General Information

Absence During Your Rotation
If it becomes necessary for you to be absent during your rotation, please obtain an absence form from the Education office. This form is to be completed by the student and signed/approved by the department. Policy for absence is two days out of the four week period.
Body Substance Precautions
The Cleveland Clinic Foundation has adopted Body Substance Precautions (BSP). This is a system of infection prevention practices used for all patients. These practices involve the use of protective barriers (gloves, gowns, facial protection) for contact with body substances, mucous membranes or in-tact skin, regardless of the patient's diagnosis.

The type of barrier used depends on the specific procedure or patient interaction. Each department's Exposure Control Plan outlines the minimum required protection that must be worn.

Gloves are required when a procedure or task is likely to involve contact with blood or other body fluids, mucous membranes, or non-intact skin.

Facial protection (mask, eyeglasses with side shields, face shield) is required when one can reasonably anticipate blood or body fluids being splashed in the face.

All barrier equipment is available in each patient care area. The use of BSP for all patients will effectively isolate all infections, except those spread by the respiratory droplet or airborne routes.
Emergency Medical Care
The Primary Health Care Department and Emergency Department provide emergency visits for medical students. Students will need to refer to their own personal insurance hospitalization plan for information on coverage.
Evaluations - Yours And Ours
If your school asks for an evaluation of your performance on their form, please be certain that it is provided to the Medical Student Education Office by your arrival date. Please do not submit your evaluation form directly to the attending in your medical department. We are not able to follow up on evaluations given directly to departments and often no copy of the evaluation is made. Cleveland Clinic forms will be submitted to the Dean of Students Affairs or another designated official of your school if your school does not provide us with their form. If there is an office other than the Dean's office at your school to which the evaluations are to be sent, be certain the name and address of the individual to receive your evaluation is submitted to the our office.

Prior to the completion of your elective, you will be expected to complete an online teaching and rotation evaluation to evaluate your experience here. This information is very important as it provides us with critical information about our rotations, what is good, bad, etc. If you have any questions about the use of evaluations, please feel free to ask for additional information. Final grades will not be forwarded to your school until you have completed a teaching and rotation evaluation.
Mail
You can have your mail forwarded to the Cleveland Clinic Lerner College of Medicine, Department of Medical Student Education - NA24, 9500 Euclid Avenue, Cleveland, Ohio 44195. There is a stamp machine located in the basement of the Crile Building (A area) and in the S building lobby area. In addition, a Cleveland Post Office is located within the clinic campus.
Meals
You are responsible for your meals (except on-call meals). Meals may be obtained at:
  • Main cafeteria (First floor of Area H) which is open 6:00 A.M. to 7:30 P.M. daily (6:30 – 7 pm on Saturday and Sunday)
  • The Doctor's Dining Room is open for lunch from 11:30 A.M. to 2:00 P.M.
  • Crile building (A-building) which is open 6:15 A.M. to 4:00 P.M. daily
  • The Founders Room, located behind the employees cafeteria in the Crile Building, is open from 11 A.M. – 2 P.M.
  • Lerner Research Institute cafeteria open from 7:30 A.M. – 3:00 P.M. weekdays.
  • In the H building, there is also a Subway, McDonalds and Starbucks Coffee shop.
  • There are vending machines located in the lobby next to the main cafeteria in area H.
You should be prepared to spend an average of $10.00 per day. On-call meals are provided only when you are required to stay over in the hospital. A badge swipe system is used for on-call meals. When students receive on-call schedules they will provide the MSE office with the information needed to activate the badge system. Meal tickets expire at the end of your rotation. They are non- transferable and not redeemable cash. Expiration dates will not be extended.
Pagers
You will be issued a Cleveland Clinic pager to use while you are on rotation. It is expected that you use this pager and not any personal pager that you may have. You will be responsible for any damage to the pager and will be charged if it is lost. Your pager must remain on at ALL times. Batteries are available in our office and at any of the help desks located throughout the campus. A dead battery is NO excuse. Pager repairs are available in room AB161 from 8 a.m-4 p.m., Monday-Friday and room AB161on weekends, holidays and after 4 p.m.
Post Exposure Protocol
Significant exposure to patients' BLOOD or BODY FLUIDS that require follow-up include:
  • needle stick, puncture or cut with contaminated sharp
  • splash into the eyes, nose or mouth
  • exposure to open skin areas
Follow-up action:
  1. CALL EXPOSURE HOTLINE IMMEDIATELY AFTER EXPOSURE: Ext. 50742.
  2. Complete Occupational Injury Report Form and forward to the Safety Department.
  3. It is not necessary or advisable for the exposed employee to go to the Emergency Department unless emergency care is required.
  4. If the source patient is known, a protocol exists for testing the patient for Hepatitis B and C and HIV. Do not order testing yourself.
  5. After appropriate counseling, the exposed employee will be offered HIV testing for baseline information. This testing and reporting of the results is done confidentially, and test results are not filed in the employee's medical record. Further testing will be guided by the source patient's results.
  6. Based on the severity and risk of the exposure, and after appropriate counseling, post-exposure prophylaxis may be recommended for the exposed employee.
Please call the Infection Control Department, Ext. 45194, if you have any questions.
Respiratory And Airborne Precautions
Respiratory droplet precautions require:
  • Private room - Place BLUE respiratory precautions sign on door of patient room; keep door closed.
  • Anyone entering room must wear a mask.
  • If the patient must leave the room, patient must wear mask.
Diseases requiring respiratory droplet precautions:
  • Meningitis (continue for 24 hours after the start of antibiotic therapy.
  • Influenza
  • Measles, mumps, rubella
  • Pertussis
Airborne respiratory precautions require:
  • Private room with negative air pressure. Place YELLOW respiratory precautions sign on door of patient room; keep door closed.
  • Anyone entering room must wear an N95 particulate respirator.
  • If the patient must leave the room, patient must wear mask.
Diseases requiring airborne respiratory precautions:
  • Tuberculosis (pulmonary or laryngeal)
Chickenpox

Isolation for chickenpox or disseminated herpes zoster requires a private room with negative air pressure. Place chickenpox isolation sign on the patient room door; keep door closed. Anyone not immune, or not aware of their immune status, should not enter the room.

Hepatitis B Vaccine

Call Primary Care ext. 42535 for an appointment. The Hepatitis B Vaccine is administered in 3 doses and must be spaced out over a six-month period of time. You must have all three doses to be considered immunized. Since medical students are here for only a short period of time, they are responsible for making sure they receive all three doses wherever they may travel to next.
Scientific Publications
The department produces the Cleveland Clinic Journal of Medicine, the Cleveland Clinic's medical journal. To obtain current or back issues of the Journal you may visit the department on the 4th floor of NA or the Library. You may also be placed on the mailing list for the Journal, however, there is a charge for subscriptions. You may contact the office by phoning X42662.
Working Hours
Clinic (outpatient) services are typically 8:00 A.M. to 5:00 P.M., Monday through Friday. Hospital services vary with each department. The Elective Coordinator in each department will provide your specific working hours.