Obstetrics/FM Nightfloat Rotation
Location:
Rhodes 7 is Labor and Delivery. Postpartum/Prepartum is on Silverstein 7 and 8.
Setup of Rotation:
During this rotation, 2 weeks will be as night float and 2 weeks will be clinic/outpatient/reading time duties.
During the night float portion, you will be on Sunday (7pm – 7am) and M-Th (6pm – 7am). You will be functioning as the Family Medicine resident on-call, but also part of the OB nightfloat team if there are no active patients for Family Medicine. You will obtain signout from the FM resident daily and manage PEC (prenatal evaluation center), L&D and post partum patients and babies. While on L&D, you will work directly with the FM attending, if one of our patients is laboring. Otherwise you will function as an extra intern on the OB nightfloat team.
During the 2 weeks of clinic, you will be primarily spending time with Dr. Nicholson and Dr. Lipson in their clinic sessions at St. Leonard’s Court or Health Annex. This time will largely be devoted to familiarizing yourself with prenatal care. You will also be required to complete a series of required OB readings (these will be emailed to you prior to the rotation). In addition you will have 3 PFC half sessions per week.
Computer Systems:
Signout: On any network computer go to Run à \\uphsfam1/public à Signout(year) à appropriate month/date to locate the word document with your signout. This is your responsibility to update throughout the day.
Sunrise: this is used to put in all orders, check results, meds etc.
Medview (including sign-out): this is used to see more extensive records on a patient.
Navicare: System used to communicate info about patients between nurses, physicians, discharge planners. Tracks patient on each floor by name/room#. You will be able to find info re: which nurse is assigned to which patient.
QS: Used to access vitals, fetal heart tracings, tocodynameters for laboring patients. Also used to compose discharge summary in lieu of verbal dictation.
Charts:
Postpartum: There are full paper charts in the cubbies above patient rooms and the nursing flow sheets are in a small black binder next to the full chart in the cubbies.
L&D: Charts for laboring patient are kept at the nurses station or sometimes in patients rooms.
Parking:
1. During your nightfloat hours, you will be allowed to park at the Penn Tower Lot, entrance across from the main entrance of HUP on civic center blvd. You will collect a ticket as you pull in. Bring the ticket with you. When you finish your shift, go to the cashiers on the Bridge level of the parking lot-present your ID badge and ticket and you will not have to pay(as long as you leave by 9AM).
Cafeteria:
No meal credit during this rotation
Call Room:
Family Medicine call room for HUP OB is on the 6th floor of the Ravdin building.
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