Resident hours - what is considered intolerable?

[Psai]

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This is my life when I’m doing wards at the VA

Hahah

Worst is when they're like since you're down here already let me tell you about these two halfassed patients

 

[calvnandhobbs68]

It definitely shouldn't be a regular thing.

But when I was an intern, we could accept admits up to 6:30 (or the cap), with NF coming in at 7. There was more than one occasion where we'd get a 3-5 patient bolus from the ED between 6 and 6:30. Then you have to go see them all, write the admit orders and notes and make sure they're all tucked in before sign out. Staying to 9 wasn't uncommon in those situations, depending on the patient and your senior. Staying to midnight happened once or twice that I can recall.

Yeah but if you have decent co-residents the night float person should take a couple off your hands at least. That’s what I’d do...if the team suddenly had multiple admissions roll in during that crappy window I’d be like let me take a couple I’m here all night. Or when I was the senior I’d just do an admission or two myself for the intern who was supposed to be admitting people for the team.

Like most of life it depends on what kind of people you’re working with.

 

[Raryn]

Yeah but if you have decent co-residents the night float person should take a couple off your hands at least. That’s what I’d do...if the team suddenly had multiple admissions roll in during that crappy window I’d be like let me take a couple I’m here all night. Or when I was the senior I’d just do an admission or two myself for the intern who was supposed to be admitting people for the team.

Like most of life it depends on what kind of people you’re working with.

Yeah, if it was within the last bit of time before signout and we got slammed, we could choose to hold admissions for the night team - there was no formal rule about the exact length of the window, but the residents understood reciprocity - people who abused the system got an inordinate amount of admissions held for them in turn, and it all worked out.

 

[gutonc]

Yeah but if you have decent co-residents the night float person should take a couple off your hands at least. That’s what I’d do...if the team suddenly had multiple admissions roll in during that crappy window I’d be like let me take a couple I’m here all night. Or when I was the senior I’d just do an admission or two myself for the intern who was supposed to be admitting people for the team.

Like most of life it depends on what kind of people you’re working with.

The 5 we got were typically only half of the bolus. So, while we got 5 on the way out, NF got another 5 on the way in...on top of having to manage the other 50 or 60 patients on the floor. I wasn't going to give them crap for that.