Resident Handbook - UC Davis Health System

ED, and admitted, must be discussed between the ED attending and the OBattending prior to admission per MMCR Policy.Residents should meet in the OB nurses station as arranged with the OB attending and beprepared to present all OB/GYN patients to the OB attending. Coordination with theattending is especially important prior to the weekend so that rounds occur smoothly andthe resident familiar with the service patients can be available to round with theattending.PediatricsIn the Nursery, the residents are responsible for doing admission History & Physicals onall of the babies admitted to their service, regardless of the time of day in which theywere delivered. On the weekends, it will be the responsibility of the covering resident toperform this duty. (For more information about newborn care for MFHC patients, seeheading IV. MERCY FAMILY HEALTH CENTER: section II. CLINICAL AREAS:NEWBORN CARE.) Residents are responsible for patients > 36 weeks in the normalnewborn nursery. Involvement in intensive care patients is encouraged, especially tobecome proficient in resuscitation and procedures for stabilization. After the patient isstabilized, the resident may withdraw from the case with the agreement of the preceptor.With all newborns, including "normal cases" it is expected that the resident will writeappropriate daily notes. A brief delivery note must accompany the newborn to thenursery. This should include:• Type of delivery, with or without complications,• Condition of amniotic fluid,• Apgars, resuscitation,• Evidence of fetal distress,• Visualization of cords,• Complications, etc.On the Pediatric Ward, the resident will follow all service patients. Pediatric ICUpatients will be managed by the intensivist or pediatric attending, often in conjunctionwith Pediatric Intensivists at UC Davis via Telemedicine Consultation. Residents willround with the intensivist on the patients they admit to the ICU and be prepared to reassumecare when the patient leaves the ICU setting.The residents care for service patients in the pediatric ward and in the newborn nursery.Residents should meet as arranged with the pediatric and newborn nersery attendings andbe prepared to present patients to the pediatric attendings according to their preferredschedules. Coordination with the attendings is especially important prior to the weekendso that rounds occur smoothly and the resident familiar with the service patients can beavailable to round with the attending.Night Float Ob/PedsPage 59 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc