Team Structure

  1. 3 teams (1 resident/1 intern) + CCU day float resident + CCU night float resident
  2. Total: 5 residents, 3 interns
  3. CCU Dayfloat
    1. The role of CCU dayfloat is to assist the post-call intern with their work. They may only leave once the post-call intern signs out. Their role includes assisting with procedures, road trips, and teaching the intern.
    2. CCU dayfloat is off on Sundays unless pre-specified

Workflow

Hours for every day except Wednesday 

  1. Senior resident: 7:00am-9:30am (24+4)
  2. Intern: 7:00am-7:30pm
  3. Night float resident: 7:30pm-8:30am (presents new admissions on attending rounds from 7:30-8:30am)

Hours for Wednesday morning (CCU conference)

  1. Senior resident 7:00am-10:30am
  2. Intern- 7:00am-7:30pm
  3. Night float resident: 7:30pm-9:30am

Admitting Flow

  1. Day admitting: Resident & intern team admits from 7:00am-7:30pm
  2. Night admitting:
    1. NF R must round with on-call resident when they arrive
    2. On-call resident has primary admitting responsibility until midnight
    3. NF will take cross-cover and admit new patient’s after midnight or earlier if the on-call overnight resident needs assistance.
    4. Patient’s admitted overnight will stay with the on-call resident’s team

Rounds

  1. Attending rounds start at 7:30am with exception of Wednesdays (CCU conference) when attending rounds at 8:30am.

Transfers to floors

  1. There are multiple options that the CCU fellow and CCU attending will dictate for transfer out of the unit
    1. Housestaff Cardiology: complicated patients, patients who will need more intensive evaluation by a cardiologist while on the floor
    2. Hospitalist Cardiology: post-procedural monitoring or patients who will only be in the hospital for one or two more days
    3. General Medicine (Housestaff or Hospitalist): patients have no additional active cardiac issues require attention this hospitalization
    4. HF APN: most patients on the advanced HF service
    5. LVAD APN: patients with LVAD (managed by CT surgery APN)
  2. CCU resident should place an order and specify in the transfer order which service is required. If it is the first 3 service above, can page 9100 to let them know and then again after patient is assigned a bed. If going to HF APN or LVAD APN then please page the service directly when patient gets a bed.
  3. Please always clarify with the attending which service best suites the patients needs

End of Service Sign Out

  1. Signout emails at the end of your service should always be sent to both the oncoming team member you are signing out to and the intern/resident remaining on service when you leave.

 

Updated 7/15/22