The primary goals of the residency on-call program are to enhance the resident's practice responsibilities and experiences as well as to assist pharmacy staff with clinical/operational support.

I. Responsibilities

In an attempt to provide additional support to the second shift, the following activities will be provided by the on-call resident:

1. Code and Trauma Pager Coverage:
   Respond to in-house code and rapid response calls and provide the required assistance

2. Drug Information:
   Provide answers to drug information questions that require in-depth research

3. Administrative/Operational Support
   Assist in obtaining medications needed urgently from other area hospitals provide administrative/operational assistance as needed

4. Other/Miscellaneous:
   Assist pharmacy staff with any patient-care related activities that arise during shift

II. Coverage

The on-call rotation will provide coverage 7 days/week. The resident on-call shift will begin daily at 4:00 PM and continue to 10:00 PM each weekday. On Saturdays, Sundays, and holidays, on-call coverage will be provided from 8:00 AM to 8:00 PM.

Service will be provided to all areas of the hospital, the Johns Hopkins Outpatient Center, and the Emergency Department.

• The resident will be available by pager and will round through each satellite to assist at least once per shift to assist with any issues.

III. On-Call Scheduling

PGY-1

• Residents will be on-call approximately every three weeks with shifts rotating between residents so that weekend shifts are divided equally.
• Following the staffing or on call weekend PGY-1’s will have a compensatory day off.

PGY-2

• PGY-2’s new to the Johns Hopkins Hospital will have the same weekend on-call schedule as PGY-1’s for their first 3 months.
• After 3 months the PGY-2 residents will transition to working every third weekend.

IV. Resident Back-Up

- clinical specialists
- administrator on call

V. Goals

The resident will serve as the in-house contact for medication-related issues during his/her on-call shift. This additional responsibility will:

1. Assist in the resident's development of his/her clinical autonomy
2. Meet the following residency goals

   a. Interact effectively with health care teams to manage patients’ medication therapy.
   b. Ensure implementation of therapeutic regimens and monitoring plans (care plans) by taking appropriate follow-up actions.
   c. Document direct patient care activities appropriately in the medical record or where appropriate.
   d. Demonstrate personal, interpersonal, and teamwork skills critical for effective leadership.
   e. Exercise skill as a team member in the management of medical emergencies according to the organization’s policies and procedures.
   f. Evaluate drug information question and appropriately explain response.
   
   VI. Documentation
   
   The resident will be responsible for documenting his/her activities each shift.
   
   VII. Evaluation/Feedback
   
   A quarterly evaluation will be performed by the resident's facilitator based on combination of staff (pharmacist, nursing and physician) comments and resident activity documentation.