XI. Cross-Cover Days

Cross cover days fall on admitting days, either Short Call or Long Call.

A. Cross-coverage on a Short Call day

1. The cross-covering Short Call resident should follow no more than 12 patients total.
2. The total number of patients includes the resident's own patients + cross-cover patients + anticipated new admissions. The formula is:
   
   12 (the total number resident can cover)
   - S (the number of anticipated short call admissions; may vary from 0-3, depending on capacity)
   - X (the number of the resident's own patients)
   =Y (this is the number of patients that a given resident can cross-cover)
3. Resident and attending physician are expected to discuss distribution of patients the day prior.
4. The attending physician rounds and writes notes on patients exceeding the cross-cover cap.
5. All cross-cover patients must be signed out at the end of the day to the Long Call resident.
6. If the resident opens up spots with discharges, cross-cover patients will not be shuttled between the attending and resident lists. These newly opened spots do, per the rolling cap, potentially open that resident for admissions.

B. Cross-coverage on a Long Call day

1. The cross-covering Long Call resident should follow no more than 10 pre-existing patients
2. The total number of patients includes the resident's own patients + cross cover patients.
3. In addition to cross-covering a maximum of 10 pre-existing patients, Long Call resident admits up to 5 more. Therefore, residents may cover a total of no more than 15 patients on long call days.
4. The attending physician rounds and writes notes on patients exceeding the cross-cover cap.