TSICU:Main: Difference between revisions
No edit summary |
|||
| Line 4: | Line 4: | ||
=='''General Administrative'''== | =='''General Administrative'''== | ||
*Monthly Call Schedule | |||
**Trauma/SICU Attending | |||
**SICU Fellows | |||
===[[TSICU: Weekly Schedule]]=== | |||
===Educational Conferences=== | |||
* | *Bedside teaching - Tuesdays - 10:00am - 11:00am | ||
*Dept. of Surgery Academic Half-Day - Wednesdays - 07:30am - 09:30am | |||
* | *Trauma/SICU Education Conference - Thursdays - 12:00pm - 1:00pm | ||
* | |||
===Clinical Documentation=== | ===Clinical Documentation=== | ||
| Line 24: | Line 22: | ||
*Code Status | *Code Status | ||
*Medication Reconciliation | *Medication Reconciliation | ||
*Performance Improvement and Patient Safety | |||
**Safety Intelligence (SI) | |||
===SICU Order Sets=== | ===SICU Order Sets=== | ||
===Mandatory Call Criteria=== | ===Mandatory Call Criteria=== | ||
===Consult Services=== | ===Consult Services=== | ||
===Rapid Response Team (RRT)=== | |||
**[[Harbor:Codes]] | |||
====Disaster & Surge Plan==== | ====Disaster & Surge Plan==== | ||
| Line 46: | Line 46: | ||
===General=== | ===General=== | ||
*Housestaff Expectations | |||
*Roles and Responsibilities | |||
*Conduct of Morning Rounds | *Conduct of Morning Rounds | ||
*Handoffs | *Handoffs | ||
Revision as of 15:40, 21 June 2019
This is the main page for Harbor-UCLA Trauma SICU
Admin Updates
General Administrative
- Monthly Call Schedule
- Trauma/SICU Attending
- SICU Fellows
TSICU: Weekly Schedule
Educational Conferences
- Bedside teaching - Tuesdays - 10:00am - 11:00am
- Dept. of Surgery Academic Half-Day - Wednesdays - 07:30am - 09:30am
- Trauma/SICU Education Conference - Thursdays - 12:00pm - 1:00pm
Clinical Documentation
- ICU Required Progress Note Details
- Common Conditions
- Hospital Acquired Pressure Injuries (HAPIs)
- FAST HUGS BID
- Code Status
- Medication Reconciliation
- Performance Improvement and Patient Safety
- Safety Intelligence (SI)
SICU Order Sets
Mandatory Call Criteria
Consult Services
Rapid Response Team (RRT)
Disaster & Surge Plan
Contact Information
Patient Care Management
General
- Housestaff Expectations
- Roles and Responsibilities
- Conduct of Morning Rounds
- Handoffs
Admission to the TSICU
From the Emergency Room
From the OR
- OR to SICU Handoff
From Monitored or Unmonitored Bed
Interfacility Transfers
Transfers & Downgrades
- Trauma/SICU Attending approval is required for all transfers and downgrades
- Out of network patients will require a minimum of 24 hours of observation in a non-ICU monitored bed PRIOR to transfer
- Trauma/ACS Service Patients
- Non-Trauma/ACS Service Patients
Tests & Orders
Labs
Point of Care
Diagnostic Imaging
- Chest X-rays
- Ultrasound
- CT scan
- MRI
Bedside Echocardiogram
EEG (including Ceribell)
Antibiotics
Equipment & Supplies
- Line Carts
- Ultrasound Machines
- B-bay Supplies
Procedures
- Informed Consent
- iMed Consent
- Blood Transfusion
- ICU interventions
- ASK NICE
Occupational Exposure
Referral to One Legacy
Death Packet Checklist
Core Clinical Conditions & Management
Shock
- Undifferentiated shock
- Hypovolemic
- Cardiogenic
- Distributive
- Resuscitation Endpoints
- Ultrasound: In Shock and Hypotension
Assessment of Fluid Responsiveness in the ICU
Pulmonary
Initiating Mechanical ventilation (main)
- Ventilation Settings
- Ventilation modes
- Recruitment maneuver
- Ventilator associated lung injury
- Ventilator high pressures
Discontinuing Mechanical Ventilation
Noninvasive ventilation
Acute Respiratory Distress Syndrome
Renal
Acute kidney injury
Acid-base disorders
Electrolyte abnormalities
Rhabdomyolysis
Uremia
Renal Replacement Therapy
- CVVHD
- IHD
Sepsis & Septic Shock
Infections in the ICU and Appropriate Selection of Antibiotics
Post-operative fever
Ventilator Associated Event (VAE) formerly known as Ventilator associated pneumonia (VAP)
Catheter Associated Urinary Tract Infection
Central Line Associated Bloodstream Infection
Surgical Site Infections
- Superficial
- Deep
- Organ Space
C- difficile Infection
Harbor:Infectious Disease Threats
Cardiovascular
Arrhythmias
Hypertensive Emergency
Nontraumatic thoracic aortic dissection
Acute limb ischemia
Hepatic & GI
Liver Failure
Abdominal compartment syndrome
Nutrition Therapy including Stress Ulcer Prophylaxis
Refeeding syndrome
Disseminated Intravascular Coagulopathy
Traumatic Brain injury
Mild traumatic brain injury
Moderate-to-severe traumatic brain injury
Spinal Cord Injury
- ASIA Score
- Spinal cord syndromes
Neurologic Emergencies
Altered mental status
Seizure
Alcohol withdrawal seizures
- CIWA Protocol
CVA
Management of Hemorrhage in Patients on Antithrombotic Therapy
Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)
RASS
Delirium
- CAM-ICU
Endocrine Emergencies
Diabetic ketoacidosis
Nonketotic hyperglycemia
Hyperosmolar hyperglycemic state
Hypoglycemia=
Diabetes medications
Adrenal crisis
Pheochromocytoma
Thyroid storm
Myxedema coma
Hypothyroidism
Diabetes insipidus
Venous Thromboembolism
- DVT
- PE
Educational Resources
- Numbered list item
Goals & Objectives - MS4
Goals & Objectives - PGY-1/PGY-2
Goals & Objectives - Fellow
Online Resources
Recommended Readings
Procedures
Airway & Breathing
Intubation
- TSICU Intubation Protocol
Surgical Cricothyroidotomy
Bedside Percutaneous Tracheostomy
Fiberoptic Bronchoscopy
Chest tube insertion
Pigtail catheter thoracostomy
- Step-by-step instructions
- Procedure on a real patient
- Can be considered for spontaneous or small traumatic pneumothorax
Thoracentesis
Invasive Hemodynamic Monitoring & Access
Central Venous Catheterization
- Internal jugular central venous catheter (CVC) insertion
- Subclavian central venous catheter (CVC) insertion
- Femoral central venous catheter (CVC) insertion