Surviving Night Float

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 4amEMU patients: this is different from cEEG, and covers patients in 8G/7F (The epilepsy monitoring unit)
    1. Call 412-647-4141
    cEEG patients
    1. Call EEG 412-864-3791
    1. Ask them who the analyst is
    1. They will give you someone's number on the right
    1. Call that person
    1. Ask the following
      1. any seizures
      2. any epileptiform discharges
      3. any sharps
      4. 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

    1. Reading room residents 412-864-2262
    1. 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