EMU at BSLMC

Initial evaluation. Residents will work in concert with the Neurophysiology/Epilepsy fellow to work-up all patients admitted to the EMU at Baylor Luke’s Medical Center. Most patients are admitted Monday mornings, although others are admitted occasionally throughout the week. Responsibilities include obtaining and documenting a history and physical examination and performing medication reconciliation for each patient. The Epilepsy Monitoring Unit is located on the 22nd floor of SLEH, Yellow Elevators.
Follow-up. The resident will round with the EMU attending each morning, typically around 9-10 AM. Rounding and charting should be completed before going to the EEG laboratory for additional activities.

Orders: On admission, all patients should have CBC, CMP and potentially urine pregnancy test and AED levels, if not checked recently in outpatient clinic. IV access should be obtained. The EMU orderset should be used in Epic for all EMU patients and prn Ativan 1-2 mg IV should be ordered for each patient. AED orders should be reviewed daily.
Resident expectations: Following rounds, it is expected that residents will complete daily progress notes, enter any orders needed and communicate with the nursing At least one resident should physically be present in the hospital in case there is an emergency where an EMU patient needs to be assessed until 5pm. Whenever residents leave for the day, the patients should be signedout to the neurology floor team in case of any issues.

Rotation requirement

1st EEG rotation, complete the following modules:
- Neurophysiology and Technical Aspects of EEG
- Normal Adult EEG
- Abnormal Non-epileptiform EEG
- Abnormal Epileptiform EEG
- Syndromic Approach to Abnormal EEG
2nd EEG rotation, complete the following modules:
- Pediatric EEG
- Critical Care EEG
- Clinical Application and Utility of EEG
- Advanced EEG

Upload completion screenshot to BCMNEURO.COM

Residents are expected to make screenshots of select EEG findings that they encounter over the course of the These screenshots will be uploaded onto the EEG Master website.
Residents may review findings with EEG reader of the day before upload.
Residents are expected to find 10 of the following findings (without duplicates), and residents are encouraged to view this as a fun exercise.

Review at least 1 EEG with a draft report each day
Identify one EEG study they will review in the afternoon session with the faculty at 1pm
PM review section with the faculty (in person zoom link)
Send EEG report to the faculty for feedback
Submission of EEG reports (upload to COM)
- PGY2 - 5 reports; PGY3/4- 10 reports (over the course of 1 month rotation)
Maintain a log of all the EEGs that you review

Please see the resident report below:

Resident	PGY	Account	Dates	AES module	Scav. Hunt	EEG report	Test date
name@bcm.edu	PGY3	Yes	x/xx/22-x/xx/22	0/5 (0%)	0/10 (0%)	0/5 (0%)	x/x/22

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