventional room, a cardiac catherization lab, advanced technology stereotactic mammography, a state of the art ultrasound Lithotriptor, a very large Ambulatory Surgery program, a level III Neonatal intensive Care Unit, a managed-care oriented Family Care Center, the Avram Kidney Center, the largest hospital-based ambulatory kidney dialysis center in New York, the New York Center for Bloodless Medicine and Surgery, and a new ambulatory Lamm Institute for children and Adults with Developmental Disabilities.

PATIENT SUPPORT SERVICES
Intravenous/Phlebotomy - The Department of Nursing has well-trained nurses which will perform inpatient intravenous/phlebotomy services 24 hours a day and 7 days a week. When an order is made by the physician, the nurse attending the patient will expedite the services requested or call for assistance at Nursing Administration if the services requested are unable to be done from the Nursing unit available.

Messenger/Transporter - The Department of Logistics assists all departments with messenger/transporter 24 hours a day, 7 days a week. The departments must call the main office at 4773 and the dispatcher will expedite the request accordingly as soon as possible.

Laboratory Services - The Department of Pathology has a Rapid Response Lab which does chemistries, hematology and blood bank. They have full services in anatomic pathology including cytology, fine needle aspiration, surgical pathology, and needle aspiration. Pathologists interact with clinicians at numerous teaching conferences monthly for the residents of those clinical departments such as Medicine, Ob/Gyn, Pediatrics, etc. They provide services 24 hours a day, 7 days a week with the exception of anatomic pathology, which services are only available Monday through Friday from 8:00 am to 5:00 pm.

INFORMATION RETRIEVAL SYSTEMS:
Laboratory: There is a computer response system called Fax Back on CoPath in place where information is accessed through passwords.

Medical Records: 24 hours staffing is provided to retrieve medical record for continuity of patient care services.

Radiology: Reports and copies of x-rays are available upon re1quest in the Radiology File Room located in the Basement of the Fuller Bldg. X-rays are signed out and returned when done and reports are just printed out and given. Reports are automatically sent to the referring physician via mail once completed by technician.

INFORMATION FOR HOUSE STAFF:
House Staff Association: The House Staff Association was established in 1969. Officers are elected each June. The Association President is invited to the Medical Executive Committee, and to hospital committees concerned with education, patient care, and house staff affairs.

Vacation and Leave: House staff physicians are entitled to four weeks of vacation during the contract year. In addition, physicians are entitled up to 12 sick days per contract year. All leave or vacation must be scheduled in advance and approved by the Chairman of the physician's department.

Personal Insurance Coverage: The Hospital provides the following comprehensive coverage for the physician, spouse and children under the age of 19: health insurance including medical expenses and hospitalization, prescription, dental and optometry benefits, accident and group life insurance, disability insurance, and a tax-deferred annuity plan. The hospital offers a fifty percent discount on hospital charges to other members of the physician's family.

Malpractice Insurance: Insurance is provided the house staff physician that covers their clinical activities at the hospital, off-campus ambulatory sites, clinical rotations at other training institutions and other locations as approved by the hospital.

Food Service: The LICH Café is open to all Employees, House Staff, and Visitors. It is located on the Second Floor of the Fuller building. The hours of operation for food are Monday through Friday 6:30 am to 2:00 pm. The sitting and vending area is open 24 hours a day, 7 days a week. There is also Au Bon Pain located in the 1st floor of the Fuller Bldg by the Lobby of the hospital, which is now open 24 hours.

Parking: The current employee parking locations are at Sedgwick and Columbia Street and Baltic Street. Each location is on a first come first serve basis. The hours are as follows:

Sedgwick and Columbia Street - Mon to Fri from 5:30 am to 6:30 pm
Baltic Street - Mon to Fri 5:30 am to 12 am

There is also the LICH parking garage located on Hicks Street and Atlantic Avenue, which is open 24 hours per day and 7 days a week. Parking at this location is for employees with monthly permit only. On evening and night shifts during the week from 10:00 pm to 9:00 am and all shifts on weekends and LICH Holidays, parking coupons are accepted.

Off-hour escort service - Security will escort upon request

Shuttle bus service - Metro One operates a free shuttle to and from the hospital parking at Sedgwick and Baltic Street parking lots. The shuttle is identified by Metro One Logo on the buses, and uniformed employees operate them. Check with the drivers for the shuttles exact hours of operation.

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LONG ISLAND JEWISH (North Shore)
www.lij.edu

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LUTHERAN MEDICAL CENTER (LMC)
www.lmcmc.com
Medical Director: Steven Salvatti, MD 718-630-7380
Personnel/Benefits Office: 718-630-7280

Lutheran Medical Center, located in the Sunset Park/Bay Ridge area of Brooklyn, is a major teaching affiliate of SUNY Downstate and Clinical Campus for Primary Care Education. Services include a 501 bed hospital, a 240 bed nursing home, a comprehensive primary care delivery system and school health program, housing and social support services for older adults, community and educational programs. The Medical Center has over 18,500 admissions, 3000 deliveries, 45,000 emergency visits and 360,000 ambulatory visits annually. LMC sponsors fully accredited residency training programs in Family Practice, Internal Medicine, Obstetrics & Gynecology, Dentistry and Podiatry. The Medical Center also participates in integrated residency programs in General surgery, Pediatrics, Radiation Oncology and Thoracic Surgery. Lutheran Medical Center is very active in the education of medical students and offers a variety of third year clinical clerkships and fourth year electives to SUNY students, as well as an Introduction to Clinical Medicine course for second year students. Lutheran also participates in a program which introduces medical students to primary care beginning in the early years of medical school. Benefits - It is the Medical Center’s Policy to provide all of its employees with benefits consistent with community practice. To this end the Medical Center has developed a benefit package which it provides to all House Staff employees working at least 37. 50 hours weekly. These benefits are itemized below.
Vacation - a vacation period of four weeks is granted to all residents and rotating interns. The vacation requests, which require the approval of the Director and/or Chief Resident, must be discussed with your Director and /or Chief Resident well in advance, so that the need of the service may be considered and conflicts avoided.

Sick Leave -In the event of illness or disability, the resident will be granted a maximum accumulation of 48 days. Sick days are earned at the rate of one (1) per month. After 6 months the resident has 6 sick days available. After one year the resident has 12 sick days available.

Professional and Parental Leave: Residents requesting maternity leave may use earned sick time and then N.Y. State disability for the period of time that the resident is disabled. Vacation time may be used with the approval of the Departmental Director. Residents requesting paternity leave will be granted such leave in accordance with Medical Center policy. Requests for leaves other than maternity or paternity will be evaluated in accordance with Medical Center policy.

Educational leave time for attendance at appropriate educational seminars shall be granted up to 4 days per contract year, with prior approval of their Department Director.

Malpractice Insurance- Professional liability insurance is provided by the Medical Center. This coverage will provide legal defense against awards from claims reported or filed during and/or after the completion of training if the alleged acts or omissions of the resident are within the authorized scope of the residency program.

Health Insurance Benefits - The Medical Center offers insurance plans for residents and their eligible dependents covering Hospitalization, Medical Care, Dental Care and Prescription Drug benefits. There are several plans to choose from, and they will be outlined during the orientation process. The monthly premiums for the heath insurance plans will be deducted from the first two paychecks of each month on a pre-tax basis. This means your contribution will not be subject to Federal, State or Local taxes. The resident will also have the following benefits at the levels indicated below:
Optical Program - $45. Every two years for the resident, spouse and dependent children.
Long Term Disability - 60% of salary up to a maximum of $1500/month.
Supplemental Disability - to provide a maximum disability benefit of $215. Weekly.

Reporting for Duty, Coverage and Absences - Specific duties, assignments, duty hours and call schedules will be under the direct control of the Department Director. Members of the house staff shall not leave the Medical Center while on duty without the express permission of their Chief Resident. All residents when on call must be physically present in the Medical Center at all times.

The Medical Center will provide on-call facilities without charge for house staff members who are on evening duty.

Members of the house staff who become ill are required to report this fact oat once to their Chief Resident before going off duty. If you are ill or otherwise unable to come to work, notify your Chief Resident and the Medical Education Office.

Meals - Low cost meals may be purchased in the hospitals cafeteria on the first floor. The cafeteria is open Monday through Friday as follows:
Breakfast
7:30 a. m. - 8:30a.m.
Lunch
11:00 a.m. - 1:30 p.m.
Dinner
4:00 p.m. - 6:00 p.m.
It is the responsibilities of the employees who are utilizing the cafeteria to maintain it in a clean and sanitary manner. Adequate receptacles have been provided to help in properly disposing of all papers, cans and other waste material. The coffee shop is located on the main lobby floor. Vending machines are available to provide snacks and beverages.
Parking - If you are parking your car on or around Medical Center owned property, you must obtain a parking sticker from the Security Office on the first floor. Parking is available on the 56th Street lot which is privately owned however there is a discount for LMC employees. If you have MD license plates, street parking is available in designated areas around the perimeter of the hospital.
Paycheck Procedure- Residents receive their paychecks every other Thursday. Residents must pick up their paychecks in the Department of Medical Records, located on the Lobby level.

Uniforms/Scrubs/Laundry Service/Dress Code - Uniforms, including scrubs and laundering are provided by the Medical Center. The Medical Center’s Linen Service Department will provide lab coats and laundering free of charge. The Linen Department, located on the first floor near Second Avenue, is open Monday to Friday between the hours of 8:00 a.m. and 4:00 p.m. Scrub suits provided for residents are to be worn only when on in the Medical Center. Scrubs suits are to be worn with a white coat when the residents are not in direct performance in the Operating Room or Delivery Room. No house staff member is to wear his/her scrub suit outside
of the Medical Center. Appropriate dress if expected of all house staff. Attire shall be consistent with the professional environment and image of the Medical Center. Dungarees and sneakers are not acceptable.
Beeper -Each resident will be issued a pocket pager (beeper). It is the residents’ responsibility to return the beeper to Data Processing at the completion of the residency program. If the beeper is lost or damaged beyond repair, the resident will be responsible for replacing it at one half the current replacement cost.
Physical Examination Requirements - All members of the House Staff are required to have an initial physical examination before assuming their duties, and to complete an annual health reassessment, each year thereafter. Failure to complete a history and physical reassessment may result in removal from the program until the reassessment has been completed. Further testing and/or immunizations will be performed by the Occupational Health Service in accordance with New York State Hospital Code requirements.
Identification Badges - I.D. Badges must be worn at all times while in the Medical Center or any of our off-site locations.
Medical Library- The Medical library is open seven days a week, with evening hours during the week. Access to the library during hours the library is closed can be arranged through the administrator on duty. The library collections consist of books, journals and a wide variety of audiovisual materials. Residents have on-line computer access to Medline, CDPLUS, AIDS line, Cancerlit, Psychlit and Health Administration and Planning literature. Residents can purchase books through the medical Library at a discount. The Medical Center will make sure that there are current PDRs on some nursing units and that either Harrison’s or Cecil will be available in one of the Critical Care Units.

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MAIMONIDES MEDICAL CENTER (MMC)
www.maimonidesmed.org

Clinical Associate Dean: Kathryn Lane (718)283-8353

Personnel/Benefits: (718) 283-7510
Maimonides Medical Center is an urban acute care hospital providing emergency, primary, secondary and tertiary care services to the communities it serves. The history of Maimonides Medical Center spans a period of over eight decades. It was originally founded in 1911 as the New Utrecht Infirmary in the rural settlement called Brooklyn. Brooklyn would eventually become New York City's largest borough and one of the largest cities in America with a population of over 2.3 million. Maimonides as we know it today was a product of a 1947 merger of two hospitals, Beth Moses and Israel Zion Hospital. It is a not-for-profit, non-sectarian, voluntary hospital affiliated with the Federation of Jewish Philanthropies.

Maimonides is located in the Borough Park section of Southwestern Brooklyn. With 24 fully accredited residency and fellowship programs, 700 full-time and voluntary faculties; over 350 residents and fellows and approximately 800 medical student rotations per year, it is one of the largest independent academic medical centers in the United States. It is a major teaching affiliate of both the State University of New York Health Science Center at Brooklyn and the New York College of Osteopathic Medicine, providing valuable clinical experiences for medical students.

RESIDENT BENEFITS AND SERVICES
Vacation: Residents employed by Maimonides receive 20 paid vacation days per contract year.

Malpractice insurance, disability insurance: Maimonides Medical Center provides residents with professional liability insurance coverage, while the resident is acting within the scope of assigned Program activities, consistent with the coverage provided to other medical/professional practitioners. Short Term Disability, Worker’s Compensation Insurance, Voluntary Group Long Term Disability Insurance, Group Life Insurance are provided for residents.

Health insurance benefits for residents and their families: Effective the first day of employment, residents are covered by a comprehensive benefits package which includes hospitalization and major medical, pharmacy services, dental benefits, flexible spending accounts for health and dependent care, and a 403(b) savings plan

Professional, parental, and sick leave benefits: Residents employed by Maimonides are eligible for 12 sick days per contract year. Maternal, Paternal, Family, and Professional Leave are available through departmental arrangements.

Housing, parking, meal, on-call quarters, day care and laundry: Limited subsidized housing is available only to residents in programs sponsored by Maimonides. Linen services for scrubs and jackets are provided to residents free of charge. Residents can buy discounted parking vouchers at the cashier’s office located in the Gellman lobby. The MMC parking garage is located on 10th Avenue between 47th and 48th Street. When on call residents receive meal coupons and parking vouchers from their respective department. The hospital cafeteria serves kosher food only and is located on the fifth floor of the Administration Building. The cafeteria is open from 7 am to 9pm Mon-Thurs., and Friday 9 am to 3 pm.

Paychecks/payroll information: Resident’s respective departments distribute paychecks every second Wednesday after 3 pm. Available are direct deposit and an automated teller machine located in the main lobby of the Gellman building.

Uniforms: After registering with Academic Affairs, located at 903 49th Street, rotating residents will be issued white coats and scrub suits by linen services as needed.

Pagers: Pagers are assigned to residents by Telecommunication, located on the first floor of the Administration building. Rotators are expected to use the beepers assigned by their home institutions.

Physical Examination Requirements: Residents employed by Maimonides are required to have a physical exam, laboratory tests, and PPDs through Employee Health Services. Rotator’s home institutions should have this information on file and readily available if requested.

Identification Badges: Residents must wear their Maimonides I.D. Badges at all times. Rotating residents receive I.D. Badges from Security after registering with Academic Affairs, located at 903 49th Street.

Contacts for the following relevant hospital policies and patient services:

Hospital Admission, Transfer and Discharges Policy Dr. Kopel 283-7088
Hospital Cardiac Arrest Policy Dr. Shani 283-7485
Hospital Infection Control Robert Yost 283-6883
Hospital interpreters for non-English speaking patients Volunteers 283-3980
Counseling Service Kathryn M. Lane 283-8245
Hospital Medical Records Roy Gomez 283-8646
Hospital Nursing Service Department Sondra Olendorf 283-7556
Hospital Nutrition & Dietary Services Alvin Steinfeld 283-7141
Hospital Organ Donation Dr. Kopel 283-7088
Hospital Pharmacy Fred Cassera 283-7205
Hospital Radiology Services Dr. Beltran 283-7115
Hospital Social Work Services Madeline Rivera 283-8320

REFER TO THE MAIMONIDES MEDICAL EDUCATION HANDBOOK FOR HOSPITAL POLICES AND PROCEDURES. A COPY CAN BE OBTAINED FROM THE OFFICE OF ACADEMIC AFFAIRS.

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MEMORIAL SLOAN-KETTERING CANCER CENTER
www.mskcc.org

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OUR LADY OF MERCY MEDICAL CENTER
www.olmmc.com

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ST. JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE
www.ehs.org

Clinical Associate Dean: Sheldon Markowitz, MD (718)869-7672
Personnel/Benefits (718)868-7650

St. John's Episcopal Hospital, the only multidisciplinary teaching hospital on the South Shore, serves more than 100,000 residents of Queens and Nassau each year including a large geriatric population. The 306-bed, modern facility houses a cardiac nuclear scanner, Doppler echocardiograph, CT scanner, a DEXA Scanner, a Coronary Care Unit with computerized cardiac monitors, and, for patients who need eye surgery, an ophthalmologic microscope with state-of-the-art lasers. St. John's Episcopal Hospital has a pediatric immunology service, an ambulatory surgery Unit, digital subtraction angiography units, and a chemical dependency unit. The Emergency Center is an accredited Emergency Heart Care Station and 911 receiving hospital.

Description of Benefits Provided to House Staff:
Food Service – Breakfast and lunch are available in the cafeteria. Food vending machines are available at all times. The Coffee Shop is open Mon - Fri. 7 am -7 pm

Paychecks -Paychecks are distributed in the department every other Thursday and direct deposit is available.

Parking - There is an employee parking lot available to House Staff across the street from the hospital which is free with presentation of ID.

Counseling - The Employee Assistance Program is available at St. John's for counseling.

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STATEN ISLAND UNIVERSITY HOSPITAL (SIUH)
www.siuh.edu

Clinical Associate Dean: Thomas G. McGinn, M.D. MACP
Personnel/Benefits Office: (718) 226-8114

Staten Island University Hospital offers residency training in a modern and well-equipped medical facility with a diverse patient population and a high-quality teaching staff. It is situated on an 18-acre campus and includes 25 conference rooms, active research laboratories and an advanced clinical information system. The hospital is a major affiliate of SUNY-HSCB and each year over 400 medical students are assigned to University Hospital where they rotate through the various clinical departments.

University Hospital is a 765 bed, voluntary, non-profit, acute care hospital which has earned its place among the leading health care facilities in the northeast. Since 1989 University Hospital has added a 55,000 square-foot, free-standing ambulatory care pavilion and an ambulatory cancer center-the first of its kind in New York State; it is a pioneer in stereotactic radio-surgery, and has introduced radioactive seed implantation programs to treat prostate and lung cancer. A new six-story cardiac tower houses our cardiothoracic surgery program, invasive and angioplastic coronary laboratories, CCU, ICU and an electrophysiology laboratory. SIUH has a modern sleep disorders center and has instituted a bone marrow transplantation program. Each service is supported by an academic faculty committed to high-quality patient care, education and research. University Hospital has over 30,000 admissions annually and nearly 150,000 ambulatory visits to the Emergency and Ambulatory Care Departments.

DESCRIPTION OF SERVICES PROVIDED TO HOUSE STAFF:
Cafeteria: The cafeteria hours are 7:30 A.M. to 7:30 P.M. The steam table, grill, deli bar and salad bare are available from 11:00 A.M -2:00 P.M. and 4:00 - 7:30 P.M. Food vending machines and microwave ovens are available 24 hours a day in the cafeteria.

Child Care: Kinder Care has been the contracted child care provider for employees since 1988. They provide Montessori education for children two years old through kindergarten. Call (718)667-6222 for more information.

Employee Assistance Program (EAP): The EAP is a free, short-term counseling and referral service available to employees and their families to help resolve personal problems before they affect health, family or job. An experienced professional can provide help to understand and overcome problems with stress, marital and family difficulties, alcoholism and drug abuse, depression, financial pressures and other personal problems. The EAP can be reached at (718)351-9798 and is located at 1817 Hylan Boulevard. The hours are Monday-Friday 9:00 am - 5:00 pm.

Employee Health Service - Each house staff member is required to complete a health assessment and PPD testing. Chest x-ray, PPD and other testing may be required at initial or other visits. Hepatitis B vaccination will be offered without charge on request. Residents are required to contact the Employee Health Service following any blood or body fluid or any other potential infectious disease exposure and regular annual assessments are mandatory. The service is open Monday through Friday, 8:30 A.M. to 4:30 P.M. at 500 Seaview Avenue. The Employee Health Service nurse can be called at (718) 226-9004 or 9425, or the physician director at (718)226- 8162.

Health and Related Benefits: House staff is insured in a medical plan which includes coverage for hospital, surgical, medicine, vision and prescription drugs. Long-term disability insurance which covers up to 60% of earnings until age 65 (max. $5,000 per month) is provided, and Life insurance - $100,000.

Housing - House staff members are able to secure desirable living quarters on Staten Island.
Library Services: North Site: The Main Library is located next to Administration, room 1-1-23. Staffed library hours are Mon-Fri, 9 am - 5 pm, although the library is accessible after hours and on weekends (security personnel will let you into the library and computer room). A new two story Medical Education Center with a new and expanded medical library, a 300 seat auditorium and five conference rooms will be constructed at the North Site in 2003.

South Site: The library is located on the first floor, next to the main conference room. Staffed library hours are Monday and Friday, approximately 10 am - 3 pm (volunteer staffs library). The library is accessible 24 hours a day by obtaining the door code from the security personnel.

On-Call Room and Key - On-call quarters are assigned to the resident within the hospital. Combination code access to all house staff on-call rooms will be given to house staff during Orientation, along with assigned lockers and keys which will enable personal belongings to be secured.

Parking - House staff parking is available at no charge in the employee parking lot. The automatic gates are controlled by a magnetic strip on the employee identification badge. ID badges are provided by the Security Department during Orientation.

Paychecks - Pay is distributed every other Thursday. Direct deposit banking is encouraged. All house staff should check with their Department Administrator for information regarding direct deposit. An ATM machine is available in the cafeteria 24 hours a day.

Professional Liability Insurance: Residents in graduate medical education programs at SIUH are provided with professional liability coverage for the duration of training for activities related to assigned house staff activities. The coverage is under the Hospital’s occurrence policy and provides for protection and legal defense for claims reported or filed after the completion of graduate medical education, if the alleged acts or omissions of the residents are within the scope of the education program.

Security - For Security assistance, dial operator. To deal with specific other problems, utilize the SIUH telephone directory for phone numbers of departments.

Identification Cards - Identification cards are issued during in-processing. Policy requires that identification cards be presented for access to the Hospital and that employees wear identification cards while on the premises.

Escorts - Security escorts are available within the hospital as well as to parking lots and residences immediately adjacent to the Hospital. Please call Security at extension 8419 to arrange for an escort.

Property Passes - Property and equipment removed from the Hospital Must be accompanied by a property pass. Passes for property can be obtained from the department secretary and should be signed by the appropriate department administrator.

Shuttle Service - Shuttle Service is available at no charge to house staff on rotation to other facilities.

Telephone and Page System - The Communications Department is notified of incoming house staff by the Residency Coordinator from each department. Beepers are distributed by Residency Coordinators. The beepers are loaned to house staff members, each with its four digit beeper number. House staff is asked to sign for their beeper and they are responsible for its loss. House staff are to see appropriate department staff for any necessary beepers, batteries or repairs.

Uniforms and Laundry - Each house staff member will be issued long white coats, which will be stored and laundered by the uniform room the second floor. Green and blue scrub suits are for exclusive use of surgical and Ob/Gyn staff respectively in the operating room. Soiled long white coats may be exchanged for clean ones on a one-for-one basis when the uniform room is open (7:30 am to 9:30 am and 12:30 pm to 3:30 pm weekdays only - house staff are asked to anticipate their weekend needs).

REFER TO THE STATEN ISLAND UNIVERSITY HOSPITAL HOUSE STAFF MANUAL FOR HOSPITAL POLICIES AND PROCEDURES AND INFORMATION ON CLINICAL AND ANCILLARY SERVICES.

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VA NEW YORK HARBOR HEALTHCARE SYSTEM (NYHHS)
www.va.gov/visns/visno3/brooklyninfo.asp

Clinical Associate Dean: Andrew Adler, MD 630-3518
Personnel Benefits Office 630-3661

The VA New York Harbor Healthcare System (NYHHS) was formed in January 1999 with the integration of the Brooklyn VAMC and the New York VAMC. Integration efforts while well underway are not complete. NYHHS is part of the twenty-two Veterans Integrated Service Networks (VISN) that exist nationally and one of the 144 medical centers and health care systems in the nation. NYHHS belongs to VISN 3 which includes five medical centers and health care systems located in the southern New York and New Jersey area. A number of services provided by NYHHS have been consolidated with one or more medical centers in the VISN.

FACILITIES
Cafeteria
The cafeteria is located on the 1st floor and is open seven days a week. Monday-Friday hours are 7:30am-6:00pm. Saturday, Sunday and holiday hours are 9:00am-3:00 pm. Scrub suits are not allowed. Meal tickets are accepted. Meal tickets for medical house staff on call can be obtained on the day of call or the Friday before the on-call weekend at the Medical Service Office, 9th floor, Rm. 970, 8:00am-4:30pm. Meal tickets are not transferable.

Medical Library
The library is located on the 2nd floor and is open weekdays, 8:00am-4:30pm. The library can be used after hours and on weekends by signing out the key to the library with the telephone operator on the 1st floor. The resident must present his/her ID in order to obtain the key.

Medical Media Production Service
Medical Media Production Service provides professional, high-quality visual material in support of teaching, research and publication projects at BVAMC. Services can be requested by submitting a Medical Media Production Service Request (SF 10-2723) signed by the service or section chief. Requests should be submitted well in advance of the date required.

OD (ON-DUTY) ROOMS
A limited number of OD rooms are available for overnight use by on-call students and house staff. These rooms must be kept in neat order. Under no circumstances should patient records, laboratory specimens and the like be kept in these rooms. The Chief Medical Resident makes periodic inspections to ensure that the rooms are in proper order. There is a strict no smoking policy adhered to throughout the facility. This policy also applies to OD rooms.

POLICE AND SECURITY SERVICE
VA police are responsible for providing a safe environment for patients and employees.

ID CARDS
ID cards are issued Monday-Friday, 9:30am-11:30am and 2:00pm-3:00pm. Exceptions will be made. Call ext. 3548 for further information.

PARKING
Parking on the grounds is by permit only. Permits are issued only to personnel possessing a valid ID card and can be obtained at the Police and Security Service Office, 8:30am-4:00pm. Illegal parking carries a stiff monetary penalty.

REFER TO THE BVAMC HOUSE STAFF MANUAL FOR HOSPITAL POLICIES AND PROCEDURES AND INFORMATION ON CLINICAL AND ANCILLARY SERVICES. SEE YOUR CHIEF RESIDENT FOR A COPY OF THE MANUAL

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UNIVERSITY HOSPITAL OF BROOKLYN
www.uhb.org

Interim Medical Director: Robert P. Jacobs, MD, MBA (718) 270-4293
Liaison to the GME Office: Lagny Victor (718)270-7315
Personnel/Benefits Office: (718)270-1191
Resident Affairs: (718)270-4220

University Hospital (UHB) a 376 bed tertiary care academic center is the teaching and research facility of SUNY Downstate. Although established to provide accessible, technologically advanced, tertiary care clinical services, UHB offers significant amounts of primary care, preventive services and education programs through the ambulatory care departments, community outreach and its patient education services. It is the preeminent point of academic medical access for underserved minority patients. The hospital serves as a major training facility for nineteen graduate medical education programs with over 100 residents.

ADMITTING DEPARTMENT
Location 1st floor Telephone 270-2862

ADMISSIONS, TRANSFERS AND DISCHARGES
University Hospital Policy:

1. In conjunction with the appropriate Clinical Department, personnel in the Admitting Department will be the final arbiter of bed assignment when other more appropriate beds are not available.

2. The Admitting Department will, when possible, assign patients to the nursing station designated for the service for which the patient is assigned.

3. In the event the service is full, the Admitting Department may, at its discretion, assign patients to empty beds on another service, and will work with appropriate clinical departments towards this end, notifying the appropriate covering physician staff.

4. In the event that the Admitting Department assigns patients to beds of another service, those patients shall be transferred to the proper service at the earliest possible opportunity. It is clearly understood that the Admitting Department will use its discretion in implementing the above and that the clinical services will regulate their own activities so as to keep patient overflow within services to a minimum. At no time shall the certified bed count be exceeded.

Procedure: University Hospital Admission
1. Patients to be admitted to University Hospital will be admitted by a member of the medical staff of University Hospital, or the responsible resident on the appropriate service, who will contact admitting staff to make a reservation for a patient's admission.

2. Elective Admissions
The Pre-Admission Reservation staff will initiate a Reservation/Pre-Admission Testing order form (UH-1-92) at the time of reservation. Staff will contact the patient for information needed to complete pre-registration information as necessary. A Financial Screening/Verification and Pre-Authorization processes takes place at this time.

The Pre-Admission staff will prepare, in advance a patient folder which contains: reservation form, pre-admission questionnaire UH-12-85, financial screening forms as necessary and PAT test results which shall be put together by PAC/Financial Screening Staff in an active file. This information shall be entered into the computer system to create a pre-admission record.

3. Urgent Emergent Admissions
A reservation shall be made by the attending physician or designee. Admitting will contact the floor to notify it of the admission. When possible, admitting staff will contact the patient by phone to gather pre-admission information. When this is not possible, patient will arrive at the hospital and be directed to a bed accommodation. A bedside interview will take place.

4. For elective patients and/or for urgent/emergent, when possible the admitting representative will complete the computer admission procedure, and prepare the General consent form and other necessary papers to be signed, notify the floor that the patient is being admitted while giving the anticipated time. The admission record shall be pre-printed for those patients who were pre-registered. An interim Face Sheet shall be completed.

5. In those who were not pre-registered, upon arrival, the patient must show one piece of personal identification with his/her home address indicated. This is in addition to his health insurance documents.

6. To assure a seamless admission process, all patients who have been scheduled for inpatient admission shall upon arrival to the admitting department be issued: patient I.D. band, be escorted/directed to the patient care unit with a completed Admission Record or, (for un-registered patients) an Interim Face Sheet.
These patients who arrive with an Interim Face Sheet will be visited by an Admitting Representative who will complete a bed side interview, and then return to admitting department to process the paper work and send final Admission Record to the patient care unit.

7. Emergent/Acute - If applicable, the patient's clinic or previous admission chart must be requested from medical records by the nursing station clerk. Admissions from Acute Care Receiving Center will be assigned an appropriate bed after consultation with the attending physician.

8. University Hospital Transfers

Transfers initiated by the professional house staff or nursing staff shall be requested to and approved by the Admitting Department Control Office ext. 2862.
Transfers initiated by the Admitting Department for the purpose of making beds available for incoming patients shall be done in consultation with the nursing staff and other professional staff. However, such transfers shall be denied only on the basis of extreme circumstances, i.e. unavailability of support staff. All transfers shall be accomplished as early in the day as possible.
For transfer to and from PPS Exempt units refer to ADM-16

9. Expirations

- Admitting Department is notified immediately of patients’ death.
- Physician completes Expiration Package and Death Summary. Expiration Package and chart must be sent to Admitting within an hour. If the chart is not ready, then send Expirations Package. Patient‘s chart must be sent to Admitting by the end of the shift.
- Death certificate is completed in Admitting Department by the end of the shift.
- When appropriate, Medical Examiner (ME) should be called. If cause of death is undetermined, refer to ME Guidelines.

University Hospital Discharges
1. The discharge time is 10:00 A.M.
2. All patients scheduled for discharge must be prepared to vacate their bed by 10:00 A.M.
3. 24 hour discharge notice is required.
4. Patients must receive a 24 hour anticipated discharge notice.

CREDENTIALING DOCUMENTATION
It is SUNY Downstate's policy, in compliance with the regulations of the New York State Health Codes (Part 405.4) that all residents accepted into SUNY-Downstate programs must provide credentialing documentation prior to their appointment as resident physicians.

Each year during the third week of June a credentialing fair is held for all new residents regardless of pay source. For those unable to attend the credentialing fair it is imperative that they contact the GME Resident Office at (718) 270-4221 or contact their program director.

The following original documents must be presented for review at or before the fair.

Completed Residency Application. One of the following is acceptable; National Resident Matching Program (NRMP) Universal Application, SUNY Program Application or Affiliate Hospital Application.
Original Medical School Diploma.
Official Medical School Transcripts, validated with the applicant's Medical School Seal.
A minimum of two (2) letters of reference. These must be in English or accompanied by certified translations*.
Original proof of citizenship or legal employment status (copy of passport, birth certificate, naturalization papers, alien registration card, J-1 Visa with IAP 66...etc.).
Original For all International Medical School Graduates an original current and valid ECFMG Certificate.
All other documents as required by the Department of Health and GME department guidelines.

*Translations: Any documents not printed in English must be accompanied by an acceptable, original translation, performed by a qualified translator, which includes all written and printed material on the original. Translation, performed by the applicant will be accepted only if it is verified by a qualified translator. Each translation must be accompanied by an Affidavit of Accuracy, in which the translator who performed or verified the translations affirms, having read the completed translation, that the entire document has been translated, that nothing has been omitted or added, and that the translation is true and correct. An original translation can be returned to the applicant only if a photocopy of the entire translation, including the Affidavit of Accuracy is submitted. Translation and qualifications of translators are reviewed on an individual basis. Examples of qualified translators are:
An officer or employee of an official translation bureau or agency, which are usually listed in classified telephone directories.

A professor or instructor who is teaching the translated language in an accredited college or university in the United States. The type of course being taught must be included in the Affidavit of Accuracy, which must be on official school stationery and notarized.

UNIVERSITY HOSPITAL BENEFITS
Health Insurance - The cost of coverage is dependent upon the plan chosen (see below) and whether individual or family coverage is selected. Coverage becomes effective on the 43rd day of employment. Failure to enroll in a Health Insurance Plan within the first forty-three days of employment will result in an additional ten (10) week-waiting period following the employee’s completion of enrollment forms.

Empire Plan:
Hospitalization: Blue Cross - 365 days semi-private hospital accommodations for each spell of illness.

Major Medical (Participating Provider)
For office visits to a Participating Provider, you will be responsible for paying the first $10.00 (co-payment) to the provider. The plan will pay the balance of the charge.
Major Medical (Non-Participating Provider) Non-Participating Provider Your major medical coverage has to meet an annual deductible. The major medical deductible is $283 for an employee, $283 for covered spouse and $283 for all dependent children regardless of the number of children. Maximum family deductible is $849 annually. Maximum out-of-pocket co-insurance is $1824 annually.

Cost: Individual Coverage - $15.57 deducted biweekly on a pre-tax basis.
Family Coverage - $64.68 deducted biweekly on a pre-tax basis.

Health Maintenance Organizations (HMO's):
A Health Maintenance Organization offers pre-paid health care services. Each HMO offers you and your eligible dependents a specific package of benefits, including hospital and medical coverage. An HMO has a range of doctors and specialists within the HMO area. Expect for emergency services, you must use the HMO's provider unless you have authorization from the HMO to use non-participating provider. A variety of HMO’s are available to choose from; the HMO's for the Downstate region are HIP of NY, Aetna, U.S. Healthcare, and Blue Choice HMO. Also Vytra for employees living in Queens, Nassau, and Suffolk counties.

Prescription Plan: Provided by HMO or Empire Plan option prescription rate at $5.00 co-payment for a generic drug and $15.00 co-payment for brand name drug without a generic equivalent, $15.00 co-payment plus difference in cost for brand name with generic equivalent.

Union: University Hospital House Staff are represented by United University Professions (UUP) under agency shop legislation. Union dues or fees are deducted from each employee's paycheck at a rate of 1% of your salary.

Dental Insurance: (UUP Employees Benefit Fund/Delta Dental) Coverage is supplied by the benefit fund and becomes effective on the 43rd day of employment. The dental program provides payments according to a schedule of covered dental procedures. The payments are made for covered services performed by any duly licensed dentist.

Vision Care Plan: (UUP Employees Benefits Funds) This benefit fund provides coverage for employees and dependents. The plan allows the employee to receive an eye examination and two pairs of eyeglasses (lens and frames) every 24 months and dependents under the age of nineteen, every twelve months can receive one pair.

UUP Free Life Insurance (UUP Benefit Fund): UUP provides $ 6,000 in term life insurance for each member and agency fee payee at no extra cost. For retired members, the benefit is $1,000; the additional $5,000 may be purchases at the group rate by the retired member.

Free NYSUT Accident Insurance: All UUP/NYSUT members and agency fee payees are insured in the event of accident death or dismemberment.

Accidental Death: The coverage for accident death is $1,500. If death results from an accident involving a commercial passenger vehicle - that is, any air, land or water conveyance operated under a license to transport passengers for hire - then the payment is $3,000.

Dismemberment: For the accidental loss of both hands, both feet, the entire sight of eyes, one hand and eye, or one foot and the sight of one eye, the payment is $1,500. For the loss of one hand, one foot or the entire sight of one eye, the payment is $750. The coverage does not include any loss from suicide, attempted suicide, military service acts of war, or from acting as pilot or crew member of any aircraft.

Group Disability Insurance:
- Free to University employees
- Enrollment is automatic after 1 year of SUNY Service
- Benefits begin after 6 month total disability and they last until one of these events occurs:

1. You are no longer totally disabled; or
2. You attain one of these age or time limits:

Age when total Disability starts Maximum Duration of Benefits
Less than 60 years old to age 65
60 but less than 65 4 1/2 years
65 but less than 68 1/2 to age 70
68 1/2 and over 1 year

- Rate of benefit: A monthly income benefit equal to 60% of the covered monthly salary up to $5,000.

State Paid Tuition Benefits: The SUNY Downstate offers to its United University Professions (UUP) employees a number of tuition and fee assistance benefits. Contact Human Resources at 270-3018.

Vacation Days:
-Accrues 15 days per year at a rate of 1+1/4 days monthly.
-May be accumulated up to 40 days.

Sick Days:
-Accrues 15 days per year at a rate of 1+1/4 days monthly.
- May be accumulated up to 200 days.

CHAPLAIN SERVICES
The office of Pastoral Care of SUNY Downstate offers religious and other support services to patients, families, staff and members of the Downstate Medical Center community. The Pastoral Care team and religious services are as follows: (Please see Section II for services at other affiliate hospitals.)

The Interfaith Chapel (Room A1-347) is open 24 hours/7 days a week for everyone.

SERVICES:
Catholic:
Sister Karen O'Neill, CSJ, Chaplain,
Downstate Medical Center

Telephone: (718) 270-2594 (office) or
(Page operator) 270-2121

Date & Time: 12:05 Thursday (Mass)

Location: UHB Chapel, Room A1-347

At Kings County Hospital Center
Rev. Lucien Charlot/ Rev. Roger Bourgia S.M. Telephone: (718) 245-3141 (page operator)

Location: Pathology Building Chapel (1st Fl)

Date & Time: 12:05pm –Catholic Mass on Sunday, Wednesday, and Friday

Jewish:
Rabbi Myron Rakowitz, Chaplain,
Downstate Medical Center
Telephone: (718) 270-2594 (office)

or (718) 270-2121 (page operator).

Location: University Hospital Chapel, Room A1-347

Date & Time: Services are held for Holy Days, as posted outside the Chapel.

Protestant:
Minister Sharon Walker, Chaplain
Downstate Medical Center
Telephone: (718) 270-2594 (office)
or (718) 270-2121 (page operator)

• Intercessory Prayer
Date & Time: Every Monday 12:30 – 1:00 pm, 5:30-6:00 pm

•Prayer for Peace
Date & Time: Every Friday – All Day/Night
Location: University Hospital Chapel, A1-347

IN-HOUSE PAGERS (BEEPERS)
Pagers can be obtained from the Support Services Department. The Support Service Department is located in A1-359 of University Hospital. The hours are Monday - Friday 9:00 a.m. - 4:00 p.m. excluding weekends and holidays. Residents will need a letter from their department requesting beeper source.

Long Range: The type of page utilized is a digital read-out which the initiator of the page can dial into a touch-tone phone. A listing of personnel carrying long range beepers and their numbers is kept by the Page Operator (ext. 2121).

To Receive a Message:
A. When the pager alerts that a page is received, depress the button to read the page.
B. Return the call to the extension given. You must dial the extension and speak to the person by telephone

Broken Pagers:
All broken pagers must be returned to the Office of Hospital Administration immediately. A replacement beeper will be assigned by Hospital Administration. Beepers will be reprogrammed only in an emergency. Pager batteries are available in telecommunications (ALL1-526) each weekday between 8:00 am – 4:00 pm

UNIVERSITY HOSPITAL & SUNY CAFETERIAS
Hospital:
Monday - Friday 6am - 7:30pm Sat - Sun & Holidays 7am - 2:30pm
Hot meal vending machines stocked daily are available 24 hours a day in the cafeteria.

SUNY Student Center Courtyard Cafe -
Location: Student Center, 394 Lenox Road
Monday - Friday 6am - 10:30pm
Sat - Sun & Holidays 7am - 2:30pm

CARDIAC ARREST
Policy
University Hospital maintains a Cardiac Arrest Team for responding to cardiac arrests occurring within the hospital. There are two arrest teams: adult and pediatrics.

The Chairperson of the CPR Committee is responsible for the functioning of the Cardiac Arrest Teams.

Procedure: The following departments are members of the cardiac arrest teams:
Department Responsibility:
Security:
- Provide Crowd Control.
- Provide back-up arrest cart to the ground floor response team
Nursing:
-Assess patient and ensure all members of the team are present.
-Circulate, manages cart, assists with CPR, Complete C.P.R. Critique and forward to C.P.R. committee for review.
Anesthesia:
-ensure adequate oxygenation of patient during code.
-Maintain airway.
Respiratory Therapy:
- Provide technical support to anesthesiologist.
- Assists with airway oxygenation.
Critical Care Attending Physician
-Assumes responsibility for conduct of code.
AOD
-Provides administrative support for members of arrest team.
Surgical Resident/medical residents
-Assists with CPR.
The cardiac arrest teams are activated by calling X2323 for adults, or X4040 for pediatrics.

DENTAL SERVICES
The Department of Dental and Oral and Maxillofacial Surgery offer comprehensive dental treatment including emergency dental care.

EMPLOYEE ASSISTANCE PROGRAM.
The Employee Assistance Program (EAP) is a confidential referral, resource and assessment service which is available to all state employees (including residents on the SUNY Downstate payroll) and their families. The EAP can help an employee cope with personal problems which negatively affect their lives and which might intrude upon their job performance.

EAP does not provide direct treatment, but it can be a source of support and information concerning a variety of problems and concerns, including: emotional stress, family disintegration, alcoholism, drug abuse, financial and legal difficulties.

Using the services of the EAP is not a condition of employment. An employee can enter the EAP in several ways: self-referral, a suggestion from a colleague or family member, or a supervisor when a job performance problem has been identified.

EAP is a free, confidential (except where information is required by law to be disclosed), and voluntary. For additional information contact the EAP Coordinator, Lorraine Brooks at Ext. 1489. The EAP Office is located in the Health Science Education Building – Room 706.

EMPLOYEE HEALTH SERVICE
The Student Health Service is located in University Hospital and provides preventive and ordinary ambulatory medical care for all students and residents. For emergency health care, students should go to the Student Health Service or the Acute Care Receiving Center. For severe trauma, they are advised to go directly to the emergency room of Kings County Hospital Center, indicating upon arrival that they are students or residents of the SUNY Downstate Medical Center.

If a student or resident experiences a problem involving exposure to blood or body fluids, exposure to a contagious disease, or needle stick, he or she should report to the Student Health Service during weekdays from 9:00 am -4:30pm; All other times call 270-3896 for instructions. For further information see the UHB Policy and Procedure Manual.

INFECTION CONTROL
Location: Suite 1J and 1K at 440 Lenox Road Ext. 1940

The Infection Control Manual contains policies relating to isolation, infection precautions in high risk procedures, high risk areas, reportable diseases, environmental hazards and any other infectious prevention information that applies to specific areas. These policies are reviewed and revised if necessary and approved by the Infection Control Committee annually. This manual is available in all patient care areas, at every nursing station. Non-patient care areas maintain copies of their area specific policies. Its purpose is to guide and educate all hospital staff and personnel in matters relating to infection prevention and control.

Infection Control Manual updates are routinely distributed to all areas with an Infection Control Manual and to areas with specific policies as appropriate.
Please refer to the manual for proper isolation and precaution procedures or any other content area relating to infection prevention and control.
Isolation instruction signs are included in each isolation cart. The appropriate sign is placed near the door to the patient's room to notify hospital personnel and visitors when precautions are in effect.
Any questions which may arise concerning information contained in the manual or other infection control concerns should be addressed to the Infection Control Program, extension 1940.
The exposure control plan is available in all patient care areas and the GME Office. It provides vital information on procedures to prevent blood borne exposures.

INTERPRETERS
SUNY Downstate Medical Center University Hospital of Brooklyn utilizes in-house interpreters and the CyraCom International Telephone Interpretation System to ensure that all patients at University Hospital of Brooklyn can communicate effectively with their health care provider and to assist these providers in providing optimum health care.

In order to facilitate patient care, UHB will provide language interpretations to all patients who need it. In-house personnel who speak the language will be requested on site. “Foreign Language Employee Interpreters Roser”. There interpreters will be reminded that the conversation is confidential. If no one is available in house, CyraCom International Telephone Interpretation System can be assessed.

1. CyraCom International can be accessed 24 hours, 7 days a week.
2. To access the CyraCom International:
Instructions to access an interpreter
• On the language pad, press the blue "A" (Access) button. Listen for the Account # prompt.
• To enter account #, press the blue "B" (Account / Pin) button.
• Listen for language selection prompt.
• To Auto-Select a language, press the gray "Dial" button followed by the number (1-9) associated with the language listed in the chart at the top of the phone.
• Languages not listed on the chart require using the three-digit language code or spelling option.

Follow remaining prompts to confirm language choice.
3. CyraCom International Telephone Interpretation System is available in all patient care areas or contact the following:
Nursing Supervisors-Inpatient and Outpatient
Satellite Centers of Excellence FHS, Throop, Midwood & Dialysis Administrator-on-Duty

4. If any problems arise I regard to this product and accessing the CyraCom International Telephone System, the Patient Representative can be reached through the Page Operator (ext. 2121).

SUNY LEAVE DONATION PROGRAM
This program enables employees to donate vacation credits to employees who have exhausted their leave credits. The program provides for donations both within access bargaining units and among campuses. In order for an employee to be eligible, he/she must have completed one (1) cumulative year of state service, must be absent due to a non-occupational personal illness or disability for which medical documentation satisfactory to management is submitted as required, must have exhausted all leave credits and must be expected to be absent for at least to (2) biweekly payroll periods following exhaustion of leave credits or sick leave at half-pay (where applicable). The employee must not have had any disciplinary actions of unsatisfactory performance evaluations within his/her last three (3) years of state employment. Donations shall not cause the donor employee to have fewer that ten (10) days of vacation credits standing to his/her credit upon making such donation. Employees may not donate vacation credits which would otherwise be forfeited.
Further details concerning this program and application forms may be obtained from the Labor Relations Unit, Department of Human Resources, at 270-3019, or the local UUP union office.

MEDICAL RECORDS
Location: UH AB-415 - Ext. 2499

The University Hospital Department of Medical Records is responsible for the development and maintenance of medical records. Medical Records are used to ensure continuity of patient care, quality assessment, professional education, and evaluation purposes with due consideration of patients' right to privacy. Medical records are therefore kept confidential, secure, current, authenticated, legible and complete. The department can be contacted at extension 2499.

NURSING SERVICE DEPARTMENT
Location: UHB 3-311-312 - Ext. 1043

The Nursing Department provides patient care utilizing the team nursing delivery system. A Registered Nurse is assigned to each patient and is responsible for coordinating the patient's care. There are also LPNs and Hospital Attendants delivering patient care under the direction of the RNs. Communications regarding specific patients should be directed to the Nursing Station Clerk who can identify the RN responsible for that patient's care.

There is a head nurse on each unit who assumes responsibility for the quality of patient care delivered. Any problems encountered related to patients or nursing staff should be discussed with the head nurse as soon as possible. In most instances, there is a charge nurse on each shift. This RN is responsible for supervision of nursing staff and assumes accountability for the activity on that shift. It is appropriate to contact the charge nurse on evenings or nights to help resolve problems that occur on these shifts. If after discussing problems with the head nurse and/or charge nurse, you feel you need further assistance, the Assoc. Director of nursing responsible for the unit can be contacted.

Additionally, there is an Administrative Supervisor available on evening, nights, and weekends that should be used as a resource person to assist with resolution of problems and interpretation of policies and procedures.

All the nursing staff described is active members of the Health Care Team. The Nursing Department believes that this multi-disciplinary approach will ensure the attainment of our common goals: the administration of optimum safe patient care, emotional support to patients and families and the well being of patients after discharge from our institution.

NUTRITION AND DIETARY SERVICES
Location: ALL1 – 349A - Ext. 2080

The Department of Food and Nutritional Services provides food and nutrition care for patients at University Hospital. Registered Dietitians are responsible for optimizing the nutritional care of patients in accordance with prescribed diet orders. In addition, the Nutrition Care Manual is available at each Nursing Station to provide a quick reference for ordering diets for patients. A formulary card is available at request for all enteral and supplemental feedings.

Nutrition Care Assistants and tray passers assist with tray and nourishment delivery to the patients:

Breakfast: 7:30am - 9:00am
Lunch: 12:00am - 1:30pm
Dinner: 5:30pm - 7:00pm

Parental Nutrition - must be ordered through consultation with parental nutrition team at Extension: 2155.

OCCUPATIONAL THERAPY
Location: UH AB-421 - Ext. 2046

Occupational Therapy is the therapeutic use of purposeful activities in order to maximize a person's functional capabilities and independence by reducing the effects of disabilities caused by physical or psychosocial dysfunction.

Occupational Therapy services include evaluation and treatment for both inpatients and outpatients for the following services: Independent Living Assessment, Hand Rehabilitation, Splint Fabrication, Pre-Driving Advisement, Developmental Evaluation, Cognitive Evaluation and Remediation, Upper Extremity Assessment and Treatment for Muscle Strength, Range of Motion, Coordination/Dexterity, Psychiatric Inpatient Rehabilitation, Upper Extremity Prosthetic Training, Adaptive Equipment Assessment, and Burn Care follow-up. This is available by a psychiatry consultation.

ORGAN DONATION
In accordance with the provisions of the Request for Consent to an Anatomical Gift Law, more commonly know as The Required Request Law, the Medical Center is required to request organ and tissue donation from family members of a deceased patient. All request (whatever the outcome) must be documented on (1) Tissue Donor Criteria Worksheet and (2) on the Notice of Death form.

Any questions should be presented to the Administrator on Duty.

PARKING
On campus parking is extremely limited during the daytime. However, parking is available daily Monday to Friday from 2:30 p.m. to 8:00 AM the following day, and all day Saturday, Sunday and holidays in the E. 34 Street State garage at a reduced rate upon presentation of a valid Downstate ID card. Limited transient parking is also available at the HSCB Foundation parking lot which is located between Winthrop St. and Parkside Avenue. For information on pre-paid rates and hours, call the FSA Office at 718-270-3187, or visit their office in the Student Center, Room 203. Special parking arrangements will be made for disabled students and residents.

PATHOLOGY
Department of PATHOLOGY Laboratory Services Location UH A2-431
The Clinical and Anatomical Division within the Department of Pathology consist of twelve sections operating under the Director of Clinical Laboratories. The Anatomical Division is comprised of the following sections: Surgical Pathology, Neuropathology, Cytopathology, Adult Autopsy, Pediatric Autopsy, Histology, Histochemistry, Imunohistochemistry, Clinical Pathology. The sections of Clinical Pathology are Blood Bank, Clinical chemistry, Hematology, Virology/Serology, Flow Cytometry and Microbiology. The main laboratories are all located in the 2nd floor at UHB and 4th floor in the Basic Science Building. Satellite laboratories include the O.R. and O.P.D. laboratories, which provide limited services. The department also provides Venipuncture and Bedside Glucose Monitoring Programs

The Chair of the Department of Pathology has overall charge and responsibility for the Department. The Director of Clinical Laboratories monitors all medical aspects and maintains an ongoing Quality Assurance Program. The Director of Clinical Laboratories also coordinates the Pathology Residency Program. The department has a staff of pathologists, administrators, supervisors and chief of services. In order to support the clinician in treating the patient, the Department has on-call Pathology Residents and Attendings available for consultation. The section Chiefs, who are well qualified in their area of specialty and regularly interact with the Director of Laboratories for directions, consultations and improvement, supervise all the sections. Technical personnel in the Department are professionals who meet NY State Department of Education and regulatory requirements.

The laboratories provide services to meet the needs of the clinical staff for diagnosing monitoring and treatment of patients. The lists of tests are available at every nursing station. The ordering of most laboratory tests and retrieval of results is facilitated through the Laboratory Information System (LIS/Cerner). All residents are able to access the system once training is completed and a password is assigned. The preparation and dispensing of blood and blood products is provided by Blood Bank. The Surgical Pathology staff participates in interdisciplinary approaches to the care and treatment of the patient and provides inter-operative services.

The Clinical Laboratory Services operate from 9am to 5 pm, with the exception of Blood bank, Chemistry and Hematology Laboratories which operate twenty-four hours, seven days a week. The Microbiology Laboratory is open from 8 am to 7 pm, seven days a week.

CLINICAL LAB SOURCES STAFF DIRECTORY
Dir of Clinical Laboratories 4521
Clinical Laboratories Admin Office 1684
Blood Bank Laboratory 2654
Central Accessioning 2815
Chemistry Laboratory 2922
Flow Cytometry Laboratory 1295
Hematology Laboratory 1654
Immunology Laboratory 2922
Outpatient Laboratory 1221
Surgical Pathology Laboratory 1669
Venipuncture Service 1036
Virology/Serology Laboratory 1837
LIS/Cerner Training 2496

PAYROLL INFORMATION
University Hospital payroll distribution for House Staff is bi-weekly and distributed by department.

PHARMACY
Location:
Main Pharmacy, IPD UH ALL1-469 - Ext. 2854, 2856
Floor Stock Orders UH ALLI-469 - Ext. 2476
Hyperalimentation Lab UH ALL1-517 - Ext. 3072
Oncology Lab UH ALL1-516 - Ext 2034
Operating Room Satellite Pharmacy UHA2-481 Ext 1622

Clinical Pharmacist Program
Clinical pharmacists are available for consultation on drug therapy orders or on any questions which may arise with respect to medications.

Hospital Formulary System
Drugs stocked in the Pharmacy are limited to those drugs which have previously been approved for use by the pharmacy and Therapeutics Committee. These drugs are listed in the "Hospital Formulary" which is available at each nursing station and in the Pharmacy. Physicians are requested to:

Prescribe only those drugs which appear on the list. Drugs listed in the United States Pharmacopeia or National Formulary is considered approved drugs. Non-formulary drugs may be obtained when absolutely necessary. Only that amount required to treat the individual patient will be obtained. In most instances12-24 hours may be required to obtain these special items. A staff physician wishing to have a drug considered for addition to the Approved Drug List may submit a request with explanation in writing to the Pharmacy and Therapeutics Committee.

Prescriber Identification
New York State requires that all prescriptions be validated with the signature and imprinted name of the prescriber. Handwritten printed names are not acceptable and must be refused by pharmacists. Name stamps, typewriter, or other mechanical means of imprinting are acceptable.

All medication orders must comply with the following Medication Order Completeness Standard Policy:

A medication order written by the medical staff or others who have prescriptive authority at UHB shall be considered a medication error if incomplete. Completeness, in order for Nursing to transcribe the order and administer the medication and the Pharmacy to dispense the medication order, is defined as follows:
-Date and time the medication order was written by the prescriber
- Signature of the prescriber accompanied by the printed name
- first and last name of the patient
- Drug name (brand or generic), dose, route of administration, frequency, and duration of the therapy
-The full name of the drug, brand or generic, e.g., PCN is unacceptable
-The dosage strength is spelled out, e.g., not u for micro, not U for units; Refer to the Medical

Records Committee’s approved list of abbreviations for use in UHB
- The prescribed dosage does not contain trailing zeros, e.g., 1.0 milligram is unacceptable
- The dosage does contains a leading zero before a decimal, e.g., Digoxin 0.25mg
-The dosage prescribed for chemotherapy drugs is rounded to the nearest whole dosage, e.g.5.1 mg should be rounded to 5 mg
-For Pediatric/Neonatalogy orders, the following procedures should be incorporated into the Department’s practice protocols:
- all does are calculated and written by body weight or body surface area
- all high risk orders are co-signed by senior resident, chief resident, fellow, or attending. These orders include:
- IV digoxin
- IV vasoactive druges, e.g., epinephrine, norepinephrrine, dopamine, dobutamine, and phenylephrine
- IV potassium
- chemotherapy
- insulin
-magnesium sulfate
- Calcium gluconate

Responsibility: It is the responsibility of the prescribing healthcare practitioner to insure that all medication orders are complete according to the above procedure. It is the responsibility of nursing personnel to pick-up and transcribe only complete, clear medication orders otherwise nursing personnel shall clarify the medication order with the prescriber before forwarding the medication order to the Pharmacy Department. It is the responsibility of the pharmacist to dispense medications on the authority of complete, clear, and clinically sound and safe medication order written by an authorized prescriber. If the medication order does not meet these criteria, then the pharmacist shall contact the prescriber, discuss the issues involving the medication order, and ask the prescriber to correct the medication order, if necessary. The prescriber is responsible to discontinue the previous incorrect/incomplete order and re-write a correct/complete medication order. Issued 6/00

Medication Error Definition and Severity
Classification Policy: By standardizing a universal definition for medication errors and establishing a system for severity classification, an interdisciplinary team can evaluate the root causes of the medication error and initiate a corrective action so that the error does not re-occur.

Definition:
1) All alleged medication errors reported shall be deemed a medication error if it falls within the following definition: A medication error is any preventable event that may cause or lead to inappropriate medication use and patient harm while the medication is in control of a healthcare professional, patient, or consumer. Such events may be related to professional practice, healthcare products, procedures, and systems including prescribing, order communication, product labeling, packaging and nomenclature, compounding, dispensing, distribution, administration, education, monitoring, and use.

2) Once an alleged medication error has been confirmed as a true medication error by the above definition, the medication error shall be classified into one of the following categories:
Category A, No Error: Circumstances or events that have the capacity to cause error
Category B, Error, No Harm: An error occurred but the medication did not reach the patient
Category C, Error, No Harm: An error occurred that reached the patient but did not cause patient harem.
Category D, Error, No Harm: An error occurred that resulted in the need for increased patient monitoring but no patient harm
Category E, Error, Harm: An error occurred that resulted in the need for treatment or intervention and caused temporary patient harm
Category F, Error, Harm: An error occurred that resulted in initial or prolonged hospitalization and caused temporary patient harm
These categories are reportable to the NYS DOH and may require a sentinel event review:
Category G, Error, Harm: An error occurred that resulted in permanent patient harm.
Category H, Error, Harm: An error occurred that resulted in a near-death event (e.g., anaphylaxis, cardiac arrest)
Category I, Error, Death: An error occurred that resulted in a patient death
Issued 6/00

PHYSICAL EXAMINATION
University Hospital Employee Health Service in conjunction with Kings County Health Office provides house staff physicians with physical clearances. For additional information regarding this requirement call employee health located in the T Building at 718-245-3550 for appointments call the house staff office at Kings County Hospital Center at 718-245-2026.

RADIOLOGY SERVICE
Location: UH A2-643 - Ext. 3122

The Department of Radiology is responsible for the delivery of diagnostic imaging studies for all University Hospital Center patients. The Department of Radiology performs approximately 70,000 examinations annually with the majority representing outpatient visits. Most imaging studies are performed in one centralized area on the second floor of the Ancillary Services Building. The only exception to this is Magnetic Resonance Imaging and Mammography performed in a satellite building attached to the Ancillary Services Building. CT and Xray studies will also be done in this building adjacent to the ER (CT April 2003, Xray approximately Jan. 2004).

The Chief of Radiology is the Chairman of the Department of Radiology at Downstate Medical Center at Brooklyn. The Chairman has overall charge and responsibility for the Department. The Chairman is also responsible for day to day operation of the Department and acts as Director of Radiology.

The Department has a staff of radiologists, administrators, technologists and radiation physicists. These individuals direct, monitor and maintain all medical aspects as well as all areas of human irradiation as defined by Federal, State and local agencies. It is the Department's responsibility to maintain an ongoing maintenance and quality assurance of equipment. This is also referable to the training and quality of services delivered by personnel.

The Radiology service complies with all standards set by the Joint Commission on Accreditation of Hospital Organizations, Bureau of Radiation Health, and American College of Radiology.

There are multiple clinical divisions in the Department including: Adult Radiology, Pediatric Radiology, Cross-Sectional Body Imaging (CT/MRI), Sonography, Interventional Radiology, Neuroradiology, Abdominal Imaging (GI/GU), Mammography and Nuclear Medicine. The technical divisions of the Radiology Department are: diagnostic X-Ray, Nuclear Medicine, Ultrasound, CT, MRI, Inverventions Radiology, and Mammography. PET is a subdivision of Nuclear Medicine.

There is coverage for all divisions of the Radiology Department 24 hours a day by credentialed staff and Resident Radiologists.

All procedures must be ordered on complete Radiology Requisition. In patients are ordered electronically from nursing stations. During calendar year 2003, electronic ordering will be extended to all OPD clinics. Each reader requires an ID code and password, which may not be shared. These are available after training by the Radiology Information Manager. Ext. #4613. After completion the direct ordering in OPD, paper requisitions will only be used during system failure.
Diagnostic )
CT )
Ultrasound ) X-ray requisition
Interventional )

Nuclear Medicine)
Pet ) Nuclear Medicine

MRI ) MRI

Requisitions must include:
-Date
-Patient’s name
-Location
-MR number
-Serial Number
-Study requested
-Clinical History
-Reason for study

Contact Numbers:
Front Desk 270-3122
Scheduling Office 270-2916
File Room 270-3125
Computerized Tomography 270-2645
Intervential Radiology 270-1996
Ultrasonopraphy 270-2552
MRI 270-3383
Mammorgraphy 270-1620

SOCIAL WORK SERVICES
Location: UH A1-331 - Ext. 2006

The Social Work Department provides a full range of social work services to University Hospital patients and their families. Social Workers assess, identify for social work services, and engage around psychosocial needs the present issues of the patients and families. The department provides services that enhance medical evaluation and treatment, health maintenance and preventive medicine and help other disciplines better understand psychosocial factors as they relate to the patient's illness. To carry out this responsibility, the work of the department includes referrals and case finding, discharge planning, direct service to patients and families and consultation.

UNIFORMS
University Hospital provides residents and fellows three laboratory coats and scrub attire. To obtain uniforms your department must submit a letter of request to the Linen Department. When one is soiled, bring it to the Linen Department and exchange it for a clean one. The Linen Department is located in the Basement of the hospital in room ALL1-364. Hours are 7:00 a.m. - 3:00 p.m., Monday, Tuesday, Wednesday and Friday. The department is closed on weekends.

Contacts for the following relevant hospital policies and patient services:

Hospital Admission, Transfer and Discharges Policy Daniel Graves 270-4160
Hospital Cardiac Arrest Policy Lisa Dresner, MD 270-1973
Hospital Infection Control George Allen, Ph.D. 270-2344
Hospital interpreters for non-English speaking patients Edison Bond 270-1111
Counseling Service Barry Mandel 270-2005
Hospital Medical Records Lambert Robinson 270-2348
Hospital Nursing Service Department Carolyn Goetz, RN, PhD 270-6301
Hospital Nutrition & Dietary Services Robert Richards 270-2852
Hospital Organ Donation Annettte Dibenadetto 270-3169
Hospital Pharmacy Nicolas Galeota 270-3115
Hospital Radiology Services Maria Mendez 270-1689
Hospital Social Work Services Barry Mandel 270-2005