Harbor:Peds ED schedule and sick backup plans

Shift information

• Resident shifts: EM, Pediatrics, Med-Peds
  • Most weekdays will be scheduled with residents (EM or Peds R2, R3, or R4, UCLA Med-Peds, or FM, sometimes resifellow) – two residents 7am-4pm, two residents 4pm-1am, and an EM R3 or R4 on mn-7:30am
  • Other than Thursday morning conference coverage, there will always be an EM R3 or R4 on (EM Sr)
  • Extremely rarely, times of short staffing may be scheduled with residents on 8a-8p, 7a-5p, 4p-2a, and an EM R3 or R4 on 8p-8a
  • Note: by our convention, a midnight – 7:30am shift listed on, for example, July 1st is actually technically on July 2nd. Thus, if you came in one minute early for your midnight-7:30am shift, you would come in at 11:59pm on July 1st. The attending schedules are done the same way.
  • Fellows may be scheduled for any of the shifts
• Other shifts
  • Depending on the number of interns and off-service residents scheduled in the PED for a given block, they will be scheduled for 10a-7p, 3p-12a, and if there are enough rotators 7p-4a
• Attending shifts
  • There will be 24 hour attending coverage in the PED. The shifts will be 6:45a-3:45p, 3:45p-11:45p, and 11:45p-6:45a
  • Second and third year PEM fellows act in a capacity similar to attendings as supervisory fellows; they are directly supervised by the attendings on the AED green and purple teams, as well as indirectly supervised by the PEM core faculty available by telephone

Teaching rounds

• Teaching will occur 7a-7:15a, and may occur after shift briefing
• Shift briefing occurs at the nursing station at 7:15a and 7:15p
  • Overnight residents are NOT to leave early before 7:30a, and all residents should get breakfast at 6:45a so they can be present for teaching rounds

Trading shifts

• Once the schedule is released, you must TRADE any shifts that you would like changed
  • Do not ask us to move your shift to a different day of your convenience for you
• All shifts other than Thursday morning DEM conference coverage have at least one EM R3 or R4 (Senior) or PEM fellow; this is because we need someone present who has experience with trauma
• EM seniors (R3, R4)
  • May trade with other EM seniors or PEM fellows
  • May trade a PED shift with an AED shift
    • Only EM seniors (R3s, R4s) or PEM fellows can do the overnight midnight - 7:30a shifts
• EM juniors (R2)
  • May trade with other EM juniors (R2s) any type of shift
  • May trade with pediatric R2 and R3s, FM residents, and UCLA med-peds residents for 7a-4p shifts
• Pediatric, Med-Peds, and FM residents
  • May trade with each other and with EM juniors (R2s) for 7a-4p shifts
  • May trade with anyone for 10a-7p, 3p-12mn, or 7p-4a shifts
  • Peds, Med-Peds, and FM residents can also get someone of equal or higher level from their program to cover a shift and pay that person back however they like
    • Would expect this would just be one shift though, so it doesn’t overly impact your PED rotation
• Interns
  • Interns may trade with each other or with Peds, Med-Peds, or FM residents scheduled in a 10a-7p, 3p-12mn, or 7p-4a shift
  • May also get another intern from their program (or any EM or Peds intern) to cover their shift
• Get your trade approved
  • Trade cannot incur an RRC duty hours violation
  • Send your proposed trade to kyoung3@dhs.lacounty.gov AND croeder-sanchez@dhs.lacounty.gov for review
  • Have BOTH people involved in the trade email to assure that they agree (one person can forward an email in which the other agrees)
  • Do this well in advance so your trade can be properly reviewed

Sick Back-up Plans

• If you are too sick to work your shift, or think you may be too sick, please call and notify people as early as possible
• Notify Kelly Young at kyoung3@dhs.lacounty.gov, Christiane at croeder-sanchez@dhs.lacounty.gov, AND call the current PED attending at 424-306-5058
  • EM residents contact Madonna Fernandez or the chief residents
  • Peds residents contact your chief resident
  • FM residents contact Theresa Nevarez or your chief residents
  • UCLA Med-Peds residents contact your chief resident
  • PEM fellows contact Kelly Young
• If 7a-4pm resident is sick
  • Jeopardy coverage for EM residents
  • Coverage from own program for Peds, FM, or Med-Peds residents
  • PEM fellows attempt to arrange coverage from another fellow, else jeopardy coverage for EM residents
    • If no coverage available, and PED is very busy, EM jeopardy may be called
  • Other 7a-4pm resident becomes 7a-5p, 4pm-1am resident becomes 8a-8p (or as close as possible depending on previous shift and current time), 4p-1am resident becomes 4p-2a, and mn-7:30am resident becomes 8p-8a
• If 4p-1am resident is sick
  • Jeopardy coverage for EM residents
  • PEM fellows attempt to arrange coverage from another fellow, else jeopardy coverage for EM residents
  • One 7a-4pm resident becomes 7a-5p and one becomes 8a-8p, the other 4p-1am resident becomes 4p-2a and the mn-7:30am resident becomes 8p-8a
• If mn-7:30am resident is sick
  • Jeopardy coverage for EM residents
  • PEM fellows attempt to arrange coverage from another fellow, else jeopardy coverage for EM residents
• If EM resident is jeopardized, will attempt to arrange payback coverage, including from PEM fellows, Peds or UCLA residents
• For 10a-7p, 3p-12mn, and 7p-4a shifts
  • Coverage from sick intern or resident's department or by nurse practitioner
  • If no coverage available, the shift is left unfilled