VA Night Float Structure

Shifts
Sunday, Monday, Tuesday, Wednesday 7:00 p.m. or 10:00 p.m. - 8:30 a.m.


Responsibilities

  • Meet Nightfloat Resident in BLUE team room, 4B-108*
  • Assigned by Nightfloat Resident one patient to complete History and Physical per shift
  • Brief summary of patient assessment to Nightfloat Resident (5-10 minutes)
  • Cross coverage with intern
    • Participate in Dr. Heart (codes)
    • Evaluate acute issue calls
    • Complete one written not/shift on acute call evaluation
  • Observe morning patient hand-offs
  • Present H&P to Chief Resident – both written and oral presentation at 8am

Assessment

  • CAS evaluation by nightfloat resident and Chief Resident
  • H&P – 4 (one/shift)
  • Clinical cross coverage event notes – 2 minimum
  • Patient follow-up note – minimum 3 reports

Goals

  • Workup 4 undifferentiated patients
  • Learn about and provide acute care of cross coverage patients
  • Observe, participate in and comment upon handoff procedures in medicine
  • Feedback on 4 written H&Ps

Pagers

  • Your pager number is 36500
  • To access UH pager – dial 216-207-7244, pager number, then extension
  • Night float resident – 440-562-2115
  • VA Chief Resident – 31533
  • Dr. Packer – 440-562-1462