Senior Responsibilities
Seniors are 2nd Call for any patient care issues (Interns are 1st Call).
Seniors are 1st Call during anytime interns are not there
For daily rounds: Message Attending/Pharmacy/CM/SW with where team should start rounds using 4 D's
Help intern with notes/seeing patients depending on census
Seniors should be pre-staffing patients with intern/sub-I/medical student prior to patient being presented to attending
Anticipate any discharge needs ie. home antibiotics, home RN, outpatient labs, future studies, follow up appointments and prepare accordingly
Supervise and work with 3rd year and 4th year medical students
Seniors are 1st Call during anytime interns are not there
For daily rounds: Message Attending/Pharmacy/CM/SW with where team should start rounds using 4 D's
- Deteriorating
- Diagnostics
- Discharge
Help intern with notes/seeing patients depending on census
Seniors should be pre-staffing patients with intern/sub-I/medical student prior to patient being presented to attending
Anticipate any discharge needs ie. home antibiotics, home RN, outpatient labs, future studies, follow up appointments and prepare accordingly
Supervise and work with 3rd year and 4th year medical students
Intern Responsibilities
1st Call for all patients - You are considered their primary physician!
Place orders, write H&Ps, discharge summaries
See all admissions assigned to you (You will rotate taking admissions with other interns)
Pre-staff all admissions with Senior prior to presenting to Attending
Supervise and work with 3rd year medical students
Place orders, write H&Ps, discharge summaries
See all admissions assigned to you (You will rotate taking admissions with other interns)
Pre-staff all admissions with Senior prior to presenting to Attending
Supervise and work with 3rd year medical students
Special Caveat Studies
UCI ERCP
Transfer to another hospital for external studies = Leave of Absence
Cardiac ECHO (Night/Weekend)
Needs approval from the On-Call Cardiologist before ordering. Must be ordered STAT if needing it done on night/weekends.
Transfer to another hospital for external studies = Leave of Absence
Cardiac ECHO (Night/Weekend)
Needs approval from the On-Call Cardiologist before ordering. Must be ordered STAT if needing it done on night/weekends.
Consultations
Kawasaki Disease
1) Consult BOTH Infectious Disease AND Cardiology (even if ECHO normal)
1) Consult BOTH Infectious Disease AND Cardiology (even if ECHO normal)
Discharge Planning
Housewide Discharge Goal – Place DC Orders Before 2pm
Anticipate weekend limitations - MRI, IR, send out labs, Rx’s
Follow up appointments
Case management supplies
Outpatient pharmacy and prescriptions
Meds needing prior auth
Lovenox teaching and supplies
HAZ 800 meds need early Rx for home compounding
Anticipate weekend limitations - MRI, IR, send out labs, Rx’s
Follow up appointments
Case management supplies
Outpatient pharmacy and prescriptions
Meds needing prior auth
Lovenox teaching and supplies
HAZ 800 meds need early Rx for home compounding