SUGGESTIONS FOR NIGHT FLOAT RESIDENTS
I finally graduated to 2nd year of my IM residency. My first rotation was night float. Night float is hard and it really tests you. As a night float resident, you are just working, sleeping and eating! The cases which you see as a night float resident in a community hospital varies widely. Now I am more comfortable admitting a drunk alcoholic patient than admitting someone for the CCU team. Our Hospital is not equipped to handle urgent cardiac cath. So, we have to decide about possible transfer to a hospital which can tackle Coronary cath. We admit a lot of NSTEMI and Arrhythmias. There is a cardiologist on call every night but he is at HOME and resting. It's hard to reach them and as a resident you can only pray for the patient in some situations. So, whenever I am admitting any patient for CCU for gray zone troponin or non-specific EKG changes, I give the patient Aspirin, Ticagrelor and Full dose anti-coagulation. I can not take the risk. I call the attending and he normally ag