Housestaff Survival Guide Crosscover Specialty Procedures + Calcs ...

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Survival Guide
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Survival Guide
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Sign-Out
This is probably the most important part of your call: transferring information to-and-from the different physicians and
shifts. Take pride in your sign-out and help your fellow interns by keeping it accurate and up-to-date. Remember that
there is a digital copy of signout online. This is a very helpful tool for finding patients, as you can open the document and
press 'Ctrl+F' to quickly find patients when a nurse calls you. This means less shuffling of papers. When logged in, go to
Team Sites > Internal Medicine Residents to find all the signout documents.
Always include anticipated treatments and goals. Also, remember to mention key things that would affect management
overnight, such as:
- Neutropenia
- Cardiac function
- Anemia/Goals
Documentation of Cross-Cover Calls
A concise, focused note is very helpful for patient care and important to understand the patients hospital course. A
crosscover note should be written for every major event or decision. Consider including the following when writing a
cross-cover note:
Who you are: e.g. Resident on-call note
Who called you, what time, and reason
Brief statement about patient (age, PMH, reason for admission, # of days in-house)
Focused history regarding this issue
PEx focusing on the complaint and relevant systems
Relevant labs and tests
A/P, including differential, if warranted
If a patient is transferred to MICU, include the events leading to the transfer in addition to a complete Transfer Note
(basically a complete H&P including a detailed Hospital Course).