XV. Geriatrics Nurse Practitioner (NP)

One NP of the day is available each day of the week. Please note the role of the NP below.

A. Our Geriatrics NPs

• Luela Ramos (fulltime)
• Brianna Rodrigues (fulltime)
• Sonia Velasco (shared with Hospitalist service)
• Louise Fraser (shared with Hospitalist service)
• Matthew Eldridge (shared with Hospitalist service)

B. Hours available

~7:00 AM – 7:30 PM, seven days a week

C. Roles

• The NP of the day cares for the post-call resident's patients on post-call day, and also helps facilitate timely and coordinated discharge planning.

7:00 AM – 8:00 PM	NP will do discharge markers (i.e., a checklist of potential barriers to discharge) on patients who are slated for discharge. The NP will notify the attending MD if any markers are positive to prevent premature discharges.
8:00 – 9:00 AM	NP will look up patients of the post-call resident to prepare for rounds. At this time, the NP will also touch base with 5NW charge RN, ICU, Orthopedics and Surgery to assess for any appropriate consults for the team.
9:00 AM – 10:00 AM	NP will round with the attending and post-call resident
10:00 AM	NP will sign on to the post-call resident’s pager when all patients have been presented.
10:30 AM	NP will attend the IDR. During rounds, any action items will be reviewed by the post-call resident, so that NP can update his or her to do list.
3:00 PM (M-F) & 11:00 AM (Weekends/holiday)	NP will facilitate discharge planning rounds with the charge nurse, clinical case manager, and pharmacist in attendance. The NP may ask the Geriatrics residents for updates on potential discharges prior to these rounds, as anticipated discharge dates will be updated at these rounds. Please update the NP if there have been significant changes in plan/dc date since IDR.

1. NP will orient the new resident of the NP role on the first day of the rotation, introduce the SNF Discharge Checklist, and go over the first SNF discharge IFO with the new resident
2. NP will contact the Long Call resident with any questions re: the care of the patient including follow-up on lab tests / consults etc.
3. NP will formally sign out the post-call resident’s patients to the Long Call resident at ~6pm.
4. NP will write a progress note on all the post-call H&Ps only.
5. NP is not required to update the sign-out that is used by housestaff
6. NP will not write daily progress notes.