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Question for the NOCTURNISTS out there...


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I am a recent graduate about 1.5 weeks into a hospitalist position at a 474 bed hospital. Eventually I am supposed to be transitioned to the night shift. What are some common calls that the nocturnist should be prepared for?

 

The chief of my hospital service was somewhat cryptic in her reply. I was wondering what some of you folks have experienced on the front lines (mundane to critical)?

 

I would greatly appreciate any insight you could offer.

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as part of my nocturnist em provider role I have to cover calls from the floor. most things are issues that could have been avoided if someone had written better prn orders.

the most common are for stool softeners, meds for sleep, meds for etoh or nicotine withdrawl, meds for dyspepsia, home meds not written for, etc, etc.

of course anything that happens during the day can happen at night too (codes, seizures, etc).

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