Resident Handbook - UC Davis Health System

• Summarize areas of needed improvement• Provide an overall performance evaluation of satisfactory, unsatisfactory, or marginalMercy Family Health Center Admissions: see MFHC Policy and ProceduresMercy Maternity Clinic: see MMC Policy and ProceduresNewborn Nursery:• When delivered by a resident’s continuity OB, patient goes to the Family PracticeService: The FPS resident has the overall responsibility for the newborn, but theprimary care physician (PCP) is expected to see his/her patients and write a notedaily while they are in-patients, and see the mother. Exceptions will be made forout-of-town rotations, vacations, and weekends when not on call.• Delivered from MMC, goes to Pediatrics Service to be managed by the team.Unassigned admits from the ED:• When the service is open to admissions, approximately every other medicineadmission of an unassigned patient from the ED will go to the Residency Service• Pediatrics and OB admissions will go to the services as appropriate• Surgical specialty patients who are unassigned will not go to the Residencyservices• The supervising attending should be notified as soon as possible re the admission,and immediately if patient is in any way critical or will be admitted to ICU orCCU. Resident physicians will be called to the Emergency Room to admitpatients whom the ER physician has determined are candidates for admission.• If the resident determines that in his/her opinion the admission is not necessary,the patient may not be discharged from the Emergency Department until havingbeen personally evaluated by the resident's supervising preceptor. The preceptor isrequired to communicate that decision directly to the ER physician on duty.• Transmit orders in a timely fashion.• With the increasing volume of ED patients, and the occasional need to be OnDiversion, a timely assessment of the admission in the ED is essential. The EDmay choose to transfer the patient to the floor with Holding Orders if the residentis unable to assess/workup the admission in the ED in accordance with how busythe ED happens to be.Page 79 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.docADMITTING PROCEDURES:Admission and medical record requirements may be found in the Mercy Medical Center ReddingRules and Regulations of the Medical Staff on hospital computers at:• H: Mercy: Public: Medical Staff: Bylaws 2012.pdf• H: Mercy: Public: Medical Staff: Rules and Regulations May 2012.pdf• Start: Application Launcher: North State Facilities: Mercy Redding: Everyday Use:Redding On-Line Manuals: Patient Care Manual: Section V: Continuum of Care.Every effort should be made to determine the patient’s primary care physician at the time ofadmission. The primary care physician and the continuity resident as appropriate (both referredto as the PCP) should be advised of every admission to a residency service within the first day ofhospitalization. Once this is accomplished, the following flow chart should be your guide: