STANFORD HEALTH CARE AND LUCILE PACKARD CHILDREN’S HOSPITAL NIGHT FLOAT ROTATION

Stanford Health Care and Lucile Packard Children’s Hospital Night Float Rotation

Rotation Specifics:

1. Night float is on Sunday-Thursday nights from 6 pm to 6 am. 2. All call is in-house. 3. The night float resident will see all consults and take all outside calls which come in after 5pm; be the operative resident on any cases which start after 8:00 pm and will begin taking the floor calls once the hand-off from that team has occurred. 4. Beginning at 7:30 pm the night float resident will take over in any running ORs.

Goal 1. Consults. Know how to evaluate and treat inpatient and emergency department consult patients.

Resident Objectives: ACGME Competency Goals Be the initial contact resident for all consults at SHC and LPCH services including the emergency department. Patient Care Medical Knowledge Interpersonal and Communication Skills Systems-Based Practice

Perform initial evaluation of all consult patients. Patient Care Medical Knowledge

Be familiar with the EPIC medical record systems and be able to access information appropriately. Understand the importance of confidentiality in patient medical records.

Consistently demonstrate courtesy when interacting with clinical and non-clinical staff members. Patient Care Professionalism Systems-Based Practice Interpersonal and Communication Skills Professionalism

Perform a literature search to learn more about unusual patient problems.

Medical Knowledge Practice-Based Learning and Improvement Create a complete and coherent consultation note in a timely fashion. Interpersonal and Communication Skills Professionalism Utilize translation services to communicate with non-English speaking patients as needed. Interpersonal and Communication Skills Systems-Based Practice Professionalism

Demonstrate effective time-management skills. Practice-Based Learning and Improvement

Follow-up on consult patients as needed. Patient Care Systems-Based Practice Professionalism

Goal 2. Hand-offs. Know how to receive and give hand-offs.

Resident Objectives: Receive and give hand-offs in a thorough and efficient manner. ACGME Competency Goals Patient Care Interpersonal and Communication Skills Professionalism

Demonstrate effectiveness in following up all to-do items communicated through the hand-off process. Patient Care

Goal 3. Patient phone calls. Know how to appropriately communicate with patients via the phone.

Resident Objectives: ACGME Competency Goals Be able to obtain an appropriate history from patients who call in through the hospital operators. Patient Care Interpersonal and Communication Skills

Be able to direct outside patients appropriately.

Patient Care Interpersonal and Communication Skills Be able to appropriately document patient phone calls in the medical record. Patient Care Systems-Based Practice

Goal 4. Operative experience. Know how to perform surgical procedures in the after business-hours setting.

Resident Objectives: ACGME Competency Goals Be able to perform procedures which must be done on an urgent basis after normal business hours. Patient Care

Be able to rapidly learn a patient’s history and step in to assist in surgery which is on-going. Patient Care Medical Knowledge