ICU issues. CCU Scutsheet - Another variation of the classic Medfools Scutsheet, including information on EKGs, and a way to keep track of labs. - The ICU Resident signs out to the team resident. Use your pharmacist – Great resource for information about meds (dosing, interactions, etc). ICU can be intimidating but you should (hopefully) have good upper level residents to help you through it. WRT cause of death and the like, that all goes on the death certificate, not in the death note and, if you're not the primary team you can/should punt that job. Return medical records to the patient’s chart. 0 Updated 7/19/2019- written by MICU Attendings. What prompted them to change the vent/start pressors/extubate etc. The resident should relate concerns and advice from the patient's home team to the ICU service. Please do not adjust IV pumps and/or ventilators without nurse in room. This is a highly recommended book to help interns and residents early in their career. High quality sign out and presentations are the only way to deliver quality around the clock critical care. Dictating operative notes is a necessary evil. h�bbd```b``Z"�d�d�&��(0yLn����w�ޛ ��D�� ��:@���b&F�^�8�� �30` �$5 3:00 PM – 3:05 PM: Measuring for Daily Improvement Huddle: Charge RN, RNs: Quality improvement: Starting ~ 5:00 PM: Resident Sign out: Residents: Patient handoff: 7:00 PM – 7:30 PM: Nursing Report: Night and day shift RNs Identify patients ready for PT/OT and nutrition. Proceduralist should collect and dispose of all sharps. Medical ICU (4 x 4 week blocks) Surgical ICU (2 x 4 week blocks) Nights (3 x 1 week) 246 0 obj <> endobj �����f\(:������H��N�ǣk�w��ޡ����Z�Mx�f`\ʅ�y��.ƣ�����P�Ǚ��ZN�N�$��I�����V*����N�M�쫅�V�û� ���ΦoA�b(A�@����⋪�&�QʪM��"˦y�Y�Kî�JD)OV�M��o#)L���D��g�]_��پͮ3n�=72���Ж��R~�&R �nɣ�=B�>�%���tt����n�D!��T�'=9�. Great lecture series. When pre-rounding – Come in at 6am. UNC Pediatric Intensive Care Unit Resident Handbook Disclaimer: This handbook contains general guidelines for the management of critically ill pediatric patients. I. Getting ready for ICU rounds 4. Title: Mechanical Ventilation: ARDS Speaker: Stephen Ruoss, MD Date: September 28, 2020 Length: 57m 19s Click to Play Lecture Here are our suggestions to help. Place ok to use order after CXR verification, Additional PPE (masks, gloves, bouffants, gowns) for additional proceduralists, Scalpel (not included in triple lumen catheter kits), Lidocaine: Order in epic. endstream endobj startxref This OnePager outlines a stepwise approach and differential diagnosis for each acid base abnormality ( RAGES for NAGMA, GOLDMARKeT for AGMA, BLVD PLACE for … Look at the orders written overnight and ask your cross cover why they made a change. II. It has worked well for this to be done by one of the R3s at the bedside during rounds. Neuro-ICU rounding sheet - new patients Template sheet for ICU rounds - more comprehensive sheet for critical patients with spaces for all details in chart. When medications are OG/ NG please enter in EPIC “Per Tube “. Document under CL Insert 1 section. Ventura County's current average daily case rate is 76.6 new cases per 100,000 residents. Assessment of cardiac function, myocardial ischemia, dysrhythmia etc. Operating resident/fellow transports patient to ICU and participates in handoff •If it is a combo case with another surgery team and you are the first team to finish –(1) call the ICU when you are done to signout, (2) write all instructions in brief op note, (3) h�b```�0��� ��ea���������I+��`��� /30�1 MOa�az”�d�T��Ș�|)U�u�X-;��f�7���1�� �` }� This is not an opportunity to break from rounds to get other work done. Present patient to on-call resident. 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