Resident Handbook - UC Davis Health System

team. Services covered include the combination of Medicine and Family Practice Serviceby one intern and senior, while the other service will involve OB, Pediatrics, andNewborn Nursery.PGY 2-3Inpatient hours 7:00 a.m. to 5:30 p.m. Night Float Medicine and OB/ Peds Hours: 5:30p.m. to 7:00 a.m. Short Call will be done by senior residents throughout the yearHoliday Call: List will be made following finalization of the master scheduleSign-Out for CallIt is extremely important that patients are signed out appropriately. Upper level and firstresidents need to be present at sign-out which occurs weekdays Monday through Fridayat 1730. Patient care and precepting must be completed at the family health centerprior to residents returning to the hospital for call. .Morning sign-out occurs at 7:00a.m. .Residents on call Saturday and Sunday are expected at the hospital at 7am to beginrounding on patients prior to checkout at 8:30 a.m. Residents will leave the hospitalwhen their work is completed and they have adequately signed out.Admission timing guidelinesThe program must have a consistent set of guidelines to ensure the patient’s safe transferof care to the in-patient service and to avoid unnecessary resident conflict over “who isresponsible for this patient.” The times listed refer to the time the ED notifies the on-callresident of the admission.All mornings: The on-call resident will manage Admissions from the ED at 6:29am orearlier. From 6:30am on, the admission will be held for the incoming resident at 7 am.Incoming residents may accept patients from earlier than 6:30am if they so choose. Ifthere is an urgent need to see the patient during the 6:30-7:00am interval, then the on-callresident will be responsible. Patient safety always is the major determinant.Monday through Friday evenings: Admissions from the ED up to 5:00 pm (6:30 pm forlong call PGY1) remain the responsibility of the day team. From 5:00 pm on (6:30 pmon for long call PGY1), the admission goes to the appropriate on call resident. If there isan urgent need to see the patient during the 5:00-5:30 (6:30 – 7:00 pm for long callPGY1) interval, then the on-call resident will be responsible. Patient safety always is themajor determinant.For patient safety and efficiency, the upper level resident should always exercise theirbest judgment when assigning admissions around the change of shift times. Thatdecision may over-rule the above guidelines concerning times and which call accepts thePage 112 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc