LBJ Physician Assistant and Nurse Practitioner Emergency Medicine Rotation

Welcome to your Emergency Medicine Rotation at Lyndon Baines Johnson Hospital. We’re looking forward to working with you and want you to have a great experience here. Below you will find some general information concerning your rotation as well as how scheduling works.

Where is LBJ?

LBJ Hospital is located at 5656 Kelley St, Houston, TX 77026. You can park at Entrance 6 on Kelley St, just before you reach the hospital on your right. Please do not park in the Employee Lot F as parking is limited for full-time staff. The Emergency Department is at the East end of the hospital facing Kelley Street.

When you enter the Emergency Department, ask to be directed to the appropriate “Pod” where you will meet your preceptor. There is a physician work area in each Pod where the providers congregate. On your first shift you may want to arrive a few minutes early to orient yourself to the hospital. You can access the hospital website directly for more detailed information regarding the facility.

What will my schedule look like?

Your schedule at LBJ will somewhat mimic that of a practicing APP in a busy community ED.  Expect to work hard and have long shifts.  Your shifts in the Emergency Department will be comprised of days, nights, and weekends.  Most of your shifts will start at 6:00 (am or pm). You may be scheduled for some midday shifts which could be: 9am-9pm, 10am-10pm, or 12pm-12am. You will likely be precepting with two different preceptors during each of your shifts.  You will receive your clinical schedule the week prior to your start date. 

How can I register to start my clinical rotation?

Please fill out the documents required by Medical Staff Services and email them to medicalservices@harrishealth.org no later than two weeks prior to your clinical start date.  Here are links to the documents: Harris Health Trainees Registration Packet June 2019 and Request for Medical Exemption For Influenza Vaccination

Once you submit those documents, you will receive email with instructions on completing the Harris Health onboarding modules.  Once you complete all the modules, submit your certificates to Medical Staff Services.  They will then send you an email indicating that you are cleared to start your clinicals and can obtain your badge.  You are welcome to visit the LBJ Security Office anytime before your clinicals to obtain your badge and parking access to the student parking lot which costs $10 per month.

Should I get Epic access?

While completing your Harris Health training modules, you will also receive Epic training.  Having access to Epic allows you to gather information on your patients including past clinic or ED visits, imaging, labs and procedures.  You can also see their current vital signs, lab and imaging results as well as medications.  You will NOT be charting electronically on the patients, but Epic is a window into their care otherwise not attainable to you.  Being able to review their chart allows you to have a better understanding of individual patient care.

What do I need to do to prepare before or during my rotation?

There is no specific preparation for this rotation.  You can throw a dart at any organ system or disease process and likely run into them on a daily basis during the rotation.  Any reading on emergency medicine will benefit you.  Big subjects are abdominal pain, chest pain, electrolyte imbalances, and neurologic emergencies just to name a few. 

During downtime engage in learning by reading more into active cases, discuss topics with your preceptor, and hone your procedural and exam skills.  I encourage reading about cases you see and discussing treatment plans with your preceptor to better identify and treat similarly presenting patients in the future.  We want you to learn and have a hands-on experience to make you a better clinician.  I also encourage you to contact students that have completed this rotation as they may give pointers on resources they found useful or other pearls to help strengthen your time here. 

An LBJ Emergency Medicine Procedure Log Sheet will be provided which can be printed and used to keep track of what you’ve done and what you need a chance to perform. These procedure logs are for you to keep for future reference.  If you have another way of tracking your procedures, please do so; these are solely for your benefit if you need them. 

Who fills out my evaluations?

For your evaluations, I suggest you choose the preceptor(s) you have worked with the most.  It is always wise to ask them early in the rotation if they are willing to fill out your evaluation and do not wait until your last shift to have this done.  We cannot be responsible for scrambling to fill out an evaluation that was due yesterday. 

Do I have to fill out an evaluation for LBJ?

We have created an LBJ-Emergency-Medicine-Rotation-Evaluation for you to fill out to tell us how we’re doing. These are not mandatory but give you a candid platform to tell us what you enjoyed or did not enjoy about the rotation. These are important for us to ensure you and future students are having a good experience here.  Please turn them in at the end of the rotation.  You can fill them out for specific preceptors and/or the rotation in general.  We are always striving to make this a better rotation site and evaluations are a great way to do so.  You can always contact me to discuss things that are working or not working.  If there are things that can make your rotation better, please let us know. *Please contact us if interested

Who do I get in touch with if I have an unexpected emergency?

Below are some contact numbers for the ED in the event you need to contact someone regarding a delay in arrival, emergency absence, or other concern: 

  • Blue Pod: 713-566-5635 
  • Gold Pod: 713-566-4965 
  • Orange Pod: 713-566-5899 

If you have any questions, feel free to contact me at the information below.  In my absence, you can email Anne Ervine or Tina Chacko for any questions regarding your rotation. 

This emergency department is a busy and educational environment, and we want you to enjoy your rotation here.  It is our goal for you to have a safe and memorable experience and anticipate that you can identify and treat common emergent medical conditions when you begin your career as a PA/NP! We look forward to working with you! 

Janice Lee, ENP
Assistant Director of Advanced Practice Clinicians
UTHealth Houston | McGovern Medical School
Department of Emergency Medicine
6431 Fannin Street | JJ 447 | Houston, Texas 77030

Janice.Lee@uth.tmc.edu

Anne Causey, M.S., PA-C & Tina Chacko, M.S., PA-C
Co-Directors of the Advanced Practice Clinicians
UTHealth Houston | McGovern Medical School
Department of Emergency Medicine

6431 Fannin Street | JJL 447 | Houston, Texas 77030

Anne.L.Ervine@uth.tmc.edu