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 Intern takes Intern A sign outs from all teams and Senior takes Intern B sign outs from all teams ID: 309564
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Slide1
Night Float OrientationSlide2
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 A4 Medicine.
Intern
and senior divide sign-out per senior’s discretion.
Get the code blue pagersSlide4
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.
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.Slide5
Medicine Consults
DRH
HUH
VA
Routine:
Take the name and give to consult team in the AM.
Stat: See consult, and staff with UPG Hospitalist 5755.
Routine:
Take the name and give to consult team in the AM.
Stat: See consult, and staff with UPG Hospitalist 5755.
Routine:
Take the name and give to attending in the AM.
Stat: See consult, and staff with admitting attending.Slide6
Special circumstances
DRH
HUH
VA
Sickle cell admits taken by intern. Discuss with hematology fellow.
Unlimited admissions.
Must call MOD at 6:45 AM for sign-out.
Must meet with NP/Hospitalist
at 7:00 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 NP/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.