Heart Failure Resident Responsibilities

The heart failure resident will be working along with the cardiology fellow and
heart failure attending.
1) The heart failure service will admit appropriate patients Monday through
Friday. The heart failure resident will round but not admit on one of the two
weekend days. The fellow will cover the other weekend day.
2) Appropriate heart failure admissions include those patients who have had
heart transplant; patients followed by Drs. Chang, Dupree or Adams; and
patients referred from outside institutions for decompensated heart failure or
consideration of transplant.
3) Heart failure admissions and transfers should be screened by the heart failure
fellow to deem appropriateness of admission based on admitting diagnosis and
current heart failure census.
4) Admissions cap at 5 per day or 5:00 PM.
5) Total service cap of 10, of which no more than 5 can be CCU status.
6) Floats (transfers from the other cardiology services) may be accepted daily,
including weekends. These count as admissions on weekdays.
7) No more than 16 new patients in a 48 hour time period may be admitted to
the service.
8) Sign out on the heart failure patients from the overnight team should occur at
7:00AM.
9) The heart failure resident and fellow should meet at 4:00 PM each day to
discuss patient care goals and the next days plan.
10) Prerounding should focus on gathering critical laboratory data, overnight
events and evaluation of ill patients. Not every stable patient must be seen and
examined in the morning.
11) On days with clinic, contact the fellow in the morning and devise a plan for
the day. Clinic will begin at 9:30AM. The fellow should cover the service while
you are in clinic.
12) The heart failure resident should sign out to both the long call cardiology
resident and intern.

13) Assuming the heart failure resident arrives at 7:00 AM, they must not stay
later than 9:00 PM in order to have 10 hours off between shifts.