Night Float

Night Float (NF1) Rotation

The NF1 works primarily on Labor & Delivery and Triage learning how to evaluate, manage, and treat women with low-risk pregnancies. The NF1 should gain an understanding of antepartum, intrapartum, and postpartum care for this patient population. The NF1 is responsible for accepting the labor board during “Evening Board Turn” and signing out the board to the oncoming team at the end of the shift.

Night Float (NF2) Rotation

The NF2 resident is responsible for managing “the lists” overnight including: high risk obstetrics antepartum, gynecology, and gynecologic oncology patients. The NF2 should be primary surgeon in case appropriate circumstances including, but not limited to, cesarean deliveries, emergent gynecologic surgeries (D&C, laparoscopy, and laparotomy). Whenever available, the NF2 should be a resource for NF1 to assist with managing more complex triage or L&D patients. The NF2 is also responsible for taking overnight phone calls from the answering service and seeing ER and inpatient consults.

Night Float (NF4) Rotation

The NF4 works primarily overseeing the NF1 and NF2 residents, including assisting whenever indicated or medically appropriate for upper level intervention. The Chief should function as a junior attending, managing the low-risk and high-risk obstetric inpatients, gynecology consults and inpatients along with the rest of the team. The NF4 resident should be present for every delivery, involved in clinical decision making, and present for every operation unless engaged in other clinical activity. This includes cesarean sections, operative deliveries, ER consults, and gynecologic surgeries (assisting/teaching other residents when possible).


MORNING SIGN-OUT occurs at 0600 (Night Float hands over the patients to the OB Day team)

EVENING SIGN-OUT occurs at 1730 on weekdays (OB Day team presents patients to Night Float team)