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Chiefs may allow junior residents on call for the weekend (PGY 2–4) to skip morning rounds during the week. – These residents should also leave the hospital each day as soon as their clinical responsibilities are completed. Peds Weekend Rounds: The post-call resident rounding must leave the hospital by 10 am. – The SHC junior resident or chief should take over any remaining work to allow for the resident to leave on time. Attending on weekend call must round no later than 8am.
Interns • SHC intern on for the weekend can work a maximum of 14.5 hours/weekday and 7 hours/weekend day (6am – 1 pm) (86.5 hours total). • LPCH intern can work a maximum of 14.5 hours/weekday and 7 hours on Saturday (6am - 1pm) (79.5 hours total). – LPCH intern is on every Saturday during the rotation. • Chiefs should ensure these hours are adhered to by scheduling clinical responsibilities accordingly and releasing interns by 7:30pm even if PM rounds have not been completed. Valley/VA Night and Weekend Call • Full-time research residents will take 1 weekend of call per month. They may also take up to 1 weeknight call on the other weeks. • PGY4s on research time may take 1 weeknight call per week – When there are no full-time research residents, the PGY4 on elective time will follow the call schedule for full-time research residents. • Frequency of weeknight call for research residents may vary depending on the number of residents on research at one time. On-call rooms are provided. All residents are required to enter their work hours into the MedHub system on at least a weekly basis.
15. Departmental Hand-over Policy When on-call, residents typically cover patients at more than one hospital. For this reason, a verbal check-out procedure via phone is currently used by the resident staff. Elements of this policy include: Prior to leaving the hospital each day: • Junior residents check-out to on-call junior resident or to night float resident every patient via I-PASS (I: Illness severity; P: Patient summary; A: Action items; S: Situation awareness and contingency planning; S: Synthesis by receiver). • After checking out, the Junior resident(s) with the ghost consult and floor pagers will reassign the pagers to the on-call resident. In the morning the resident assuming the
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