Pagers: Morgan 1: 831-4765, Morgan 2: 831-4766, Morgan 3: 831-4767,
Morgan 4: 831-4768, Morgan 5: 831-8481, Morgan 6: 831-4781
Pick up list at 6 AM in res library on 8N (code 431), admit until
5:30 PM, sign-out 6 PM
Admitting: Teams 1-3-5 & 2-4-6 alternate admitting days (just like
VA)
Non-admitting teams can sign out once their work is complete as
early as 2PM on weekdays and 12PM on weekends
Rounding time and meeting location varies by attending (typically
between 7 to 8 AM)
Work room: team-specific rooms labelled on hall behind 7N Nursing
station (Code 24300)
Morgan 5, 6 7755 (no code)
Huddle
Morgan 1
Morgan 2
Morgan 3
Morgan 4
Morgan 5 - 1340 on Teams
Morgan 6 - 1350 on Teams
Tips: get pharmacist's phone number 1st day, get case
management/social work phone numbers, place consults as soon as
possible (preferably before rounds once consult teams arrive at 7
AM)
Pick up list at 6 AM, admit daily until 5:30 PM, sign-out 6 PM
Each HPI usually requires special info about the patient’s
subspecialty diagnosis; refer to primer documents that are available
for most subspecialty services in the chief's "welcome to the wards"
email, and see tips below
Work room: 6MCE, room 6755 near the elevators (no code)
Review: Hepatology Section, Paracentesis (Procedures), and
'Surviving Rogers Hep' primer
Tips: structure one-liner as “cirrhosis secondary to ___
decompensated by ___ (EV bleed, ascites, SBP, HE, or HRS) who
follows with ___ (hepatologist) and is ___ (listed /
undergoing workup for / not listed) for transplant”; know patient
MELD-Na scores (use the MELD-Na dot phrase or patient list column);
anticipate at least diagnostic paracentesis on admission if any
concern for SBP (abdominal pain, AMS, etc.)
Rounds typically at 8 AM, team meets in Resident Library (8N)
Pager: 831-4779
Work room: 6 Round Wing, 2nd door on left after coming out of
elevator (no code)
Tips: Each HPI for pt with HIV should include most recent CCC
provider, CD4/Viral Load, prior AIDS-defining illnesses and
compliance to ART; Use ‘Notifications’ tab on main screen in Epic to
keep track of lab orders as patients can have long stays with
send-out labs that can take up to two weeks to result (can also hit
‘Notify Me’ in dropdown box of Order)
Rounds typically at 8 AM, team meets at 8N nursing station
Pager: 831-4777
Work room: 8 South 8216 (code 2430)
Tips: Each HPI should include most recent PFTs (FEV1% most
important, include other relevant data or recent changes); For CF,
Use the CF admission order set, know typical organisms in patient’s
sputum (ex: MDR Pseudomonas, Burkholderia, MRSA) and consult CF
team; for PH know the therapies they are on (typically Flolan or
Veletri)
Rounds typically start 7-7:30 AM, team meets at resident/fellow work
room on 6MCE
Pager: 831-4783
Work room: 6MCE 6772, behind nursing station with renal fellows (no
code)
Tips: Each HPI should have renal transplant history with year, type
of transplant, PRA, Ag MM, CMV D/R; 6MCE charge nurse can get pts
transferred there; alert the night cross-cover resident to patients
with recent renal biopsy and low threshold to contact renal fellow;
transplant pts should have daily tacro level one hour before AM
tacro dose (5:00 am), regardless of pt’s home schedule and be
cautious with first dose timing of immunosuppression to keep on
schedule
Team: 1 Res, 2 Interns on one team with pt cap of 8 per intern (16
total)
Pagers: CHF-A: 831-6485, CHF-B: 831-6486
Pick up list at 6 AM, admit daily until 5PM (alternate admissions,
resident to help assign)
Rounds typically at 7 AM, team meets at 7MCE nursing station
Workroom: 7N room 7024 right before bridge to 7MCE (code 145)
Tips: Know each patient’s dry weight (usually found in outpatient
cards notes or at last discharge), know current outpatient diuretic
regimen, know most recent TTE, RHC, and LHC results (keep this info
accessible on rounds), order strict I&Os; Daily Standing Weights,
and fluid restriction of 2L/day, obtain iron studies to assess need
for IV iron, perform volume exams on patients before rounds
Team: 1 Res, 1 Intern on each team with patient cap of 10
Pagers: Harrison 1: 831-4769, Harrison 2: 831-4770
Pick up list at 6 AM, admit until 5 PM (Long) or 2 PM (Short)
Alternate long and short days with other Harrison team
Weekends: Only long team admits new patients
Rounds typically at 7 AM, team meets at 7MCE Nursing station
Work room: 5MCE 5181 (code 0701); hard to hear stats so keep door
propped
Tips: To order heart cath, must be in the cardiology context in Epic
“VUMC Cardiology VIR” (order listed as “Case Request Cath Lab” and
use provider “Surgeon, Generic”)
Team: 3 Res, dedicated cards fellow, no specific patient cap
Pager: 831-6487
Rounds start at 7 AM on 5N with Interventional rounds, then Advanced
Heart Failure rounds
Call room: 5229AA, on 5S behind the nursing station (code 1234#)
Supply room: on 5N (code 512), equipment/US room: on 5N (code 512)
Tips: make sure you have access to the Swan sheet folder, have
someone show you how to fill in Swan numbers, make a new Swan
document daily, make a schedule so you stay on top of q4h Swan
numbers and frequent I/O assessments, familiarize yourself with IABP
monitors and Impella care, have pre-call update any hospital courses
the post-call resident wasn't able to do since post-call is busy
presenting on rounds
Pick up list at 6 AM, admit daily until 5 PM (alternate admissions
between interns)
Rounds at 8 AM, team meets on 10T
Work room: 7MCE conference room (code 0701)
Tips: Each HPI should include malignancy history (dx, prior tx,
current tx), utilize the 'treatment' tab to keep on track with chemo
cycle/day, know the febrile neutropenia algorithm, if possible,
enter orders/write notes while the other intern and attending are at
bedside, low threshold to work any complaints up as bleeds,
infections, and fevers are common and can be rapidly lethal
Pick up list at 6 AM, admit daily until 5 PM, sign-out 6 PM
Rounds at 8 AM, team meets on 11N at nursing station
Workroom: Varied; typically resident library, 11N or 10T, or 7MCE
Conference room
Tips: Each HPI should have Onc history (Dot Phrase “.onchist”)
including dx, prior treatments, most recent imaging; 10T and 11N
charge nurse can get pts transferred there, know that patients
admitted from infusion clinic must be seen and have orders placed
(write delayed admission orders in advance of their arrival to floor
bed)
Pagers: MICU 1 Intern Pager: 831-4759, MICU 2 Intern Pager:
831-4757. Need to also carry the team phone
Day Intern: 8 AM - 10 PM; Night Intern 9 PM - 11 AM
Rounds at 8 AM (start with half hour teaching most days)
Work areas: team 1 sits at computers across from pt room 8641; team
2 sits at computers across from pt room 8613; ultrasound/equipment
room code is 4321#; break room code 4321
Tips: Day 1, figure out if you're the code team and where the I/O
kit is. Night intern presents all the old patients in the morning
and signs the notes. The day intern owns the A&P of the notes by
keeping them updated. Trust the nurses and never hesitate to relay
info to your resident overnight if you’re concerned (wake him/her
up!)
Start on Sunday night for interns, Wednesday night for residents;
off Saturday night
Team: 1 Res, 2 Interns with patient cap of 10 for Morgan/Rogers
admitting; 1 Res + 1 Intern w/ cap of 10 for Harrison/Heme/Onc (Res
and Intern split admissions)
Harrison/Heme/Onc: Start at 6 PM, admit until 5 AM, sign-out by 6 AM
Morgan/Rogers: Start at 6:30 PM, admit until 5:30 AM, sign-out by
6:30 AM
Cross cover: Start at 6 PM (Be on time!), sign-out 6:30 AM
Tips: ensure you communicate all orders and plans with the resident,
writing “To do” boxes on the first pages of each printed H&P might
help you communicate the important aspects of each plan to the day
intern when they arrive the next morning, cafeteria closes at 2 AM.
For cross cover, make sure to document any significant events in
Epic. Useful to follow-up on pts admitted previous nights to reflect
on your diagnosis and workups.