Transition of Care - Internal Medicine Residents
DEPT: MEDICAL EDUCATION
POLICY #: 8240.13
To ensure that transitions of care facilitate both continuity and patient safety.
Every patient cared for by the Internal Medicine residents? service must have complete information entered on CarePad (or analogous system) by the resident team.
Signouts from the resident caring for a patient to the resident (PGY 1) covering will be done by discussing in person the printed CarePad (or analogous) list.
ICU signouts will be done in person in the ICU at 8:30 p.m. between the departing ICU resident and the residents (PGY 1, night medicine ICU, and night float senior resident) covering the ICU overnight. In addition, the ICU signout list on the ICU computer should be updated each evening prior to signout.
The overnight on-call PGY 1 and night float senior resident will attend morning intake rounds to present new patients and discuss overnight events with the Attending physician(s) as well as with the senior resident(s) who will be assuming care of those patients.
There will be a 4-5 hour overlap (from approximately 7:30 a.m. ? noon) each day wherein the senior resident will facilitate care for those patients admitted the prior night by that senior resident?s PGY 1.
Attending weekend signout for non-private patients will be accomplished by direct communication between the Attending faculty member and the covering faculty member, both on Friday afternoon and in reverse at the end of weekend call.
COTTAGE HEALTH SYSTEM POLICY
RECOMMENDED BY: A. Gersoff, MD (DIO) DATE: 11/14
ORIGINAL POLICY EFFECTIVE DATE: 7/11
APPROVED BY: GMEC/E. Wroblewski, MD (CMO) DATE: 11/14
DATE REVIEWED: 11/14