BMT

Admitting Structure

Team Cap: 18 patients (16 through Labor Day; will uncap for CAR T-cell patients)
Intern Cap: 9 patients

The admitting intern can admit up to 3 patients per day, every other day (Q2)
No admissions after 5pm.
If an admission page is received before 5pm and the patient is located in BWH/ED/DFCI then it is the day team’s responsibility. If the patient is an OSH transfer or direct admit (from outside clinic/home) then the note can be prepped and patient passed off to twilight intern.
If there are more than 3 admissions prior to 4pm, the team resident will be asked to do the excess admissions, which will then be holdovers to the next day’s admitting intern
If teams caps by census, new patients will be distributed to other oncology teams. If all oncology teams are capped, additional measures will be taken by Joel Katz.

Day Interns have 1 day off per week when their non-admitting day falls on a Saturday or Sunday
Twilight intern has 1 day off per week on Sunday
Day Resident has every Sunday off (covered by WER).
Onc C/BMT Twilight Resident has every Friday off (covered by WER).

Daily walk-rounds Monday-Thursday with team attending from 7:30 am onwards
Friday breakfast in pod B at 7:30 am, Grand Rounds (starting in the fall from 8-9 am), and team rounding afterwards.