Call
This section
outlines the call schedule in effect now. There is a
potential for call schedules to change at any time.
The philosophy of the program regarding call is that
on-call duties will maximize each of the following:
-
Contact with patients with a variety of medical
illnesses.
-
Supervised progressive increases in patient
responsibility and learning
-
Increasing responsibility and care for patients
with emergent and urgent needs
-
Time to read and study.
-
Personal and family time.
Call Team and hours:
5pm-10pm on weekdays, 6am-10pm on weekends and
holidays
Expected to be in ED and actively see patients from
5:30p-10p on weekdays and 3p-10p on weekends unless
doing admissions.
If the
resident is involved with other patient care duties
which will cause a late arrival, the resident should
call the Blessing Hospital Emergency Room and inform
the secretary.
Admissions not completed by 9:30p may be transferred
to ED intern
Sign out patients and pager to On-Call senior from
10p until 6am.
Exception:
FPS interns sign out to FPS Senior ON
10pm- 8am on weekdays and 8pm to 8a on Saturday and
Sunday and holidays, off Wednesday
5pm-6am weekdays, 6am-6am weekends and holidays
Responsibilities
Responsible for admissions, OB triage or acute
delivery (SIU QFM only), and longitudinal emergency
medicine experience.
These are
the only exceptions to presence in ER.
Call senior on call for questions, admits or if you
need help in any way.
If you have multiple admits call senior for
help with priority setting.
Call family practice service attending after senior
resident discusses case with you. Also call the
patient’s doctor if that doctor is a resident, if
not, then contact family practice service resident
at time of admission. Call attending at the time of
admission, if patient is critical.
OB triage only (7p-10p weekdays and 3p-10p weekends
and holidays).
Once pt is in active
labor or is to be
admitted for any problem, the pt will go to the
senior resident.
Faculty/intern pt: On-call Senior takes over.
Senior pt: responsible senior takes over.
Senior responsible for H+ P
Responsible for admissions, OB triage or acute
delivery (SIU QFM only), and longitudinal emergency
medicine experience.
These are
the only exceptions to presence in ER.
Call senior on call for questions, admits or if you
need help in any way.
If you have multiple admits call senior for
help with priority setting.
Call family practice service attending after senior
resident discusses case with you. Also call the
patient’s doctor if that doctor is a resident, if
not, then contact family practice service resident
at time of admission. Call attending at the time of
admission, if patient is critical.
Attend codes, rapid
response, do procedures.
Must be present at 6am sign-off to FPS team
Sign out pager until 10p to FPS senior ON.
Contact your nurses at the beginning of the block
and let them know when you will NOT be available for
pages.
If there is an urgent clinic matter, a senior or
faculty in your team will address the matter.
You are still responsible for daily responding to
your tasks in the outpatient electronic record and
addressing nursing questions
OFF: Wednesdays
Responsible for supervising admissions from 5p- 6am,
as well as Answer Quincy.
Responsible for covering pts admitted by On-Call
intern 10p to 6a
The senior resident is required to examine all
potential admissions and to give advice to the
first-year resident.
Write a brief note focusing on the
differential and plan.
Responsible for admits after
10p on Wednesdays and when ED block resident is off,
sick, vacation, education, etc (Optional to be
present in ED after 10p)
Must be at 6am sign-off to FPS team to supervise ED
intern's sign off as well as sign off 5p to 10p
patients
If
On-call intern is sick or gone in an emergency and
is not able to switch call or find coverage from
another intern, on-call senior in ED from 530p to
10p and home call after 10p
(3p to 10p on weekends in ED)
Responsible if a faculty or intern OB pt is admitted
for delivery
until 6a (including H and
P).
This does not include pregnant patients admitted to
the floor from the ED for illness.
In
these circumstances, senior supervises admission
done by intern like in regular
admissions.
-
You will NOT have clinics scheduled the day
after a call
-
Please go to your scheduled rotation in the
morning
-
If you are not attending noon conference let the
secretary know to mark you excused
-
If your call has not been that bad (not called
in much and very few phone calls) please take
advantage of every educational opportunity: noon
conference and your afternoon rotation.
OB:
6am- 7pm
-
At 7pm: sign out patient(s) to responsible
resident.
-
It is your responsibility to make sure you let L
& D know so as to avoid confusion.
-
OB resident (s) should make monthly schedule
with OB/Call/ED intern to contact each day.
Please post scheduled in L&D,
post-partum, and email to chief resident a week
prior to beginning of rotation.
-
SENIORS:
If your personal OB pt goes into active
labor or is admitted from L &D, intern will
contact you to take over
Weekends,
holidays, and other:
Holidays (July
4th, Christmas, etc -- when the clinic is not open)
duties are the same as weekends. From 7:00 a.m. to
7:00 a.m. the senior on call will be available via
beeper for SIU Quincy Family Medicine Center patient
admissions. Otherwise, the same guidelines exist as
for week night call.
Direct admits go
to family practice service residents unless the
patient arrives after 5pm. If a new emergency Family
Practice Service consultation is placed (ex. Postop
patient hypotensive, Decreased Hgb, CP, diaphoretic,
etc.) after 5:30 p.m. the first year resident on
call shall respond and evaluate the patient. A
treatment plan should be formulated and discussed
with the senior resident on call as with all
nighttime admissions. The Family Practice Service
attending and resident should be notified as well.
July 2011
