The Night Float Rotation was designed to increase continuity of care for inpatients during nighttime while meeting the work hour requirements for residency training mandated by the ACGME. PGY-2 and PGY-3 neurology residents participate in the ½ month blocks and spend the other ½ month as Float or Jeopardy resident. Night Float works 6 nights per week, with Saturday off. There are 2 night-float residents at YNHH. There is a Inpatient Night-Float resident that covers all of the inpatient Neurology services, including the Neuro-ICU (Inpatient Night-Float) and a Consult Night-Float resident that evaluates all consults, stroke codes and chill alerts in the hospital (inpatient and ER for adult and pediatrics).
The Inpatient Night Float block was designed to increase continuity of care for inpatients during nighttime hours while meeting the residency hour requirements mandated by the ACGME. Both PGY-2 and PGY-3 neurology residents cover as the Inpatient Night Float resident in ½ month blocks during the academic year. Inpatient Night Float works 6 nights per week, and Saturday is off. This duty begins at 5:30 p.m. and ends at 6:30 a.m the next day Monday through Friday nights. On Saturday mornings the Inpatient Night Float resident rounds with the ward team and leaves the hospital by 10:30 a.m. The resident has Saturday night off and returns on Sunday night at 7:30 p.m for sign-out. During the time they are on duty, the Inpatient Night Float resident attends to all matters pertaining to the Yale Neurology inpatient, Epilepsy and neuro-ICU services. Daytime activities such as continuity clinics are not scheduled during this rotation.
The Consult Night Float block was designed to provide coverage for consultation services, including the Emergency Department, inpatient consultations requested from other specialties, and pediatrics. Both PGY-2 and PGY-3 neurology residents cover as the Consult Night Float in ½ month blocks during the academic year. Consult Night Float works 6 nights per week, and Saturday is off. This duty begins at 7:30 p.m. Sunday-Friday and ends no later than 8:00 a.m. Monday-Saturday. At night, the consult night float is the senior resident in-house, and takes responsibility for management and disposition decisions. The Consult Night Float attends to all new consultations in the Emergency Department and Pediatric Emergency Department, as well as provide new consultations to other services in the hospital, provide urgent follow-up for existing consultation patients, and cover the Yale Medical Group-Neurology answering service (except the Epilepsy Service) as needed. The Consult Night Float responds to all stroke alerts and all chill alerts (cardiac arrest cooling protocols). The Consult Night Float is responsible for admitting patients from the ED to the inpatient service and serves as the primary resident physician for these patients until sign-out is given at 6:30 a.m. to the Yale Junior residents. Consults and admissions regarding Epilepsy patients are discussed with the Epilepsy Fellow. Interesting cases are presented during morning report by the Consult Night Float resident, which allows for direct discussion and teaching with a Neurology attending. Daytime activities such as continuity clinics are not scheduled during this rotation.