Report overnight newborn nursery triage call issues to Dr.Kuo: click here!
MBU residents bring the Ascom to the floor senior with the least amount of patients at 5pm
Do not bring the phones up earlier - the floor teams need to get their work done for their respective patients before taking on the responsibility of NBN call
Sign out any potential problems that can occur via I-Pass (bilirubin level, NAS scores, initiation of morphine etc)
Return at 6am to take the Ascom back. Again, do not come in late, as the floor teams should no longer be handling the MBU calls after 6am
Senior residents and interns who have already completed the MBU should carry the MBU Ascom overnight. No one else!
Call Management
All phone calls from nursing are triage calls.
Basic orders – i.e. phototherapy initiation, morphine administration, HIV prophylaxis for exposed infant
NICU consults – i.e. change in clinical status that warrants an examination/work up
As the triage resident your role is not to examine the patients.
All calls must be clearly documented in the patient's chart using a progress provider note
*Overnight Issues*
If you are called about a baby whose clinical status has changed and requires an examination/work up, do not go down to see the patient. NICU will need to be consulted and they will evaluate the patient
If NICU refuses, contact the Chiefs and Dr Black!
MBU interns work only for the MBU Hospitalist or PHS service. They do not see or write notes for patients under private services (even if residents see their patients on J11)
If the private services want residents to see or write notes on one of their patients, then the private attending will first need to discuss it with the on-call MBU attending!