Veterans Affairs Rotations

VA general wards (1A – 6B)

• Always make sure that your VA login works a few days before you are scheduled to start!
• Team: 1 Res, 2 Interns with soft pt cap of 8 each (16 total)
• Pagers: See VA Phone/Pager Directory Section for pager numbers
• Pick up list by 6 a.m. In the pulm/ID fellows workroom on the 2nd floor (between team 4 workroom and the MICU), sign-out at 6 p.m.
• Admitting: Teams 1-3-5 & 2-4-6 alternate admitting days and admit until 5 p.m.
  • Non-admitting teams can sign out once their work Is complete as early as 2 p.m. on weekdays and 12 p.m. on weekends
• Rounds typically start around 8
• Work rooms:
  • Team 1 on 2N hallway, past RN station
  • Team 2 on 2N hallway, past RN station
  • Team 3 on 2N hallway, between main elevators and RN station
  • Team 4 at 2nd floor adjacent to main elevators
  • Team 5 on 3N hallway
  • Team 6 in back of 3N hallway; where the call rooms are located.
• Tips: Admission days can be very busy and anything you can get done on the non-admitting days will make your life easier (ex: DIPNs). Ensure that you tag PCP on EVERY H&P so they know pt is admitted (right click signed H&P -> dropdown menu -> "identify additional co-signer"), make documents in OneDrive (it's HIPAA-compliant!) to use as your pre-rounding sheet and sign-out sheet and share these with your team (for days off); roll your pagers via Vanderbilt operator (same as at VU); ensure all orders on pts still in the ED are “delayed” or they will disappear once on the floor (ask your resident); all consults must be accompanied by page to the covering fellow (use Synergy for medicine subspecialties consult schedule, TVHS website for surgery/other), beware that medications disappear after 1 month of admission (your pharmacist can help!), beware that diets disappear when converting obs to inpt, enjoy a complimentary VA square!