Nightfloat
This is an 8:30 pm to 7:30 am rotation that covers admitted inpatients and admits new medical patients overnight, allowing the primary ward teams to go home.
Intern Nightfloat:
Interns are responsible for cross-covering all inpatients overnight on the West Campus. Each night the on-call interns sign out the ward patients to a nightfloat intern. The nightfloat's primary responsibility is to manage acute issues overnight as well as follow up on labs and studies that are pending at the time of the call team’s sign-out. Each nightfloat intern covers approximately 10 intern’s patients. Interns at BIDMC are supervised by the MERIT resident whose primary responsibility is intern support overnight. Intern nightfloat rotations are primarily undertaken at BIDMC but the residency does also coverage for the West Roxbury VA. Typically, this is a two week rotation with every Friday night off. Interns on nightfloat at either location, have NO admission responsibilities.
Resident Nightfloat:
Three junior/senior residents are responsible for all overnight admissions to the medical, cardiology, and liver/kidney services WITHOUT cross-coverage responsibilities. Residents admit in a geographic format and usually admit approx 5-6 patients/ night. This rotation allows for significant resident autonomy and co-resident collaboration—a strength of BIDMC residents! This is a one week rotation and residents typically have two nightfloat rotations per year.
