Vascular Surgery

Patient Care 

Goals and Objectives

  1. Interpret the results of clinical evaluations (history, physical examination) performed on patients with
    1. Acute/chronic limb ischemia
    2. Aortic aneurysmal disease
    3. DVT
    4. Needing vascular access for HD
  2. Evaluate which diagnostic modalities is most appropriate for evaluating:
    1. Arterial occlusive disease affecting the legs
    2. Aortic aneurysmal disease
    3. DVT
    4. Access for HD
  3. Use the results of diagnostic modalities to determine treatment plan:
    1. Arterial occlusive disease affecting the legs
    2. Aortic aneurysmal disease
    3. DVT
    4. Vascular Access procedure
    5. General surgical procedures
  4. Assess patient risk for arterial reconstructive procedures for the lower extremities and aortic aneurysmal

Responsibilities and expectations

  1. Write admission and inpatient orders with the guidance of the vascular NP, residents, fellows, and attending physician
  2. Compose H&Ps, daily progress notes, and procedure notes.
  3. Attend daily morning rounds and be prepared to present patients in an organized and succinct manner
  4. Update the vascular patient list to facilitate the transfer of care from shift to shift
  5. Implement the clinical decisions made by the team during rounds.
    1. Communicate with the primary NP, resident, and attending
    2. Arrange consultations
    3. Communicate with the bedside RN
    4. Review ongoing diagnostic studies
  6. Notify the service NP if unable to implement the clinical plan
  7. Communicate the results of consultations, diagnostic tests, and therapeutic procedures to the service NP in a timely manner 

Medical Knowledge

Goals and Objectives

  1. Describe and compare the common manifestations of acute and chronic limb ischemia, aortic aneurysmal disease and venous thromboembolic disease
  2. Differentiate between thrombotic and embolic etiologies of aneurysms
  3. Differentiate between acute and chronic deep vein thrombosis
    1. Compare the different types of treatment for thrombosis
    2. Compare risk factors
    3. Compare methods of preventing DVT
    4. Compare methods of preventing complications of DVT
  4. Compare the most common diagnostic modalities for acute and chronic limb ischemia, aortic aneurysmal disease and venous thromboembolic disease
  5. Identify factors that increase the risk of compartment syndrome
  6. Differentiate the most common treatment methods:
  7. Thrombolysis

  8. Embolectomy

  9. Revascularization
  10. Aortic aneurysm

Practice-Based Learning and Improvement

Goals and Objectives

  1. Analyze common complications of vascular surgery

Responsibilities and Expectations 

  1. Participate in the M&M conference to review and analyze treatment outcomes
  2. Meet with the NP fellowship director at least once during the rotation to review goals and objectives

Interpersonal Skills & Communication

Goals and Objectives

  1. Communicate effectively as a member of the multidisciplinary team which rounds together
  2. Communicate effectively with patients and families
  3. Work effectively as a member of a professional group
  4. Consistently demonstrate sensitivity to patients from different cultures 

Professionalism

Goals and Objectives 

  1. Enhance the body of knowledge in advanced practice nursing through exchange of ideas and knowledge in professional organizations, conferences, research activities, and written publications.
  2. Functions as a licensed independent practitioner 

Responsibilities and Expectations 

  1. Demonstrate respect, compassion, and integrity
  2. Demonstrate a commitment to excellence and on-going professional development
  3. Provides patient centered care recognizing cultural diversity and the patient or designee as a full partner in decision making 

Systems-Based Practice 

Goals and Objectives 

  1. Understand the allocation of vascular services at UCSF
  2. Analyze the impact of  vascular surgery on individuals and populations 

Responsibilities and Expectations 

  1. Practice cost effective, evidence based health care and resource allocation that does not compromise quality of care
  2. Know how to partner with health care managers and health care providers to assess, coordinate, and improve health care discharge planning and transition 
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