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Updated: Apr 15, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
An innovative on-call system for paediatric residency programs: The alternate night float.
Gregory P Moore1, Susanna Talarico2, Anna Kempinska3
1Department of Pediatrics, Division of Neonatology, Children's Hospital of Eastern Ontario; ; Department of Obstetrics and Gynecology, Division of Newborn Care, The Ottawa Hospital - General Campus, Ottawa;
A new night-float system for pediatric residents, involving 16-hour shifts every other day, was well-received. Residents reported effective patient care and improved learning experiences compared to traditional on-call schedules.
Area of Science:
- Medical Education
- Pediatrics
- Sleep Medicine
Background:
- Night-float systems are increasingly used in pediatric residency programs.
- Concerns exist regarding potential negative impacts on resident sleep and mood.
Purpose of the Study:
- To evaluate a novel night-float system with extended shifts every second day.
- To assess resident-reported outcomes in patient care, professional development, and well-being.
Main Methods:
- A survey was administered to 28 senior pediatric residents.
- Residents compared the new system to traditional overnight on-call schedules.
Main Results:
- High satisfaction reported for patient familiarity (96%) and handover effectiveness (92%).
- Mixed results on professional development, with some concerns about feedback and daytime teaching access.
- Most residents (96%) found the workload appropriate and felt equally or less fatigued than with traditional systems.
- 96% recommended continuing the night-float model.
Conclusions:
- The novel night-float system offers a viable alternative for pediatric inpatient night coverage.
- This system meets duty hour regulations and garners strong resident approval.
- Further research is needed to compare its impact on residents and patient care against other models.
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