Welcome to CNF!
Consult night float is the rotation with the most responsibility as you (outside of the NICU fellow) are the most senior neurologist in house. You will take consults from 7pm until 6:30am and urgent consults until the day team comes in at 7:30am except Sunday when you come in at 6pm. It is staffed Sunday through Thursday nights.
On Monday, Wednesday, and Friday mornings, you will present any overnight admissions to the morning consult attending. Tuesday and Thursday you will sign out any overnight consults to the consult senior who will present them after radiology rounds/morning report (respectively).
Here are some rules for staffing:
All consults discharged from the ED need tobe staffed. There is a new rule this year and this applies to stroke codes as well! Stroke codes being discharged from the ED should be staffed with the stroke attending on call (whoever is on service. I’m working on adding this into amion, but for now you can find it if you log into amion under “vascularneuro”).
If you staff a stroke patient with the NICU fellow overnight that gets admitted (or is already on) another service, PLEASE make sure you add them tothe stroke list and tell the stroke fellow about them the following morning.
The NICU fellow is in house tohelp with stroke codes, emergencies, and if questions arise. However, if you find yourself asking them many (non-ICU level) questions about a patient, it’s probably best tojust wake the consult attending up and ask them what they recommend. They do not see patients so cannot be responsible for major management decisions — unless they are decisions that are directly related to a patient you would otherwise have in the NICU but can’t because there are no beds (i.e.: Herniation, status epilepticus).