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In the unusual circumstance of concurrent emergencies in 2 hospitals, help must be sought from either another available resident, fellow or the attending physician. 7. The resident on-call should make every reasonable effort to assist in emergency surgical cases performed between 7:00 p.m. and 7:00 a.m. 8. Emergency inpatient consultations at night, weekends, and on holidays from the UPMC or Children's Hospital will be seen by the resident on-call. The chief resident assigned to the service, fellow (CHP) and the attending physician should be notified at the time of admission of any patient admitted to their service at any time. Magee Womens Hospital inpatient consults on evenings and on weekends are first to be screened by the otolaryngology in-house resident on call and if care is urgently required, the ENT staff member on call will be contacted by the resident. Non-emergent weekend consults will be negotiated between the ENT staff member on call and the third year consult resident. Residents on call may be contacted for consultation regarding the potential referral of patients to the otolaryngology service. It is essential that these referrals be handled in a professional and collegial manner. When possible, referrals should be rotated through referral communications (412-647-7000). Transfers to the UPMC should be facilitated and the attending physician notified upon arrival of the patient. If consultation services are needed from the specialties this is, of course, arranged. The UPMC physicians frequently provide consultative services and coverage for community otolaryngologists. Care for these patients should be provided in a collegial way. (SEE CONSULT POLICY) 9. Outpatient emergency room consults at the UPMC ER and at Children's must be seen promptly (e.g., within 20 minutes). If urgent patient issues take precedence, the responsible ER physician must be contacted. If the delay is likely to be excessive, it may be necessary to contact the second call resident, the appropriate fellow, or on-call faculty member. All ER consults must include some plan for follow-up. 10. On-call coverage of Children's Hospital and the UPMC remains the responsibility of the in-house resident until 7:00 a.m. It is the responsibility of all residents to be available by 7:00 a.m. 11. The resident on-call on Saturday and Sunday will begin their shift at 9:00 a.m. so that ward rounds may be made before beginning duty. The resident on-call will not leave the hospital until they have discussed the in-house problems with the next resident on-call.
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