Night Float at Presby

Signing Out to Night Float

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Signing out to Night float

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Anatomy of your night

• If you are rounding the next morning, good time to preround

• This is your golden period when you're not on call for consults

• get to know moonlighter consults even before they sign out to you, especially if they are busy

• stalk the tracking board

• post-op checks

• consider going to NICU and grabbing a printed out sheet of nursing phone numbers for the night, this is the unit that keeps you the busies

• 1201: if you are rounding, drop everything non-emergent and see patients. If you somehow have a monstrous night, your chief most likely will understand even if you can't chart round if you have exams.

• 4am checklist (can start checking at 3am)
• CTH 0400 (these generally start getting done at 3am)
• Call EEG (#s in sidebar)
• Do a final check that all consults have been added to the appropriate list, including the moonlighters

• medrecs or sign them out to residents/ APPs

• finalize your notes

• sign out boxes to daytime

Continuous EEG

1. Go on medtrak and under neurology, find EEG analyst and have that added to your favorites, page them to your number.

2. Alternatively can call EEG tech 412-864-3791
1. Ask them who the analyst is
2. They will give you someone's name/number on the right though numbers are below
3. Call that person
4. Ask the following
1. any seizures? what location and side?
2. any epileptiform discharges?
3. any sharps?
4. any other events of note?

Overnight radiology reads

1. Reading room residents 412-864-2262

2. Reading room assistant if you need an attending read 412-648-6463

Transferring someone to ICU