Administration Basic Sciences Clinical Sciences Centers of Excellence
 

The Call Schedule

For the wards services at Touro and Kenner hospitals, we have two teams, each consisting of two residents and two interns. In-house call is on the traditional q4 overnight schedule, with the other half of the team present to help the post-call team get home by 1 p.m.

Call on the ward teams at the LSU Interim Hospital is overnight for interns, with upper-level residents leaving in the evenings after being relieved by a night float resident.

Our program provides experience in the traditional overnight-call system as well as the night float system. This allows residents to adapt their behaviors to fit each system, ensuring that residents will feel comfortable with whatever type of call used by the practice they enter into after graduation.

Sample admits from Call Nights

Patient admissions of 2 call nights from one resident at Touro Infirmary (November, 2006)

First Call Night:

  • 66 year-old gentleman admitted with chest pain (ruling out acute coronary syndrome)
  • 27 year-old woman admitted for Crohn’s exacerbation
  • 21 year-old woman admitted for acute Hepatitis B
  • 43 year-old woman admitted for thyroid toxicosis
  • 47 year-old woman admitted for alcohol withdrawal and suicidal ideation
  • 49 year-old gentleman admitted for cavitary lung disease (rule out tuberculosis)
  • 57 year-old woman admitted for CHF exacerbation
  • 44 year-old gentleman admitted for Upper GI bleed
  • 66 year-old gentleman admitted for CHF exacerbation and cellulitis
  • 82 year-old woman admitted for urosepsis

Second Call Night:

  • 67 year-old gentleman admitted for abdominal distention
  • 25 year-old woman admitted for pneumothorax and empyema
  • 50 year-old gentleman admitted for CHF exacerbation, cellulitis, and transverse myelitis
  • 50 year-old woman admitted for chest pain (ruling out acute coronary syndrome)
  • 54 year-old gentleman admitted for CHF exacerbation
  • 56 year-old woman admitted for hypernatremia and pneumonia
  • 49 year-old woman admitted for respiratory failure and CHF exacerbation
  • 50 year-old gentleman admitted for cellulitis and CHF exacerbation

Patient admissions of 2 call nights from one resident at Ochsner Medical Center - Kenner (November, 2006)

First Call Night:

  • 69 year old woman metastatic breast cancer with dysarthria for one week
  • 22 year old gentleman with cocaine induced seizures and status epilepticus
  • 58 year old gentleman with atypical chest pain
  • 82 year old gentleman with gram negative urosepsis and renal failure
  • 54 year old woman with new onset atrial fibrillation, pneumonia
  • 74 year old woman with recurrent small cell carcinoma, febrile neutropenia, anemia and post obstructive pneumonia
  • 54 year old gentleman schizophrenic with respiratory failure due to COPD and intubated upon arrival to Emergency Department
  • 27 year old woman with refractory pyelonephritis
  • 26 year old woman with acute pancreatitis secondary to oral contraceptives
  • 45 year old woman with cholelithiasis

Second Call Night:

  • 69 year old gentleman with urosepsis
  • 55 year old gentleman with acute myocardial infarction
  • 26 year old woman with pelvic inflammatory disease leading to DKA
  • 35 year old gentleman with acute hepatitis due to Hepatitis C
  • 72 year old gentleman with shortness of breath due to myocardial infarction
  • 27 year old woman with history of bicuspid aortic valve/porcine valve/dilated cardiomyopathy with chest pain
  • 72 year old woman with TIA/severe carotid stenosis
  • 86 year old gentleman with coumadin toxicity (INR >18) and upper GI bleed
  • 64 year old woman with dysarthria, dysphagia, and new onset atrial fibrillation
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