Triage Resident Consult Rotation



  1. The Triage Resident is responsible for evaluating consults for admission to the MICU. After recieving a consult, the Triage Resident should see the patient and then discuss their assessment and plan with the MICU Fellow, after which a decision will be made regarding the most appropriate level of care needed for the patient.
  2. The Triage Resident should help floor teams with stabilization as needed. 
  3. When able, the Triage Resident should attempt to bring the On-Call Interns to accompany them during the evaluation process to ensure intern education and continuity. 
  4. The Triage Resident should discuss the plan of care for all patients that have been accepted into and are transferring to the MICU. Admissions (orders, notes, etc.) should still be performed by the On-Call Senior, but Triage Resident may help at their own discretion based on workflow (i.e. busy days). It is recommended that the Triage Resident discuss with all of the MICU seniors their preferences for admission orders.
  5. When not triaging, the Triage Resident should teach interns (e.g. bedside ultrasound, reviewing vent settings, etc). They should not be relied upon to perform procedures, go on CT/MRI road trips, etc. Preference for those tasks should be given to Bridge, APNs, ED dayfloats, and MROC.
  6. The Triage Resident is responsible for documentation of all evaluations that will not be admitted to the MICU in the form of a MICU Evaluation Note.


Daily Schedule


  • Monday through Friday 7:00am – 4:00pm 
  • Days off include weekends and public (clinic) holidays


Prior to Rounds: The On-Call Resident should sign on to the admitting pager on arrival and discuss any outstanding evaluations with the Night Float Resident. Any evaluations that remain to be seen prior to rounds should be given to the Triage Resident. 


7:00am – Completion of Rounds: The Triage Resident should attend the teaching case on rounds every day. They will be relied upon to see all evaluations, including those in the ER, during rounds in order to allow the On-Call Resident to remain present for rounds. The Triage Resident will not be required to be at rounds past the teaching case. However, if the volume or acuity of evaluations becomes too great, the On-Call Resident will then assist the Triage Resident with evaluations and admissions. While the Triage Resident is not expected to admit patients to the MICU on their own, it is expected that they evaluate and potentially stabilize patients with an ICU indication during rounds. 

After Rounds – 4:00pm: The Long-Call Resident should divide evals between themselves and the Triage Resident. Typically, floor consults should be performed by the Triage Resident and ER consults should be performed by the On-Call Resident and either Long- or Short-Call Intern. If more than one consult must occur at the same time, the On-Call Senior and Triage Resident should work together to see the consult regardless of location in the best possible flow. 

4:00pm: The Triage Resident discusses any outstanding evaluations with the On-Call Resident and/or Bridge. They also sign out active floor patients that may need to come to the MICU but are pending a performed intervention (for example: rechecking BP after 2 Liter bolus).


Updated 7/15/22