TICU HIGHLIGHTS

Welcome to TICU!

Rounds

Morning rounds start at 8:30am daily- in TICU conference room
Night resident presents first and presents all admissions from overnight
TICU is a closed unit- all orders must be cleared by TICU team including consult recommendations

Sign out with attending, on-call fellow, long resident, and overnight resident begins at 9pm
The TICU PM resident will be the first in line to field routine phone calls (and enter basic orders) for the Burn ICU patients. Normally, the Burn resident would get called at home for all these issues and have to remotely enter orders. Now, the TICU PM resident can handle the routine nursing calls and escalate it to the Burn resident for any complex management issues and/or patient status changes. After the PM TICU resident takes signout from the day TICU resident at 9pm, they’ll get a brief signout on the Burn patients from the Burn resident.
Expectations
- Review labs/cxrs before 3:30am- replace electrolytes as needed
- Enter labs for the following morning (ex. If working Monday night into Tuesday morning, enter labs for Wednesday morning during your shift)
Standard labs: ACC, BMP, Mg, Phos, Procalcitonin (on every patient), Resus (if intubated)
- Order all morning labs as STAT for 2am
Nutrition labs every Wednesday morning: add prealbumin and CRP to standard labs
- If patient is on TPN, add CMP and triglyceride level
Renew restraints daily (after midnight)

All admissions must be approved by the TICU fellow/attending prior to admission
NOTIFY charge nurse ASAP after receiving a new patient presentation
All trauma patients should be admitted under the Trauma Blunt Penetrating Order Set
If patient is in resus or PATU, TICU team DOES NOT manage the patient- primary trauma team manages the patient.
There are potential overflow beds on Trauma 3 (T392-394) that can be used as overflow ICU beds, TICU team manages those patients
All new admissions (trauma and ACS) must have a documented “Critical Care Screening Note” in addition to their “H&P.” The dot phrase for this note is .ticuscreenv1 and includes screening for VTE, Vitamin C candidates, and hydrocortisone replacement for adrenal insufficiency. This is an essential part of their admission for quality improvement. Further instruction can be found within the dot phrase for patients who meet criteria.

Morning rounds start at 8:30am daily- in TICU conference room
Night resident presents first and presents all admissions from overnight
TICU is a closed unit- all orders must be cleared by TICU team including consult recommendations

Sign out with attending, on-call fellow, long resident, and overnight resident begins at 9pm
The TICU PM resident will be the first in line to field routine phone calls (and enter basic orders) for the Burn ICU patients. Normally, the Burn resident would get called at home for all these issues and have to remotely enter orders. Now, the TICU PM resident can handle the routine nursing calls and escalate it to the Burn resident for any complex management issues and/or patient status changes. After the PM TICU resident takes signout from the day TICU resident at 9pm, they’ll get a brief signout on the Burn patients from the Burn resident.
Expectations
- Review labs/cxrs before 3:30am- replace electrolytes as needed
- Enter labs for the following morning (ex. If working Monday night into Tuesday morning, enter labs for Wednesday morning during your shift)
Standard labs: ACC, BMP, Mg, Phos, Procalcitonin (on every patient), Resus (if intubated)
- Order all morning labs as STAT for 2am
Nutrition labs every Wednesday morning: add prealbumin and CRP to standard labs
- If patient is on TPN, add CMP and triglyceride level
Renew restraints daily (after midnight)

All admissions must be approved by the TICU fellow/attending prior to admission
NOTIFY charge nurse ASAP after receiving a new patient presentation
All trauma patients should be admitted under the Trauma Blunt Penetrating Order Set
If patient is in resus or PATU, TICU team DOES NOT manage the patient- primary trauma team manages the patient.
There are potential overflow beds on Trauma 3 (T392-394) that can be used as overflow ICU beds, TICU team manages those patients
All new admissions (trauma and ACS) must have a documented “Critical Care Screening Note” in addition to their “H&P.” The dot phrase for this note is .ticuscreenv1 and includes screening for VTE, Vitamin C candidates, and hydrocortisone replacement for adrenal insufficiency. This is an essential part of their admission for quality improvement. Further instruction can be found within the dot phrase for patients who meet criteria.