View source for TSICU:Patient Care Management



'''Housestaff Expectations'''
*Communicate any absence or potential change in shift to Dr. Neville, TSICU Attending, and Dr. Kim
*No eating or drinking in patient care areas
*Practice hand hygiene BEFORE & AFTER every patient encounter
*Maintain and protect PHI/patient confidentiality


'''Roles and Responsibilities'''
*Ensure that 2 WOWs are available for morning rounds
*Ensure that patient lists are printed and available by the start of rounds (06:00am)
*Discard of any extra patient lists in the confidential shredder located on the C-side of the TSICU
*Update and maintain patient list with new results, radiology reads/findings, and consult service recs
*Provide family and loved ones with updates, as appropriate


'''Communication & TeamSTEPPs'''
*Open and honest communication is crucial to decrease errors, enhance patient safety and teamwork
*Several TeamSTEPPS tools and techniques may be used (huddles, briefings, debriefs)


'''Conduct of Morning Rounds'''
*PRIOR to the start of morning rounds, the overnight R2, fellow, and overnight charge/relief RN, will determine the order of rounds based on the following:
**Severity of illness (Critical, unstable, stable)
**New admissions
**Potentially extubatable patients
**Other
**[[media:Standardized_Work_-_3WICU_Morning_Rounds_v.4.pdf]]


'''Handoffs'''
*Handoffs are required for ALL transitions of care. This includes, but is not limited to:
**'''Admissions'''
**'''Transfers & Discharges'''
**'''Morning & Evening Passons'''
**[[media:IPASS.jpg]]

[[Category:Admin]]