Surviving Night Float
CONTENTS
Templates
attached below
Anatomy of your night
5-6pm
- If you are rounding the next morning, good time to preround
6-9pm
- This is your golden period when you're not on call for consults
- get to know moonlighter consults even before they sign out to you, especially if they are busy
- stalk the tracking board
- post-op checks
- consider going to NICU and grabbing a printed out sheet of nursing phone numbers for the night, this is the unit that keeps you the busies
9pm-4am
-
1201: if you are rounding, drop everything non-emergent and see patients. If you somehow have a monstrous night, your chief most likely will understand even if you can't chart round if you have exams.
4am checklist
- CTH 0400
- Call EEG (#s in sidebar)
- Do a final check that all consults have been added to the appropriate list, including the moonlighters
Checklist Before leaving hospital
- medrecs or sign out to APPs
- finalize your notes
- sign out boxes to daytime
- forward your pager to TJ (or don't)
EEG Patients
At 4am
EMU patients: this is different from cEEG, and covers patients in 8G/7F (The epilepsy monitoring unit)
1. Call 412-647-4141
cEEG patients
- Call EEG 412-864-3791
- Ask them who the analyst is
- They will give you someone's number on the right
- Call that person
- Ask the following
- any seizures
- any epileptiform discharges
- any sharps
- any other events of note?
EEG Analyst (on Medtrak) | Number |
Sara Bavio | 412-526-4276 |
Amanda Coglio | 412-855-6615 |
Patricia L | 412-983-6580 |
Lynn McQuade | 412-298-2182 |
Maryann Mulkin | 724-296-0876 |
Adriann Oscar | 412-551-8556 |
Sheryl Plumber | 412-417-6378 |
Max | 412-251-4640 |
Marjorie Tucker | 319-430-9311 |
Overnight radiology reads
- Reading room residents 412-864-2262
- Reading room assistant if you need an attending read 412-648-6463
Transferring someone to ICU
If emergency, call a condition as specified here: Condition C - XWiki
If not emergency:
1. Call any ICU pickle (4g/4f/6fg) and ask who is the RI (resource intensivist), the attending who would need to accept, get their name and phone number
2. Call AOD and find out where there is a bed. Tell them you will get permission from an RI to do this
3. call the RI and tell them theres a bed in location _____, can I have it, this is the patient
4. Put in neuro transfer order once RI accepts
5. call the appropriate ICU pickle and sign the patient out