CCU

2-3 APPs every day, including weekends
2 cardiology fellows: a 2nd/3rd year General fellow and a Heart Failure/ACHD fellow; one on each service.
Resident: a 2nd or 3rd year on elective (occasional)
CCU attending
Pharmacist
Social Worker

Subject to adjustment based on patient care needs and conference times

0745: Sign-out from nocturnalist to APPs/Fellow in CCU Team room as group
- Happens at 0715 on Tuesdays & Fridays due to conferences
0800-0900: Pre-round
0900-0915: Study rounds in CCU team room (Pretending prepares by pulling up studies on Centricity/Syngo/Xcelera)
0915: Team Huddle with Daily Lead APP to determine rounding order prior to start (generally begin with sickest patients, then new patients, then anticipated transfers, then remaining patients)
0915-1200: Structured Interprofessional Bedside Rounds
1300: Huddle in the Card B team room to discuss admits & transfers with the A,B,C,D teams
1200-2000: daily care of patients, notes, transfers, admits, discharges
- 1700-2000: One fellow remains in-house and carries the CCU code pager; alternate days based on weekends/clinic
  - Responsibilities Include: evaluate patients with clinical change, assist in triaging and calling urgent consults, coordinate transfers or admissions from the ER
  - Responsibilities do NOT include: primary admitting responsibilities unless patient acuity and # of admissions overwhelms service- this is at the discretion of the CCU/Card B Attending
2000: sign-out from APP/Fellows to nocturnalist
2000-0800: Direct patient care by nocturnalist. CCU on-call fellow may be called to assist as needed

TEAM ROOM

CCU patients are primarily located on 5SE, with 5SA (CT Surgery) overflow
CCU workroom is 5318 on 5SE, at the end of the leftmost hallway
- APPs usually work from leftmost 2-3 computers
- CCU patient bedboard can be displayed on the big screen
- Syngo and GE/PACS are on the computer connected to the big screen
- Xcelera is on the computer with the double screen