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Admission Limits
Department of Medicine
University of California, San Francisco
San Francisco General Hospital
Medicine Wards:
1. Each intern will be responsible for admitting no more than
five admissions.
2. Each resident will be responsible for admitting no more than
ten admissions.
3. Patients who are admitted to the ICU by the Medicine Ward intern
and the Critical Care resident will count toward the Medicine
Ward intern cap but not the Medicine Ward resident cap.
4. In intances where each intern has admitted five patients, the
Medicine Ward resident, if he/she has not yet capped at ten patients
due to ICU admissions, will admit patients alone until his/her
cap of 10 patients.
5. In instance where the Medicine Ward resident has admitted 10
patients (approximately 2 times per month), he/she should page
the Chief Resident on call. The Chief Resident on call will contact
the Critical Care resident to see if he/she is available to admit
ward patients to a maximum of 4 admissions.
6. If the Critical Care resident is too busy to assist with ward
admissions or has already admitted 4 patients, the Chief Resident
on call will contact a Jeopardy resident on an outpatient rotation
to come to the hospital to admit any additional patients.
7. Any patients admitted by the Critical Care or Jeopardy resident
will then be distributed to the new on-call teams at 8:00 am.
On average, an intern will not be responsible for the ongoing
care of more than 12 patients; a resident will not be responsible
for the ongoing care of more than 24 patients. When patient load
exceeds these limits, patients will (when it is safe for the patient)
be distributed among housestaff on the Medical Service.
Medicine Wards / Cardiology:
1. Each intern will be responsible for admitting no more than
five admissions.
2. Each resident will be responsible for admitting no more than
ten admissions.
3. Patients who are admitted to the CCU by the Medicine Ward/Cards
intern and the Critical Care resident will count toward the Medicine/Cards
Ward intern cap and the Medicine/Cards Ward resident cap.
4. In intances where each intern has admitted five patients, the
Medicine/Cards Ward resident has admitted 10 patients (approximately
2 times per month), he/she should page the Chief Resident on call.
5. The Chief Resident on call will contact the Jeopardy resident
on an outpatient rotation to come to the hospital to admit any
additional patients.
7. Any patients admitted by the Jeopardy resident will then be
distributed to the new on-call teams at 8:00 am.
On average, an intern will not be responsible for the ongoing
care of more than 12 patients; a resident will not be responsible
for the ongoingcare of more than 24 patients. When patient load
exceeds these limits, patients will (when it is safe for the patient)
be distributed among housestaff on the Medical Service.
Critical Care:
Patients requiring admission to the Medical ICU will be admitted
by the Critical Care resident and the Medicine Wards intern. These
patients will count toward the Medicine Wards intern's cap of
five (as outlined above). The Critical Care resident will admit
no more than ten patients. In the unlikely event that the Critical
Care resident caps, the Chief Resident on call will be paged.
A Jeopardy resident rotating on an outpatient rotation will come
to the hospital to admit. Any patients admitted by the Jeopardy
resident will then be distributed to the new Critical Care resident
and new Medicine Wards intern at 8:00 am.
On average, an intern will not be responsible for the ongoing
care of more than 12 patients; a resident will not be responsible
for the ongoing care of more than 24 patients. When patient load
exceeds these limits, patients will (when it is safe for the patient)
be distributed among housestaff on the Medical Service.
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