House Staff Manual - Winthrop University Hospital

TREATMENT OF EMERGENCY DEPARTMENT PATIENTSAll members of the House Staff on rotation in the Emergency Department are supervised by andresponsible to the ER attending physician on duty and through him or her, to the Chair of AmbulatoryCare.All House Staff members must discuss cases with the attending physician on duty. The attending isresponsible for countersigning the record, affirming his/her supervision.All House Staff members must discuss their cases with the attending physician as soon as they havecompleted a pertinent history, physical and have developed a differential diagnosis. The plan of carewill be developed in collaboration with the attending physician. This will include but not be limited todiagnosis, treatment plan and disposition. When the work-up is complete, the resident must againdiscuss the patient with the ED attending for final disposition. At that time, the ED attending willcountersign the chart. No patient should leave the ED before the ED attending discusses the finaldisposition and countersigns the ED chart.All PGY-1’s are to participate in an orientation to the ED with the Chair of Ambulatory Care or hisdesignee prior to starting their rotation.ATTENDANCE AT AMBULATORY TEACHING PRACTICEHouse Staff must attend an assigned ambulatory teaching practice on time according to the schedule. Eachhouse officer is directly responsible to the attending physician supervising the resident’s teaching practicesession.Absence from ambulatory teaching practice duties will be approved only under the followingcircumstances: vacation, sick leave, violation with duty hour requirements and special situations at thediscretion of the teaching faculty. The house officer will be responsible for notifying the teachingpractice.If housestaff are delayed in getting to their Ambulatory Practice on time, due to the need to provideemergent/urgent care in the inpatient units or the Emergency Department, they are to notify the ChiefResident who will attempt to get coverage. They should also notify the teaching practice and estimatethe delay in getting there. House Staff are expected to plan their patient care activities so that they canattend the teaching practice on time.TREATMENT OF HOSPITAL EMPLOYEES AND OUTPATIENTSHouse Staff are permitted to treat outpatients and hospital employees only within the ambulatory teachingpractices and the Emergency Departments, always under the direct supervision of an attending.ADMINISTRATIVE RESPONSIBILITIESAll members of the House Staff have professional, graded responsibilities as follows: All members of the House Staff on each service are directly responsible to the Senior Resident on thatservice and are responsible for any students on the service. Residents in turn, are responsible to theChief Resident and attending physician, and ultimately, to the Chairperson of the department.In administrative matters, members of the House Staff are responsible to the Chairperson of theirclinical department and the President of the Hospital.58. RESPONSIBILITIES OF WINTHROP-UNIVERSITY HOSPITAL TO HOUSE STAFFWinthrop-University Hospital has the following obligations:To provide a stipend and benefits to the House Staff as outlined in the Resident Agreement and in thisHouse Staff Manual.Rev. 1/08