Harbor:Peds ED schedule and sick backup plans

Shift information

• Resident shifts: EM, Pediatrics, Med-Peds
  • Most weekdays will be scheduled with residents (EM or Peds R2, R3, or R4) – two residents 7am-4:30pm, two residents 4pm-1:30am, and an EM or Peds R3 or R4 on mn-7:30am
  • Weekends and holidays and times of short staffing are likely to be scheduled with residents on 8a-8p, 7a-5p, 4p-2a, and an EM or Peds R3 or R4 on 8p-8a
  • Note: by our convention, a midnight – 7:30am shift listed on, for example, July 1st is actually technically on July 2nd. Thus, if you came in one minute early for your midnight-7:30am shift, you would come in at 11:59pm on July 1st. The attending schedules are done the same way.
  • Fellows may be scheduled for any of the resident shifts
• Intern and FM shifts
  • Depending on the number of interns and FM residents scheduled in the PED for a given block, they will be scheduled for 10a-7:30p, 3p-12:30a, and if there are enough rotators 10p-7:30a
• Attending shifts
  • There will be 24 hour attending coverage in the PED. The shifts will be 7a-4p, 4p-12mn, and 12mn-7am

Teaching rounds

• Teaching will occur 7a-7:30a, and may occur 4p-4:30p
  • Overnight residents are NOT to leave early before 7:30a, and all residents should get breakfast at 6:45a so they can be present for teaching rounds
• Huddle (with nursing) will occur at 7:15a and 7:15p

Trading shifts

• Day and swing resident shifts always have at least one EM person or PEM fellow; this is because we need someone present who has experience with trauma
• EM residents (R2, R3, R4)
  • May trade with other EM residents or PEM fellows
  • May trade a PED shift with an AED shift
    • This will be logged as a switch shift
    • Only R3s, R4s, or PEM fellows can do the overnight shifts
    • EM R3s & R4s may trade overnight shifts only (no other type of shift) with Harbor Peds R3s
• Pediatric, Med-Peds, and FM residents
  • May trade with each other
  • Only a Harbor Peds R3 can do an overnight (non-Harbor residents will not have the familiarity with Harbor that is needed)
  • Harbor Peds R3s may trade overnight shifts only (no other type of shift) with EM R3s or R4s
  • Peds, Med-Peds, and FM residents can also get someone of equal or higher level from their program to cover a shift and pay that person back however they like
    • Would expect this would just be one shift though, so it doesn’t overly impact your PED rotation
• Interns and FM residents
  • Interns may trade with each other or with FM residents scheduled in a 10a-7:30p or 3p-12:30a shift
  • May also get another intern from their program (or any EM or Peds intern) to cover their shift
• Get your trade approved
  • Trade cannot incur an RRC duty hours violation
  • Send your proposed trade to kyoung@emedharbor.edu AND christiane@emedharbor.edu for review
  • Have BOTH people involved in the trade email to assure that they agree (one person can forward an email in which the other agrees)
  • Do this well in advance so your trade can be properly reviewed

Sick Back-up Plans

• If you are too sick to work your shift, or think you may be too sick, please call and notify people as early as possible
• Notify Kelly Young at kyoung@emedharbor.edu, Christiane at christiane@emedharbor.edu, AND call the current PED attending at 310-222-6931/6932
  • EM residents contact Madonna Fernandez or the chief residents
  • Peds residents contact your chief resident
  • FM residents contact Theresa Nevarez or your chief residents
  • UCLA Med-Peds residents contact your chief resident
• If 7a-4:30pm resident is sick
  • Jeopardy coverage for EM residents
  • Coverage from own program for Peds or Med-Peds residents
    • If no coverage available, and PED is very busy, EM jeopardy may be called
  • Other 7a-4:30pm resident becomes 7a-5p, 4pm-1:30am resident becomes 8a-8p (or as close as possible depending on previous shift and current time), 4p-1:30am resident becomes 4p-2a, and mn-7:30am resident becomes 8p-8a
• If 4p-1:30am resident is sick
  • Jeopardy coverage for EM residents
  • Coverage from own program for Peds or Med-Peds residents
    • If no coverage available, and PED is very busy, EM jeopardy may be called
  • One 7a-4:30pm resident becomes 7a-5p and one becomes 8a-8p, the other 4p-1:30am resident becomes 4p-2a and the mn-7:30am resident becomes 8p-8a
• If mn-7:30am resident is sick
  • Jeopardy coverage from own program (EM or Peds)
• If EM resident is jeopardized, will attempt to arrange payback coverage, including from Peds or UCLA residents

Authors

Kelly Young, Ross Donaldson, Hemang Acharya