TSICU:Main

This is the main page for Harbor-UCLA Trauma SICU

Admin Updates

General Administrative

  • Housestaff Expectations
  • Roles and Responsibilities
  • Weekly Schedule

Clinical Documentation

  • ICU Required Progress Note Details
  • Common Conditions
  • Hospital Acquired Pressure Injuries (HAPIs)
  • FAST HUGS BID
  • Code Status
  • Medication Reconciliation

SICU Order Sets

TSICU: Weekly Schedule

Educational Conferences

Mandatory Call Criteria

Consult Services

Performance Improvement and Patient Safety

  • Safety Intelligence (SI)

Disaster & Surge Plan

Contact Information

Patient Care Management

General

  • 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

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

  • ASK NICE

Occupational Exposure

Referral to One Legacy

Death Packet Checklist

Core Clinical Conditions & Management

Shock

Assessment of Fluid Responsiveness in the ICU

Pulmonary

Initiating Mechanical ventilation (main)

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

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)

Delirium

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

Goals & Objectives - MS3/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

Thoracentesis

Invasive Hemodynamic Monitoring & Access

Central Venous Catheterization

Arterial line insertion

Pulmonary Artery Catheter Insertion

Dialysis Access

Paracentesis

Compartment pressure measurement