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Night Float People learn better when they are not excessively fatigued. We design our residents' experiences to be challenging but not overwhelming. We have had night float for senior residents for many years. Night float for first year residents started in 2006. First Year Night Float First year night float starts with sign-out at 6:00 pm Sunday night through Thursday night. Teamed with a senior resident, the family medicine night float manages floor calls, emergencies, and admissions for the family medicine service. With the senior resident by their side, first years direct codes on all hospital patients. After 9:00 pm, the first year also takes calls from any Pregnancy Care Center patient. Under the direction of the Obstetrical or Family Medicine Attending, the first year manages labor and delivers PCC patients on the obstetrical floor. If a Cesarean delivery is required, the first year will first assist. When the OB floor is quiet, the resident rounds on service patients and helps with admissions. Floating ends with morning report as the night residents transition the care of the patients to the Family Medicine Service. Senior Night Float Senior night float starts with sign-out at 6:00 pm Sunday night through Thursday night. The senior backs up the first year resident for all activities. The senior sees all admissions and consults and does night rounds on the service patients. The senior does not just handle emergencies, but gets to know each patient and helps fine tune their management. |