Heart Failure Resident Responsibilities
The heart failure resident will be working along with the cardiology fellow and heart failure
attending.
1) The heart failure service will admit appropriate patients Monday through Friday. The heart failure
resident will round but not admit on one of the two weekend days. The fellow will cover the other
weekend day.
2) Appropriate heart failure admissions include those patients who have had heart transplant; patients
followed by Drs. Chang, Dupree, Adams or Jensen who presents with acute heart failure or active
cardiac issues ; and patients referred from outside institutions for decompensated heart failure or
consideration of transplant.
3) Heart failure admissions and transfers should be screened by the heart failure fellow to deem
appropriateness of admission based on admitting diagnosis and current heart failure census.
4) Admissions cap at 5 per day or 5:00 PM.
5) Total service cap of 10, of which no more than 5 can be CCU status.
6) Floats (transfers from the other cardiology services) may be accepted daily, including weekends,
as needed. These count as admissions on weekdays.
7) No more than 16 new patients in a 48 hour time period may be admitted to the service.
8) Sign out on the heart failure patients from the overnight team should occur at 7:00AM.
9) The heart failure resident and fellow should meet at 4:00 PM each day to discuss patient care goals
and the next day’s plan.
10) Prerounding should focus on gathering critical laboratory data, overnight events and evaluation
of ill patients. Not every stable patient must be seen and examined in the morning.
11) On days with clinic, contact the fellow in the morning and devise a plan for the day. Clinic will
begin at 9:30AM. The fellow should cover the service while you are in clinic.
12) The heart failure resident should sign out to both the long call cardiology resident and intern.
13) Assuming the heart failure resident arrives at 7:00 AM, they must not stay later than 9:00 PM in
order to have 10 hours off between shifts.