Teams at the VA come in two flavors - R2 and R3. The R3 team takes call q4 and is the only team on call on weekends. Patients needing to go to the unit, however, must be admitted by the on-call teams. One attending, one intern, one resident, and usually medical students. A tacit rule is that the post-call team gets to round first with the unit attendings.
Afternoons are free to write notes and work with the patients.
On weekdays, patients are also admitted from clinic. There are also transfers from other VA hospitals in the surrounding area. Weekday admissions average 5 per team while weekend admissions average 2-3 per day. There is one large unit and the ICU and CCU patients are intermixed. It is an open unit, meaning that the R1 and R2 follow their patients into the unit and dictate all care including sedation and ventilation.