Overnight Call and Weekend Call


 When to call CPS Fellow at night

A. More urgent CPS consults

B. Significant change in plan

C. Major complication related to pain procedure or analgesic therapy or any confusion about appropriate course of action

D. Reassurance of planned intervention – make sure you have a differential diagnosis and plan of action

E. Problems requiring “hands-on” intervention will not be managed by the CPS resident but will be referred to the R1 resident.  However, if the R1 resident is busy with other clinical duties, the CPS resident will refer the problem to the CPS fellow, who will manage the problem in person or order an alternative management plan. 

Weekend call

A. The primary goal of CPS on the weekend is rounding and management of existing CPS patients as well as evaluation of new patient consults.

B. Either the junior resident or senior resident will be assigned to CPS rounding responsibilities on the weekend.  The CPS Fellow will round on Saturdays as well with a planned day off on Sunday.  An Intern when available may round with the team on Saturdays when the Fellow is available.  The residents are expected to work out the rounding details among themselves in an equitable matter; if this is not possible, the Chief Residents or Pain Fellows will assist with scheduling duties. 

C. The resident will coordinate a time for rounding with the CPS attending.

D. Prior to rounds, the resident should get report from the overnight resident about any CPS issues and identify new consults. An up-to-date CPS list should be printed for the resident and the attending.

E. After rounds, the resident should make sure all orders are complete and communicate with the primary services regarding the plan of action.

F. Update the list and sign-out.

G. Give a thorough sign-out and roll the CPS pager to the on-call resident before you leave.