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CALL OVERVIEW


CALL ROTATIONS


Responsibilities & Duties:
  • Only leave once touching base with handoff residents at each site, ensure Combined list is caught up (both Eve-Eve, AND Eve-NF)
  • ED cases: 
    • All ED studies - XR, CT, MR, US, Nucs
    • Goal: Prelim within 90 minutes of QC/verified time
  • Inpatient cases:
    • XRs: None, unless called/directly requested
    • Ultrasounds: All.  By timestamp OR if you received the phone call, you should dictate it or verbally handoff to the next resident. Make sure to check the daytime US lists, as the US techs may not call you/may just leave a note)
    • CT/MRs: per list of required inpatients:
    • Goal: no strict timeline (however, do keep an eye on head CTs), may vary depend on urgent request/call, or before you leave your shift.
If any questions, please ask Chief(s).


QC/verified timestamps:
  • ER US scanning: Perform and dictate all necessary and appropriate ER US requests up to 30 minutes prior to end of shift.  
    • DO NOT CALL for an Ultrasound to come up/to be performed, if YOU are not the one performing it!
  • Follow up on studies that are in “Arrived” status for more than 1 hour. Open exam and investigate why it is taking so long. DO NOT LEAVE IT FOR THE NEXT RESIDENT.

MONDAY-FRIDAY
  • Weekday Eve (M, W, BI): 
    • ER: All studies verified by 11 pm, and
    • Inpatient: STAT/msk/neuro/body inpatient studies VERIFIED by 11 pm 
    • (if caught up time-stamp-wise, continue to read until 12 AM!). 
  • Weekday NF (MW, BI): 
    • ER: All studies verified after 11 pm, and 
    • Inpatient: STAT/msk/neuro/body studies verified after 11 pm - 7:45 am
SATURDAY-SUNDAY
  • Weekend day/NF shifts (M, W, BI): 
    • Both/all ER and inpatient studies, verified 15 minutes before the end of your shift


Protocols
  • Inpatient: Daytime + On-Call shared duty, all IP CT and MRI protocols for that day
  • ED: Handled by the ED technicians, using Dr. Friedman's protocol book (can forward to them if they don't have a copy). If ED technicians call requesting a protocol, you can ask them for a specific question/indication, and answer/protocol over the phone.


Common courtesy/Professionalism tips:
  • Begin dictating cases at the start of your shift to help "catch up"
  • Use the common worklist (as time allows), to keep an eye on all sites/help with volume across sites
  • Assist the junior residents with cases (even at a different site, as time allows)
  • Send an email to the assigned attending on Qgenda at the start of your weekend shift stating your hospital site, contact number, and coverage period
  • CAN dictate from resident lounges, or offices, if reading station up-to-date AND phones are forwarded properly (*This policy updated due to COVID-19 social distancing guidelines, and recent upgrades to the reading stations. May revisit policy at later date.)

Prelim's and Drafts:
  • Be mindful that the ED may take action based on preliminary reports (including discharging patients). 
  • R1s: 
    • XR, US: allowed to independently prelim, ideally after January 
    • CT, MR: draft only, EXCEPT if case reviewed with attending or senior resident, then can prelim 
  • R2-R4s:  
    • Prelim all IP, ED studies per Responsibilities & Duties above



OVERNIGHT ATTENDING READING LIST




ULTRASOUND TECH HOURS

Beth Israel
Weekdays: 24 hour coverage (until 08/2020)
Weekends: 22 hour coverage (-> 7-9am is uncovered)

Morningside
Weekdays: 8am - 11pm
Weekends: 3pm - 11pm (stars 7/25)

West
Weekdays: 8am - 11pm (last case 10:10pm)
Weekends: 11am - 7pm











Pagers

M/W Pagers
  • MSW pager coverage from 8am-4:00 pm to be assigned (Pagers: 33214, 35830)
Please stop page copying the M and W pagers to your personal cell phones. If you prefer to receive pages on your cell phones, then page copy your personal pagers to your cell and then forward the M/W pagers to your personal pagers.

Follow instructions below:

Step 1: Forward your personal pager to your cell phone
Call operator at 212-523-4000 and request them "page copy” your pager to your cell. Do not undo this step.

Step 2: Forward the call pager to your personal pager is as easy as forwarding phones remotely
  1. Dial “05” (in hospital) or dial 212-523-2828 (outside)
  2. Dial 2 (“to change status")
  3. Dial 33214 (M pager) or 35830 (W pager)
  4. Dial 5 (“covered by”)
  5. Dial your pager number
  6. Press “2” to confirm

W Eve resident
  • At start of shift - forward W pager to your personal pager at beginning of shift
  • At end of shift - forward W pager to M pager at the end of your shift (W NF resident covers both sites)

BI Pager
Pager 16119  
(although BI may have transitioned fully to Epic Chat at this point)

Inpatient/ER MR Responsibilities

CT Perfusion Studies

Click HERE for trouble shooting CT Perfusion Studies

FACULTY CONTACTS

Morningside-West ED FACULTY REPRESENTATIVE:
David Frager (x23-4222 or david.frager@mountsinai.org See Qgenda)

NIGHT FLOAT/EVENING CALL FACULTY ADVISOR:

Dairon Garcia (dairon.garcia@mountsinai.org)


BI or Morningside-West ED LIASON:

  • Dr. Kagetsu: Nolan.Kagetsu@mountsinai.org
  • The Chiefs: MSWChiefs@mountsinai.org


ED FOLLOW-UP:

  • Morningside-West:
    • Call ED physician or PA if the radiology attending changes the preliminary report with findings that affect management and the patient has already been discharged from the ED
    • Email Dr. Kagetsu, Dr. Somwaru and the Chiefs
  • BI specifically:
    • There is a BI ED follow up group made of ER PAs that handle callbacks at MSBI
    • BIEDFollowUp@mountsinai.org with the patient's information and reason for callback
    • Dr. Zeifer 
    • Shari Fernandez: Shari.Fernandez@mountsinai.org 


INTERESTING CASES:

Please add interesting cases to Body ICC filter to review at the Body ICC Conference.


ON-CALL PAGERS:

 Beth Israel 16119
 Morningside 33214
 West 35830


SAFE RIDES:
  • Mount Sinai Safe-ride account
  • Uber pool during 9 pm - 5 am (no solo UberX rides)
  • Out of state not covered

ATTENDING COVERAGE

See Qgenda schedule for on call and late shift attendings.

ATTENDINGS *intranet*
BI Nuclear Medicine
Neuroradiology (please refer to monthly email also)

BODY ON CALL ATTENDING
-Please follow Qgenda schedule and call next day's attending. (On weekends, contact Monday attending.)
MSK ON-CALL ATTENDING

-Please see document "+ MSK CALL MSHS" below.


*For overnight MR and NM studies, the overnight attending can look over studies and discuss findings with ED if requested. Otherwise, the study will be finalized the next morning by the appropriate attending. 


*For pediatric fluoro cases, please call the on call Pediatric Radiology attending for further instructions.


In general, the inpatient studies are signed by the following day's daytime attendings, exceptions are:

  • Acute stroke alert
  • Pan-scan Trauma
  • Upon request by the ordering physician

In these situations, please put a full dictation to the study, assign the case to the overnight attending and notify the NF attending with the clinical question/request. 



RADIOLOGY SUPERVISORS

  • Supervisors are on site until 11 pm if you need help 
  • Transferring images to PACS from an US machine
  • Getting in touch with RIS for system wide problems or if you can’t dictate

RESOURCES


Ċ
RadRez Administrator,
Jul 19, 2019, 11:02 AM
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RadRez Administrator,
Jan 28, 2017, 5:08 PM
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RadRez Administrator,
Jul 5, 2020, 9:29 PM
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RadRez Administrator,
Jan 28, 2017, 5:06 PM
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Christina,
Nov 9, 2019, 12:17 PM
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RadRez Administrator,
Jun 30, 2018, 8:44 PM
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Christina,
Oct 9, 2019, 6:05 PM
ĉ
Christina,
Oct 9, 2019, 6:05 PM
ĉ
Florence Doo,
Feb 28, 2020, 11:18 AM
ĉ
RadRez Administrator,
Jul 6, 2020, 10:09 AM
Ċ
RadRez Administrator,
Jan 28, 2017, 5:08 PM