Knowledge Library
Cross-cutting#ed#signout#dot-phrasesPGY 1/2

ED Sign-Out Workflow

Admitted-awaiting-bed vs no-dispo patient handling; .accassume note for assuming care.

Source: ED/DWHA PGY-1 handoff

When you present for shift, you’ll get sign out from the off-going team. You take the patients of the other junior member of the team (may be another resident or PA).

Patient admitted and awaiting inpatient bed:

  • Technically the patient isn’t yours, but your name will be assigned to them.
  • If patient decompensates, you manage. Otherwise, inpatient team manages them.
  • Write down a power statement / blurb about the patient in case you need to sign them out to the next oncoming team.

Patient without a dispo:

  • If patient is still undergoing workup and disposition is not final, you take ownership of the patient and continue care.
  • Write a note to “assume care.” Take dot phrase from Jasmine Arrington: .accassume

Referenced by handoffs