Trauma/Open Globe Policy

Every attempt must be made to have all open globe/trauma surgical cases covered by a senior resident (PGY3/PGY4).

1) Evaluation and repair of open globes presenting and going to the OR during weekdays before 5pm:

The 1^st year resident should have the patient evaluated by Dr. Stefko if there is a question as to whether or not there is actual globe perforation/penetration. Once open globe confirmed, the senior resident (2^nd or 3^rd year) is to be contacted based on the following table:
 

2) Surgical repair of open globes that present before 5pm but do not go to the OR until after 5pm:

·         The senior resident who initially evaluated the patient may go to OR if they would like

·         If not, the trauma senior on call

3) Surgical repair during the weekday of open globes that presented the previous night:

·         If possible, the trauma senior on call who initially evaluated the patient

·         If not, according to the table above

4) Evaluation and repair of open globes after 5pm or weekends:

·         Trauma senior on call

5) For globes repaired during the day on Fridays:

·         Post-op care will be provided the resident surgeon whenever possible.

·         In instances when this is not possible, verbal sign-out of the patient will be given to the trauma senior on call, who will see the patient post-op

In the event that the senior resident who initially evaluated the patient is not the same resident going to the OR, there should be direct sign-out regarding the patient’s evaluation and status of OR booking between senior residents. Every effort should be made to see the patient prior to going to the OR.