1.
Residents at
all levels are not on-call in the hospital more frequently than every
fourth night.
2.
Float teams from 11:00 P.M. to 10:00 A.M.will be present at both major
teaching division hospitals for 5 nights (Sunday through Thursday)
effective July 1, 1995. Float team CAN NOT be late!
3.
Float teams and the two standard IP teaching teams must
“check-out” appropriately.
4.
All attend Morning Report for educational and continuity of care
purposes.
5.
The Float team is evaluated by the two IP attendings.
6.
The Float team is required to remain integrated in the care of patients
and encouraged not to consider their responsibilities like those of
“shift workers.”
7.
IP census is of an appropriate quantity to provide stimulating
educational environment.
8.
The average IP new patient responsibilities for a Junior resident
(JR) are approximately 4 patients.
9.
Effective July 1, 1999, JR responsibilities in 24 hours will be capped
at 5 patients. Additional patients will be cared for by the Senior
Residents. Float teams greatly facilitate adherence to this
requirement. The JR will be limited to 8 new IP in a 48-hour period.
Current admissions are consistent with these objectives. Flexibility
exists to adjust to changing service requirements. An excess of 5
“full time equivalent” patients for a shift for a JR may be “held over”
for the next JR. The CR may be called if needed to help distributed and
handle excessive patient load.
10. The second and third year resident will
not be responsible for admitting more than 10 new patients per admitting
day, or more than 16 patients in 48 hours.
11. Residents
on other IP in hospital call rotations are not on call more often than
every fourth night.
12. Auxiliary
services are fully developed. Residents are not required to draw blood,
collect specimens, transport patients, transport specimens or perform
routine peripheral intravenous line placement. The residents patient
care service
responsibilities are appropriate as for an attending and the educational
needs of the residents.
13.
Patients admitted to the
medical service are the medical service patient and the attending for
the month. Should a physician who is not attending on that service wish
to admit a patient to the medical service then that physician should act
as a consultant, if required, not as the attending.
14.
JR will not carry more than 12
in-patients for more than a 24-hour period. Excessive numbers of
patients may be re-assigned by the attending to other JR services, M-4,
SR or assumed by the attending.
15. The
SR will NOT be responsible for more than 24 patients for more than a
24-hour period. Excessive numbers of patients may be re-assigned to
other services by attendings or have care assumed by the attendings.
16.
Your responsibilities for
patient care are not time or “shift” defined. You should not leave the
care of a patient until that care is appropriately transferred
(“checked-out”) to the on-call or float team.
17. No extramural cardiology or radiology moonlighting is permitted when on
inpatient or float service.
18. In no event shall
any resident work more than 80 hours per week or 30 hours at any one
time.
