Night Pool

Welcome to the Night Pool rotation! 

Night Pool is a 2-week rotation. Residents will be scheduled for Nephrology, Pulmonary, Hematology, and Gastroenterology for overnight call. For the 2022/2023 schedule, all residents should have completed at least one of the specialties prior to being scheduled for NP coverage.  Residents should cover the specialty(s) that they have previosly rotated on, not a specialty they haven’t previously completed.

The night pool rotation starts on Sunday. For example, if your schedule indicates night pool (UAH NP) on Monday, November 16, your first "night" of night pool will be Sunday, November 15. Please be sure that the rotation you are on before night pool is aware of this; you should be excluded from call on the Saturday AND Sunday before your night pool rotation.

REGARDING STATUTORY HOLIDAYS: If your night pool coverage falls over a statutory holiday, you are entitled to a day in lieu. Please request this day in lieu of a day during another rotation, such as a medicine subspecialty rotations (e.g., Pulmonary, GI, Nephrology, Hematology), MCT or Ambulatory.

1. Residents are to please ask staff for evaluations at the beginning of the week and remind staff that ITERs will be sent for them to complete (generally near the end of the week). Staff can then be more attuned to the resident's performance, which should increase the quality of the feedback.  It is acceptable if the evaluation is based even just on handover as opposed to the entire night.

2. During any service Zoom meetings, your cameras need to be on, please.

3. As a critical principle of Night Pool, if it is a slow night for a given Night Pool Lead, it is your responsibility to check in with your Night Pool colleagues and/or the GIM Night Float resident and offer to help see patients.

Hematology 

Gastroenterology

Nephrology (the program will send an email)

Pulmonary 

Hematology

• See new consults/admissions, review with on call fellow/staff

• Examine and manage any patient with fever or unstable on the ward, write a note about call situation/decisions made

• Cover Medical Outpatient Unit on call (1C3)

• Update fellow/staff about any unstable patients: patients you are worried about, MET calls, ICU admissions, deaths

• Hematology patients for admissions should not be held for AM team due to acuity

Gastroenterology

• Ward 5C4, 5C3

• Emergency Consults

• For all admission you need to use the GIM Admissions bundle as well as the med reconciliation

• You are not responsible for outside phone calls

• If it is a slow night for a given Night Pool lead, it is your responsibility to check in with your Night Pool colleagues and/or the GIM Night Float resident and offer to help see patients.

Nephrology 

• Arrive each morning, dressed in a professional manner, at 7:45 a.m in order to attend the mandatory morning report (Monday through Thursday).  

• You are expected to be the primary provider of care for all patients assigned to you.  

• You are responsible for signing out any acutely patients to the on-call resident at 1700h.  Please inform the fellow or attending nephrologist of any unstable patients prior to leaving post-call.

• You are responsible for dictating discharge summaries, in a timely fashion, on the patients you discharge.

• You should notify the renal fellow or nephrologist on-call of any admissions to the Nephrology service (call the fellow first when one is on-call).  

Pulmonary

• Examine and manage patients on the ward

• Lung Transplant inpatients and Tuberculosis Service inpatients

• See new Consults/admissions

• See ED consults within 2 hours

Assessment

We will use the following In-Training Evaluation Report (ITER):

• Night Pool 

Entrustable Professional Activities (EPAs)

• FD1: Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings

• FD2a: Managing patients admitted to acute care settings with common medical problems and advancing their care plans ‑ Patient Assessment and Management

• FD2c: Managing patients admitted to acute care settings with common medical problems and advancing their care plans ‑ Handover

• FD5: Assessing unstable patients, providing targeted treatment and consulting as needed

• FD6: Discussing and establishing patients' goals of care

• CD1: Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations

• CD3a: Providing internal medicine consultation to other clinical services ‑ Patient Assessment and Decision‑Making

• CD3b: Providing internal medicine consultation to other clinical services ‑ Written Communication

• CD4a: Assessing, resuscitating, and managing unstable and critically ill patients ‑ Patient Care

Medical Education Program Coordinator

mednim@ualberta.ca