Mark Corson

By R. Bandaro. Berea College.

The practice must buy discount clonidine 0.1 mg on-line, in no way cheap clonidine 0.1mg with visa, compromise the educational time or function of the resident in the program of the Department buy 0.1mg clonidine fast delivery. If the resident’s performance is compromised, the Program Director and/or Department Chair can suspend the resident’s moonlighting privileges. Therefore, it is mandatory that the resident maintain personal malpractice coverage, at a level no less than that provided by the State of Kansas for activities related to our resident program. Department residents working for pay at another institution or office covering for a practicing pathologist in that pathologist’s absence from the site of practice on a temporary basis. This approval must be obtained on a special form available from the Program Director or Chair. Any locum tenens arrangement not falling under this statute must be accompanied by adequate, personal, professional liability insurance coverage. Approval must be obtained using a special form available from the Program Director or Chair. Pathology Resident Manual Page 37  A description of this experience must be on record in the residency program curriculum book in the Office of the Chair. Professional liability insurance coverage is provided by the University’s self-insurance program. The resident must provide evidence that he/she will be fully supervised on this education experience, that the supervising staff agrees to be responsible for the supervision of the resident in all patient care, and that an evaluation of the resident’s performance be forwarded to the Program Coordinator upon completion of the rotation. All faculty members are also educated to recognize the signs of fatigue and sleep deprivation and must adopt and apply the following institutional policy to prevent and counteract its potential negative effects on patient care and learning. Purpose Symptoms of fatigue and/or stress are normal and expected to occur periodically with the resident population, just as it would in other professional settings. Not unexpectedly, residents may on occasion, experience some effects of inadequate sleep and/or stress. As an institution, the University of Kansas Medical School has adopted the following policy to address resident fatigue and/or stress: Recognition of Resident Excess Fatigue and/or Stress Signs and symptoms of resident fatigue and/or stress may include but are not limited to the following: - Inattentiveness to details - Forgetfulness - Emotional lability - Mood swings - Increased conflicts with others - Lack or attention to proper attire or hygiene - Difficulty with novel tasks and multitasking - Awareness is impaired (fall back on rote memory) - Lack of insight into impairment Response The demonstration of resident excess fatigue and/or stress may occur in patient care settings or in non- patient care settings such as lectures and conferences. In patient care settings, patient safety, as well as the Pathology Resident Manual Page 38 personal safety and well-being of the resident, mandates implementation of an immediate and a proper response sequence. In non-patient care settings, responses may vary depending on the severity of and the demeanor of the resident’s appearance and perceived condition. The following is intended as a general guideline for those recognizing or observing excessive resident fatigue and/or stress in either setting. In the interest of patient and resident safety, the recognition that a resident is demonstrating evidence for excess fatigue and/or stress requires the attending faculty or supervising resident to consider immediate release of the resident from any further patient care responsibilities at the time of recognition. The attending faculty or supervising resident should privately discuss his/her opinion with the resident, attempt to identify the reason for excess fatigue and/or stress, and estimate the amount of rest that will be required to alleviate the situation. The attending faculty must attempt, in all circumstances without exception, to notify the chief/supervising resident on-call, program director and/or department chair, respectively, depending on the ability to contact these individuals, of the decision to release the resident from further patient care responsibilities at that time. If excess fatigue is the issue, the attending faculty must advise the resident to rest for a period that is adequate to relieve the fatigue before operating a motorized vehicle. This may mean that the resident should first go to the on-call room for a sleep interval lasting no less than 30 minutes. The resident may also be advised to consider calling someone to provide transportation home. If stress is the issue, the attending faculty upon privately counseling the resident, may opt to take immediate action to alleviate the stress. If, in the opinion of the attending faculty, the resident stress has the potential to negatively affect patient safety, the attending faculty must immediately release the resident from further patient care responsibilities at that time. In the event of a decision to release the resident from further patient care activity; notification of program and administrative personnel shall include the chief/supervising resident on-call, program director and department chair, respectively, depending on the ability to contact these individuals. A resident who has been released from further immediate patient care because of excess fatigue and/or stress cannot appeal the decision to the responding attending faculty. A resident who has been released from patient care cannot resume patient care duties without permission of the program director or chair when applicable. Residents who perceive that they are manifesting excess fatigue and/or stress have the professional responsibility to immediately notify the attending faculty, the chief resident, and/or the program director without fear of reprisal. Residents recognizing resident fatigue and/or stress in fellow residents should report their observations and concerns immediately to the attending faculty, the chief resident, and/or the program director. Following removal of a resident from duty, in association with the chief resident, determine the need for an immediate adjustment in duty assignments for remaining residents in the program. Subsequently, the program director will review the resident’s call schedules, work hours, extent of patient care responsibilities, any known personal problems, and stresses contributing to this for the resident. The program director will notify the departmental chair and/or program director of the rotation in question to discuss methods to reduce resident fatigue. In matters of resident stress, the program director will meet with the resident personally as soon as can be arranged. Student Counseling and Educational Support (913-588-6580) offers psychological and education services at no cost to students, residents, and fellows. Department of Psychiatry (913-588-6400) offers a full range of inpatient, outpatient, and emergency services for the diagnosis and treatment of personal problems. State Lifeline, 24-hour, toll-free assistance line (1-800-284-7575) If referred through the Lifeline, the first fours counseling sessions are paid by the State. The program director will release the resident to resume patient care duties only after the resident has demonstrated no further impairment with fatigue or stress issues. Non-Patient Care Settings If residents are observed to show signs of fatigue and/or stress in non-patient care settings, the program director should follow the program director procedure outline above for the patient care setting. In cases where the resident feels too fatigued to drive home safely following a nighttime on call assignment, two options are available. A swing room is available for sleeping and a voucher system is available for taxi transportation home and back to work the following day (residency coordinator has vouchers). The vacation period is to be scheduled through the attending staff of the rotation, Program Director and Chief Resident, and must be acceptable to the resident’s scheduled service.

Washington: American Association for Clinical Chemistry; c2001-2007 [cited 2007 Feb 23] discount clonidine 0.1mg overnight delivery. Homepage with update/revision date United States National Library of Medicine [Internet] order 0.1mg clonidine free shipping. Web Sites 1817 NursingWorld: Ofcial Web site of the American Nurses Association [Internet] clonidine 0.1mg generic. Virtual Pediatric Hospital™: a digital library of pediatric information [Internet]. Homepage with a date of update and a date of revision National Institute of Allergy and Infectious Diseases [Internet]. National Library of Medicine, Specialized Information Services Division, Environmental Health and Toxicology; [2002 Oct] - [updated 2013 May 10; cited 2015 Jan 26]. National Library of Medicine, Division of Specialized Information Services; 2002 Jul 12 - [last updated 2015 Jan 16; cited 2015 Jan 26]. National Library of Medicine, Division of Specialized Information Services, Ofce of Outreach and Special Populations; [2003] - [updated 2013 Sep 30; cited 2015 Jan 26]. Sponsored by the Robert Wood Johnson Foundation, National Governors Association, and the Association of State and Territorial Health Ofcials. Sample Citation and Introduction to Citing Parts of Web Sites Te general format for a reference to part of a Web site, including punctuation: Web Sites 1819 Examples of Citations to Parts of Web Sites To cite an entire Web site from the homepage, use the instructions in Chapter 25A. To cite only one component of a Web site, such as a specifc page or pages, frst determine whether or not the component can stand alone and be cited separately. A book or other monograph, a journal, or a database on a Web site should be cited according to the instructions for the particular type of format. Cite a book on a Web site according to Chapter 22, a journal according to Chapter 23, and a database according to Chapter 24. Never cite as parts components with authorship distinct from the authors of the site as a whole. Also, be sure that the part is to the Web site as a whole and not to a book or other separately citable component on a site. If in doubt about the status of a component, cite it separately using the instructions in the appropriate chapter. Because a reference should start with the individual or organization with responsibility for the intellectual content of the publication, begin a reference to a part of a Web site with information about the entire site; follow it with the information about the part. When citing a part of a print book, the location (pagination) of the part is shown as the numbers of the pages on which the part resides, such as p. Screen size, font used, and printers vary greatly, but the purpose is to give an indication of the length of the part. Web sites frequently contain charts, fgures, and other illustrative material reproduced with permission from other sources. Citation Rules with Examples for Parts of Web Sites Components/elements are listed in the order they should appear in a reference. An R afer the component name means that it is required in the citation; an O afer the name means it is optional. Anchi eijingu igaku; [Annual progression of swine infuenza in Seoul]; • Capitalize only the frst word of the title, proper nouns, proper adjectives, acronyms, and initialisms unless the conventions of a particular language require other capitalization Presseinformation 2006 (159), Wenn Nervenzellen kontaktscheu sind; • Ignore diacritics, accents, and special characters in titles. Tis rule ignores some conventions used in non-English languages to simplify rules for English-language publications. Titles for parts containing a Greek letter, chemical formula, or another special character. For example, a name such as Table or Figure may precede the title of an illustration, or Press release precede the text of an announcement. Language Table Figure Chart Section Skhema Otdel Otdelenie Spanish Tabla Figura Grafco Seccion Cuadro Parte • Use arabic numbers only. Part of a Web site with equal text in two or more languages Date of Publication for Parts of Web Sites (required) General Rules for Date of Publication • Include if the date difers from the date of the Web site as it appears on the homepage • Always give the year • Convert roman numerals to arabic numbers. Some Web sites clearly state the date that the part of the site was placed on the Internet, using such phrases as "frst published", "created", and "began". When they do not: • Look for the date at the top, bottom, or sidebar of the frst screen of the part or the bottom of the last screen of the part • Look for the date accompanying a copyright statement. For example: copyright 2006 by the American Chemical Society, © 2006 American Medical Association, c2006 Medical College of Wisconsin, c2000-2007 National Rural Health Association. Be sure, however, that this is the copyright date of the part and not the copyright date of the entire Web site. Treating ovarian cancer with chemotherapy; [reviewed 2006 Jul 1; modifed 2006 Aug 31; cited 2007 Feb 21]; [about 4 screens]. A copyright date is identifed by the symbol ©, the letter "c", or the word copyright preceding the date. Be sure, however, that this is the copyright date of the part and not the copyright date of the entire Web site. Tis alerts a user that the information in the publication is older than the date of publication implies. Medical liability crisis map; [updated 2006 Dec 20; cited 2007 Mar 28]; [about 2 screens]. Treating ovarian cancer with chemotherapy; [reviewed 2006 Jul 1; modifed 2006 Aug 31; cited 2007 Feb 21]; [about 4 screens]. Part of a Web site with a date of publication separate from the date of the Web site Date of Update/Revision for a Part of a Web Site (required) General Rules for Date of Update/Revision • Parts of Web sites may be updated or revised afer initial publication • Begin update/revision information with a lef square bracket • Use whatever word for update or revision is provided, such as updated and modifed Web Sites 1831 • Always give the year of update/revision • Convert roman numerals to arabic numbers. Look for the date accompanied by such words as updated, modifed, revised, reviewed: • At the top, bottom, or sidebar of the frst screen for the part or the bottom of the last screen of the part • In the source code for the part if it is displayed by the Web browser Box 78.