Inpatient Care

Inpatient Care Flow Diagram

1. MS3 will be contacted regarding admission of patient.
2. MS3 will perform H/P on patient (not for chart use) and write admission orders when applicable.
3. MS3 will contact admitting physician to present and discuss patient. 
4. MS3 will continue to follow patient, including post-op checks, respiratory treatments, etc., with orders and/or notes in chart when appropriate.  Covering physician should be contacted with any urgent issues.
5. MS3 will see patient and write progress notes each morning with orders written when appropriate, then contact the attending physician to present and discuss patient.
6. Continue #4 and 5 until discharge. Sign out patient to weekend call colleague by the end of Friday, so they may cross-cover over the weekend.
7. MS3 to write discharge note, orders and necessary prescriptions when applicable.

NOTE:  All orders must be cosigned by a physician to be valid.
NOTE:  If patient has already been admitted and you are assuming care, begin with #4.

Inpatient Call

Purpose

To provide you with an opportunity to learn about and participate in admitting and caring for hospitalized pediatric patients.  This period should also provide you with the opportunity to spend more time with children and the very common but important procedures associated with pediatric care, that is, playing, feeding, diaper changing, administering medications. This is also an opportunity to spend time in the nursery. Finally, many procedures from the scavenger hunt may be accomplished during this time.

Schedule

Home-based call with responsibility to both hospitals. 7 a.m.–7 a.m. weekdays; 7 a.m. Friday to 7 a.m. Monday weekends. We will provide an initial schedule; however, in an attempt to provide you with more flexibility, you may switch call with your colleagues.

Each morning you begin call, please notify pediatric ward clerk and pediatrician on call's office at each institution of your name and page number so they may reach you for patient admits. See important numbers section for contact information.

Weekend Call

On Friday, please contact pediatricians on call and coordinate rounding for weekend with at least one of them. Discuss which patients you will be covering and have your patients seen, progress notes completed and orders written prior to the start of rounds. Also, take advantage of this time to work with the pediatrician on call while they make nursery rounds.