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Night Float Orientation Night Float Orientation

Night Float Orientation - PowerPoint Presentation

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Uploaded On 2016-06-12

Night Float Orientation - PPT Presentation

Mashkur Husain Khaled Alshabani Mansour Khaddr Duty Hours DUTY HOURS are 800 pm 1000am daily Monday Sunday Finish work by 930 AM Night Float SignOuts DRH HUH VA 8 00 pm daily in the 5N Resident lounge ID: 359043

team senior call takes senior team takes call intern patients admissions code drh consult huh sign pager teams cap

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Slide1

Night Float Orientation

Mashkur

Husain- Khaled Alshabani-

Mansour

KhaddrSlide2

Duty Hours

DUTY

HOURS are 8:00 pm - 10:00am daily (Monday - Sunday

)

Finish work by

9:30 AMSlide3

Night Float Sign-Outs

DRH

HUH

VA

8: 00 pm daily in the 5N Resident lounge.

Intern takes Intern A sign outs from all teams and Senior takes Intern B sign outs from all teams

Get the code blue pagers

8: 00

pm daily in 7 Brush lounge.

Intern takes all

signout

Get the code blue pagers

8:00 pm daily in A3 Medicine.

Intern

and senior divide sign-out per senior’s discretion.

Get the code blue pagers-If

you don’t get it, email CMR otherwise you will pay approximately $350 for lost pager.Slide4

Night Float Admission

DRH

HUH

VA

7 admits total for on-call

team. Night float cap is 5 (+2 bounce backs)

NF

intern takes the first 3 admission. Senior resident takes the other 2.

Transfer the pager to the UPG

group after cap

Unlimited admissions until team

caps at 20.

NF intern takes first 5 admissions, then senior takes over until all teams cap.

9 admissions

for on-call team. NF will cap at 5.

NF

intern takes the first 3 admission. Senior resident takes another 2, then call the MOD for the rest of admits.

Occasionally

you will get test page on your code pager, please

please

respond to it.Slide5

Medicine Consults

DRH

HUH

VA

Routine:

Take the name and give to consult team in the AM.

Stat:

Senior should see

consult, and

staff

with UPG Hospitalist 5755.

Routine:

Take the name and give to consult team in the AM.

Stat:

Senior should see

consult, and staff with UPG Hospitalist 5755.

Routine:

Take the name and give to attending in the AM.

Stat:

Senior should s

ee

consult, and staff with admitting

attending.Slide6

Special circumstances

DRH

HUH

VA

Bounce backs are seen by senior and staffed with

bounce back team’s attending in the morning (over the phone), then signed out to bounce back team’s senior

. Should send an email to

CMR with patient info and cc the senior.

Unlimited admissions.

Must call MOD at 6:30 AM for sign-out.

Must meet with MOD Face

to Face in the

AM to discuss admissions.

Respond to Code

Blue, and Code Grey only.

On weekend (Saturday and Sunday) you cross cover NP patients as well. Slide7

Stop admissions

At 6:15 AM

Make sure to assess ALL patients and make sure they are not critical patients or missing essential orders. You are supposed to put HPI and all orders on

pt

that came at 6:00 am. Between 6 am to 6:55, put all the orders (not only basic orders) but no HPI

.Slide8

At 7:00 AM

DRH

HUH

VA

Stay and present patients during

rounds.

Stay and present patients during

rounds with the on-call team only. Not with other teams.

Stay and present patients during

rounds with the on-call team only.

You will present only to post call team. Other patients (after team is capped) will be overflow and go to on-call team)

Finish your H&P or Transfer Notes before leaving. If pt. is for

discharge, you must finish the discharge process and summary as well.Slide9

Misc.

Pager – test it before call. Actually, test it now.

Food: DRH. HA. VA.

Scrubs. Scrub machine in Harper tunnels, follow the purple line.