Overnight Call poll.

[IlDestriero]

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Just getting a feel for attending/staff in house vs home call.
Are you in house?
Trainees feel free to answer as well regarding your attending's overnight call.

BTW, in case you don't know, it's an anonymous poll, and there's no nefarious motive behind option 3, I'm just curious how others are doing things.

We're in house at a big children's hospital.

 

[B-Bone]

In house.

Cover 2 250 bed hospitals. 1 guy in house at each with 1 guy at home backing up both. Backup rarely gets called in.

 

[sevoflurane]

No in house call.... unless we have a vbac. Then we stick around until after delivery. Don't do a lot of vbac's, so infrequent.

Commute to the hospital is 10 minutes.

 

[Gimlet]

Here's how it works for the faculty in our department:

main academic hospital: 1 in-house general OR/trauma, 1 in-house OB, 1 home heart call (covers VA too), 1 home liver call

large regional children's hospital: 1 home call

community hospital OB ward: 1 in-house

VA hospital: 1 home call

 

[12th man]

Two of the hospitals we cover are definitely home call. Come in once or twice for OB or appy. Other facility is home call, but more than likely will work most of night between L&D and OR and floor/ER issues. We have a physician for backup and two CRNAs for running two rooms if needed, but they are otherwise backup.

 

[pd4emergence]

In house, just enough ob to keep us there. OR cases usually done by 10-11 but there is almost never a time we don't have an epidural running. Medium sized hospital about 400 beds.

 

[Consigliere]

Got out of the in-house call business a while ago.....Call from home - CRNAs in-house. Better life.

 

[thegasman]

in house q9, supervision but personally perform all epidurals/blocks/lines. Usually get some sleep, post call day off usually

 

[Monty Python]

We have one primary call and one back-up call. Can be taken from home if live within 30 minute response time. We don't do heads/hearts/livers, but rather busy community hospital types of cases, and about 75 deliveries/month.

Regardless of where one lives, must remain in-house if an OB epidural is running. Not so if a post-op pain management epidural is running.

Primary call person always gets off at 0700, and is then off duty for 24 hours.
The back-up call person (who very rarely gets called) has a normal schedule the following day, unless they were also up all night.