1. Night Float Orientation

2. Duty Hours DUTY HOURS are 8:00 pm - 10:00am daily (Monday - Sunday) Finish work by 9:30 AM

3. Night Float Sign-Outs DRHHUHVA 8: 00 pm daily in the 5N Resident lounge. Intern takes Intern A sign outs from all teams and Senior takes Intern B sign outs from all teams Get the code blue pagers 8: 00 pm daily in 7 Brush lounge. Intern takes all signout. Get the code blue pagers 8:00 pm daily in A4 Medicine. Intern and senior divide sign-out per senior’s discretion. Get the code blue pagers

4. Night Float Admission DRHHUHVA 7 admits total for on-call team. Night float cap is 5 (+2 bounce backs) NF intern takes the first 3 admission. Senior resident takes the other 2. Transfer the pager to the UPG group. Unlimited admissions until team caps at 20. NF intern takes first 5 admissions, then senior takes over until all teams cap. 9 admissions for on-call team. NF will cap at 5. NF intern takes the first 3 admission. Senior resident takes another 2, then call the MOD for the rest of admits.

5. Medicine Consults DRHHUHVA Routine: Take the name and give to consult team in the AM. Stat: See consult, and staff with UPG Hospitalist 5755. Routine: Take the name and give to consult team in the AM. Stat: See consult, and staff with UPG Hospitalist 5755. Routine: Take the name and give to attending in the AM. Stat: See consult, and staff with admitting attending.

6. Special circumstances DRHHUHVA Sickle cell admits taken by intern. Discuss with hematology fellow. Unlimited admissions.Must call MOD at 6:45 AM for sign-out. Must meet with NP/Hospitalist at 7:00 AM to discuss admissions. Respond to Code Blue, and Code Grey only. On weekend (Saturday and Sunday) you cross cover NP patients as well.

7. Stop admissions At 6:15 AM Make sure to assess ALL patients and make sure they are not critical patients or missing essential orders. You are supposed to put HPI and all orders on pt that came at 6:00 am. Between 6 am to 6:55, put all the orders (not only basic orders) but no HPI.

8. At 7:00 AM DRHHUHVA Stay and present patients during rounds. Stay and present patients during rounds with the on-call team only. Not with other teams. Stay and present patients during rounds with the on-call team only. You will present only to post call team. Other patients (after team is capped) will be overflow and go to NP/on-call team) Finish your H&P or Transfer Notes before leaving. If pt. is for discharge, you must finish the discharge process and summary as well.

9. Misc. Pager – test it before call. Actually, test it now. Food: DRH. HA. VA. Scrubs. Scrub machine in Harper tunnels, follow the purple line.