The medicine consult pager is covered by the medicine consult resident 7am-4pm daily Mon-Fri, Sat/Sun until 2pm, at 4pm (or 2 on weekends) please sign out the DRH medicine consult pager to the on call resident personal pager at DRH, Don’t forward the pager to 0997, and the harper medicine consult pager to the on call medicine resident at Harper. The on call medicine resident is responsible for seeing all STAT consults and they should page 5755 (UPG hospitalist pager) to staff. If there are any pending lab tests/imaging please sign it out to the on call resident. If any sick patients you should consider transfer to the medicine service or sign out this patient to the on call resident.
During weekdays: medicine consult resident will cover DRH/Harper/Psych consults. We used to co-manage Dr. Little and Dr. Darwich patients’, they are choosing to consult a different service since they moved to HUH, this might change, so if they call you for a consult please make sure they place the consult to us and not to another service before seeing the patient). They have been consulting Sakar and paging us with the consult.
Neuro ICU transfers: treat as STAT consults. IF the patient has no neurological issues and no acute ICU issues then patient can be transferred to the floor. If no acute medical issues and awaiting dispo/placement, please page 5755 (UPG hospitalist pager) and transfer patient to their service, if the patient has acute medical issues then transfer to MED A, if MED A is capped, then transfer to UPG hospitalist service.
3Q consults: we write consults/full H&Ps for all new psych patients, even if they don’t have any medical problems. Please call 3Q every morning and ask if there are any new pts to be seen, you can also check their consult book which will have the new consults. You need to sign the consult book once you see the psych patients.
Starting the first weekend of June, 2017 we will be covering RIM consults on weekends/holidays and when Dr. Cretu is on vacation. Dr. Cretu will contact you with a sign out and which patient to be seen over the weekend. You are also expected to be available to the RIM physician for any question regarding any patient Dr. Cretu is following. Once residents are starting to see patients at Vibra (date to be determined), the vibra resident will be helping Dr. Cretu to see patients during the week as well.
Days off: should be one day off a week. If we have more than 2 senior residents on service, I am ok if you decide to take 2 days off, as long as we have 2 residents on service at all times, if there are 2 seniors on the service, they shouldn’t take the same day off. Interns should be supervised by the seniors, seniors are responsible to see all the intern patients as well and staff with intern prior to staffing with the attending. the ER/IM resident is the intern’s back up when the senior is off (if we have only one senior on service)
Attending coverage: for weekdays please contact Dr. Hazem to find out who is covering the consult service. Weekends: attending staffing A3 at DRH is covering weekends unless otherwise stated by Dr. Hazem