Comer – Inpatient Night Team

Contacts

Before Your Rotation

Schedule

  • Team consists of one PL-1 resident and one PL-3 resident
  • Required rotation:
    • PL-1s will complete 2 weeks of nights during a four week maroon rotation.
    • PL-3s will complete 2 weeks of nights during a split PER/P3NS four week rotation and cross cover 3 nights while on their 2 week PER rotation
  • Total of four days off over the course of the four-week rotation, to be scheduled by senior residents.
  • Daily schedule as follows:
    • Night team arrives for signout at 6PM in Maroon workroom
      • Silver and Maroon day teams sign out to night team
    • Day team arrives for signout at 6am in Maroon workroom

Roles and Responsibilities

While caring for the patients on maroon and silver, your time on nights should help expose you to common Pediatric Diseases, in addition to a wide range of complex medical conditions. It will also help you prioritize tasks and provide an exemplary supervisory role. The fellows/attendings are always available via phone/pager throughout the night.

Responsibilities for PL-3 Night Senior

  • One PL-3 will supervise the PL-1 while rounding on all maroon/silver patients during the night hours and oversee all admissions
  • The PL-3 is required to examine and obtain HPI on every patient
  • All Outside hospital transfers will come via pager through the Call Center and MUST be discussed with the attending/fellow on call
    • Return call and speak to OSH physician
    • Tell the physician that you will accept the transfer (‘Just Say Yes’ policy) and will call them back with further questions
    • Call/page attending on call (the attending MUST always be notified of incoming transfers from OSH) and discuss case
    • Call the call center back to ask PSH physician further questions
  • One PL-3 will oversee and help conduct sign-out and keep EPIC signout up to date
  • Help interns with daily plans for patients; double-check work done by interns
  • Teach medical students and sub-interns
  • Examine all patients daily prior to morning report
  • Write HPI all patients followed by sub-interns
  • Excused from conferences

Responsibilities for PL-1s:

  • Perform the primary patient care role
  • Participate in nightly roudning on all patients
  • Admit patients from PER and OSH hospitals
  • Help teach medical students
  • Write H&Ps for all admitted patients
  • Take care of daily work associated with patient care
  • Communicate with patients, families, and primary physicians
  • Help update and conduct signout to day services at 6AM
  • Excused from conferences

Locations

Links can be clicked for directions in Google Maps (opens in new window)


Resources

Residents find the following reference very valuable during their night rotation:

Pediatric Hospital Medicine Team Box
Comer Night Handbook