- 3 teams (1 resident/1 intern) + CCU day float resident + CCU night float resident
- Total: 5 residents, 3 interns
- CCU Dayfloat
- 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.
- CCU dayfloat is off on Sundays unless pre-specified
Hours for every day except Wednesday
- Senior resident: 7:00am-9:30am (24+4)
- Intern: 7:00am-7:30pm
- Night float resident: 7:30pm-8:30am (presents new admissions on attending rounds from 7:30-8:30am)
Hours for Wednesday morning (CCU conference)
- Senior resident 7:00am-10:30am
- Intern- 7:00am-7:30pm
- Night float resident: 7:30pm-9:30am
- Day admitting: Resident & intern team admits from 7:00am-7:30pm
- Night admitting:
- NF R must round with on-call resident when they arrive
- On-call resident has primary admitting responsibility until midnight
- NF will take cross-cover and admit new patient’s after midnight or earlier if the on-call overnight resident needs assistance.
- Patient’s admitted overnight will stay with the on-call resident’s team
- Attending rounds start at 7:30am with exception of Wednesdays (CCU conference) when attending rounds at 8:30am.
Transfers to floors
- There are multiple options that the CCU fellow and CCU attending will dictate for transfer out of the unit
- Housestaff Cardiology: complicated patients, patients who will need more intensive evaluation by a cardiologist while on the floor
- Hospitalist Cardiology: post-procedural monitoring or patients who will only be in the hospital for one or two more days
- General Medicine (Housestaff or Hospitalist): patients have no additional active cardiac issues require attention this hospitalization
- HF APN: most patients on the advanced HF service
- LVAD APN: patients with LVAD (managed by CT surgery APN)
- 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.
- Please always clarify with the attending which service best suites the patients needs
End of Service Sign Out
- 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.