Residents should arrive by 6:00 am (day shift) or 6:00 pm (night shift). Handoff should be thorough and should occur at the patient bedside. A thorough handoff will include a patient summary and discussion of relevant procedures, labs, and imaging. Generally, rounds begin between 08:00-08:30 for the RED and BLUE services. Discuss the timing of daily rounds with your fellow. Prior to rounds, the residents are responsible for examining all of their patients together with the resident or nurse practitioner from the previous shift, talking with the patient’s nurse, collecting and reviewing all patient data from overnight, and being armed with all the pertinent information that will be part of the plan including consultant recommendations (some in the electronic medical record and some in paper chart at bedside), radiologic exams, laboratory values, and historical information pertinent to the patient’s trajectory.

Daily timetable

6:00 AM                          Day Team arrives

6:00-7AM                       Sign out (Attendings, Fellows, and Charge RNs), examine                                                 patients, Residents initiate notes

7-8/8:30 AM                   Formulate Plans, tie up loose ends

8/8:30 AM-12                 Daily rounds

12-1PM                          Procedures

1-2/3 PM                        Daily teaching session on Tuesday, Wednesday, Thursday

4-5 PM                           Afternoon rounds at the discretion of Day Attending

6:00 PM                         Night team arrives

6:00-7PM                      Sign out (Fellows and Charge RNs), examine patients

8 PM                              Evening rounds

9PM                               CXRs performed

Midnight                        Evening teaching session – Fellow to Resident

2:00-3 AM                     CXR/Lab review

3-6 AM                          Lab/date review, Documentation/notes