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On Sundays and Holidays continuing care of inpatients can be arranged at the discretion of the resident team in consultation with the attending staff. Residents must communicate effectively with on-call residents when arriving in the hospital in the morning and when leaving at the completion of the day. This is especially important on weekends and on holidays. Inpatient Responsibilities 1. The chief resident on the head and neck service is the administrative chief resident. 2. Each resident will report to the hospital to which he is assigned early enough to make rounds and to discharge patients prior to beginning assignments in the OR or outpatient offices. Each resident has the responsibility for follow-up care and progress notes on the patients on the service to which he has been assigned. If the resident is uncertain about orders or disposition of the patient, contact the patient's attending physician for clarification. Progress notes are required for every patient every day and more frequently if conditions warrant it. At discharge, an appropriate note will be made. 3. Residents and faculty should round together daily on inpatients, as schedules permit and patient census requires. Communication between resident and faculty is essential to assuring optimal patient management and resident education. 4. The residents are responsible for completion of history and physicals, work rounds and daily documentation, surgical assignments, and discharge summaries. There are times when some services will be less busy, and it is expected that the residents will distribute the workload evenly amongst themselves. In order that all residents complete their daily responsibilities within a reasonable amount of time, cooperation is of prime importance. Residents are expected to communicate with one another in order to cross-cover and share the workload. 5. Decisions as to which cases the residents will assist in should be made between the resident and attending staff on a day prior to surgery. Assignments to major surgical cases will be made by the Administrative Chief Resident. 6. The resident on call is responsible for in-patient emergency care from 5:00 p.m. until 7:00 a.m. and whenever the primary care team is not available. In essentially every case the patient should be seen personally by the on-call resident. Any verbal orders must be signed, and any changes documented in the medical record. The resident must notify the staff physician immediately of any untoward developments or complications with their patient. The resident on-call will cover Children's Hospital for in- and out-patient emergencies. The on-call resident will advise the appropriate service resident of any changes in their patients before the on-call resident assumes their regular daytime duties.
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