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Survival guide 4 Surgical Critical Care Service Resident Survival Guide www pennsicu org Faculty Surgery Benjamin Braslow Jeremy Cannon Daniel Holena Lewis Kaplan Patrick Kim Niels Martin Jose Pascual Shariq Raza Patrick Reilly Mark Seamon Carrie Sims Ada

Surgical Critical Care Service Resident Survival Guide www pennsicu org Faculty Surgery Benjamin Braslow Jeremy Cannon Daniel Holena Lewis Kaplan Patrick Kim Niels Martin Jose Pascual Shariq Raza Patrick Reilly Mark Seamon Carrie Sims Adam Shiro ? Brian Smith Anesthesia Maurizio Cereda Scott Falk Andrea Gabrielli Emily Gordon C William Hanson Jiri Horak Meghan Lane-Fall Krzysztof Laudanski Howard Nearman Kristen Rock Hazel Werlhof Critical Care Fellows Niraj Agarwalla Ryan Dumas Ksenia Guvakova Mark Hoofnagle John Jacob Jennifer Leonard Tal Mandelbaum Sarah Mathew Rita Milewski Annie Moore Alexis Moren Joshua Nelson Arpit Patel Michael Stentz Michael Tiller Brian Weiss APPs Jason Saucier CRNP Manager Ashley Geller CRNP Amanda Martin CRNP Elizabeth Peitzman PA-C Alexandra Pendrak CRNP Michael Pisa CRNP Tara Collins CRNP Elizabeth Scarvaglione CRNP Corinna Sicoutris CRNP Stephanie Smith PA-C Reka Somodi CRNP Kate Sullivan CRNP So ?a Wronski CRNP Elizabeth Senese CRNP Amy Matta CRNP Emily Stelmaski PA-C Structure of Surgical Critical Care Service Green team coverage - Rhoads SICU beds - Founders Rhoads -- Even room numbers Gold team coverage - Rhoads SICU bed - Founders Rhoads -- Odd room numbers Resident responsibilities Day - Complete physical exams and present patients during rounds Use SICU forms to guide your presentation of the physical exam recent studies consults changes in plan of care Enter orders and call consults while rounding don ? t wait until after Update patient doors with daily ??to-do ? s ? and antibiotics regimen w dates Contact Primary service resident to update on patients ? plans of care o Attending to attending communications for discrepancies Enter labs CXR TPN orders during rounds for following day Obtain ICU consent on ALL patients when they arrive Ensure Carelign is up to date o ??SICU Management ? should be added as an ??Active Acute Problem ? assigning ??Surgical Critical Care ? under the Service drop-down C ? Once added click ??Add consultant notes ? and choose ??Surgical Critical Care ? as the consulting service from the drop-down ? In the blank box type ?? sicu ? and then ?ll out the respective systems o You should also update the top ??Assessment ? section HPI PMH PSH OR dates daily events most recent - days o ??HPI ? section daily events older than - days Night - Contact primary service resident with any signi ?cant changes in patients condition Complete physical exam and update documentation Carelign as indicated Patient discharges transfers pm- am o Assess patient for appropriateness of transfer give verbal signout to primary team clean up orders remove any ICU speci ?c orders write transfer note in PennChart steal procedure templates from Ashley Geller CRNP ? s SmartPhrase list-use the SCCSTRANSFER place transfer order o If overnight transfer is unplanned ??bump ? for emergent bed needs and if patient is transferring to Rhoads or Silverstein communicate with SICU RN that patient must be designated as a ??Green Sheet ? place order for ??Inpatient Consult to Respiratory Care ? type ??Green Sheet ? in comments of order New