A question for those who have pediatric residents to whom they are signing out ED patients:
How do you manage all of the phone calls? Do you call and get an accepting attending and then need to call the pediatric resident to give additional sign out? Do you use the EMR to do much of the communication using a standardized format (I-PASS)? What if the patient is boarding in the ED? Do you give additional sign out when the patient is going to the floor? I know that last question has been answered by some as handover of care to the inpatient service happens at the initial sign-out, but that is not the case here nor will that be the answer in the near-term. So I am wondering more about the initial sign out and the phone calls made or processes implemented to reduce the number of said calls.
Thanks to you all for your input.
Ethan Wiener, MD, FAAP, FACEP
Director, Pediatric Emergency Medicine
KiDs ED, Perelman Emergency Dept, NYU Langone Medical Center
Assoc Division Chief, Pediatric Emergency Medicine
NYU School of Medicine
462 First Ave, Suite A345
New York, NY 10016
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