15. DEPARTMENTAL HAND-OVER POLICY

• 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