STAR

The duties of STAR resident have evolved over time.  STAR’s main function is as a release valve for the busier times within the hospital.  While STAR can be pulled to help in any capacity between the hours of 7AM and 7PM, there are two areas which we will use STAR Monday to Friday.

1. CCU Float:  The main duty is to make sure the post-call CCU team is able to leave no later than 1PM.  Arrive at 7AM and assist the post-call team in any duties.  Post-call teams should not be doing procedures.  When the post-call team is done, STAR does not have to cover any patients.  STAR is free to leave the CCU.
2. Admission Cap Float:  
   • NMH STAR to contact ward team at 5 if not contacted earlier and will assist in two scenarios:  a capped team and a team near cap at end of day
   • Scenario 1: CAPPED TEAM
     • A team which has admitted 10 patients
     • A team at their total team cap of 14 or 18
     • >STAR takes admitting pager and admits patients with report given before 5PM
     • >STAR admits no more than 1 patient that has report given between 5-6PM
     • >STAR may pass off additional reports to nightfloat from 6-7PM in this capped scenario
   • Scenario 2: NEAR CAP TEAM
     • Admitting team has 8 patients assigned at 5PM or has patients with high acuity
     • >STAR will then take admitting pager and all reports until 7PM
     • >STAR is responsible for fully admitting at least one patient on reports called between 5-6PM
     • >STAR may pass off additional reports to nightfloat from 6-7PM in this capped scenario
   • As always, admitting residents should keep the chief residents informed if at cap, near cap or have high patient acuity.

3. On rare occasions, STAR may be called into MICU float on a switch day to cover if the planned MICU Float senior resident is post-nightfloat.  The post-nightfloat resident can stay until noon on their first MICU float day.

If there are any questions regarding the above policies, please contact the chiefs for clarification.  There are frequent down times during this rotation.  Please use this to catch up on Hopkins Modules, Lectures and Research as need.