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  • Rotation begins on Saturday: CS1 is on (8AM until inpatient work completed), CS2 is on (8AM-Noon); see Weekends section below
  • On Weekdays, Consult team is responsible for all ED and inpatient consults, 8:00AM to 5:00PM, Monday-Friday
    • Typically, CS1 covers the consult pager and will delegate/triage incoming consults among self and the other team members
  • Consult team responds to inpatient stroke activations (Team A responds to stroke activations from the ED)
    • Stroke activations are first discussed with the covering B.I.G. attending/fellow, but final staffing is with Consult attending (and to whom your stroke activation note is sent for cosigning)
    • If Consult team is experiencing high volume, may discuss with Ward Sr about delegating inpatient stroke pages to Wards team
    • Likewise, if Wards team is experiencing high volume (especially during Ward Jr day off, morning didactics of Psychiatry intern), then Consult team may cover stroke pages from the ED


Continuity Clinic:

  • CS1: Thursday afternoons (CS2 covers inpatient stroke pager and new consults)
  • CS2: Tuesday afternoons (CS1 covers inpatient stroke pager and new consults)New as of the 2019-2020 academic year: Adult residents on consults will not have continuity clinic


Weekdays:

  • 7:00-8:00AM: 
    • show up, pre-round as appropriate
    • page Nightfloat to get signout on all follow-ups
      • If non-urgent consult is paged by consulting team at 7:00AM or later, may be delegated from Nightfloat to Consult team (effective May 9, 2017)
      • If urgent, must be seen by Nightfloat
  • 8:00AM-5:00PM: 
    • morning rounds: overnight follow-ups (if any) then old consult follow-ups (if necessary)
      • if patient seen overnight by Nightfloat is still in-house (ED, inpatient), should still be seen at least once by the attending even if there are no active issues
      • it is attending-dependent re: when rounding starts, and whether you should pre-round in person on patient
      • it is up to the discretion of the attending and each consult resident whether a given patient needs to be seen in follow-up that day
    • see new ED and inpatient consults throughout the day
    • afternoon rounds: staff new consults, medical student teaching
    • cover all inpatient stroke activations (primarily CS2, with CS1 as backup)
      • discuss the case with the stroke attending/fellow first, then staff with and send your note to the Consult attending 
    • it is each consult resident's responsibility to write orders/H&P/med rec/code status for patients they are admitting or anticipate admitting to the inpatient service
  • 5:00PM: 
    • page Dayfloat to give verbal signout
    • send email to Dayfloat and Nightfloat on active existing consults and FYI's, including pending results and anticipated disposition

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