Night Float OrientationMashkur Husain- Khaled Alshabani- Mansour Khaddr

Duty Hours

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

Finish work by 9:30 AM

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.

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.

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 see consult, and staff with admitting attending.

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.

Stop admissions

At 6:15 AMMake 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.

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.

Misc.

• Pager – test it before call. Actually, test it now.• Food: DRH. HA. VA.• Scrubs. Scrub machine in Harper tunnels, follow the

purple line.