Nightfloat and Call Responsibilities
We use a nightfloat system to cover the neurology service after hours and on weekends. On nightfloat, residents cover all neurology patients (ED, EMU, wards, and consults), both at Shands and the VA hospitals, from 8 pm until Morning Report at 8 am the next day. Nightfloat is performed in approximately 2 week long blocks, six nights on and one night off (Saturday nights). On weekdays, the regular inpatient teams cover each service until 5 pm, when short call begins. Short Call on the weekdays is from 5 pm until 8 pm. Members of the Shands inpatient teams rotate through short call, covering the Shands ED, EMU, wards, and consults during that period. The same is true for VA short call when the VA inpatient team alternates coverage for VA ED, wards, and consults. On the weekends, from 8 am to 8 pm two residents split coverage between Shands and the VA again, one from the Shands inpatient team and one from the VA inpatient team. Residents round with their own service attending weekend mornings. Saturday night call is from 8 pm to 8 am and is performed by Shands Consult residents and residents on non-inpatient rotations. The resident on call is also responsible for answering outside calls from patients and physicians. Residents will notify the attending neurologist on call at Shands or at the VAMC of any but the most routine occurrence, and even of routine matters if they are a beginning resident. Attendings are responsible for back-up, in case the neurology resident has more than one emergent situation to handle at the same time. Ward residents on each side of the street must sign out to their relief at change of shift each day.
Resident Coverage Responsibilities will be published weekly in departmental newsletter, the Neurotransmitter.
On average, PGY-2 residents take 1.5 months of nightfloat, PGY-3 residents 1 month of nightfloat, and PGY-4 residents take 0.5 month of nightfloat.