Tuck-in Rounds
Tuck-in Rounds for NVU Ward Patients Under Stroke Neurology as MRP
To Stroke Team Members - for NVU Ward Patients Under Stroke Neurology as MRP
In order to avoid unnecessary pages and calls to you for non-urgent issues we have implemented a Tuck-in rounds.
Each night, between approximately 2200-2300, the on-call Stroke Resident is to please come to B4NVU RN station.
Once you arrive on the ward, there will be a red Clip-board with a Tuck-in List; with Tier-A tasks.
These tasks, when done, allow the resident to not be called overnight. Other tasks designated as Tier-B are to be addressed by the Day-time team. There has been education to our RN colleagues about all of this.
Tier-A tasks will be written by the Team Lead (charge RN) on a dedicated clip-board, and this clip-board can be reviewed during Tuck-in Rounds, allowing for expeditious addressing of tasks that need overnight attention, while accomplishing the task of minimizing overnight pages that are non-urgent.
Before leaving the ward - please do a 'Call Out' to alert team you are about to depart.
Please note - for Medium, High Priority, and Immediate attention tasks you will be paged as per usual protocol.
For deteriorating patients, Rapid Response can be paged, for other Medical issues, you can ask for medical consult via the on-call MCR resident.
The overnight Stroke Neurology On-call Team paging Escalation Ladder is as follows:
● 1st Call - On-call Stroke Resident
● 2nd Call - On-call Stroke Fellow (on evenings when there is a Stroke Fellow On-call; if no Fellow On-call, then page will go to the On-call Stroke Resident)
● 3rd Call - On-Call Stroke Staff (Staff cell numbers are at RN station, if above 1st- and 2nd- call members of the team are not returning pages)
**For RNs** If you are not getting through to the Stroke Resident or Stroke Fellow in a timely manner for urgent situations or care needs, please page and/or call the cell-phone of the on-call Stroke Staff.
