
Cardiothoracic Intensive Care Unit
General Information
Days: 0645-1830 (no nights as an intern!)
You will receive an email asking for schedule requests a few months prior to your SICU block.
You may request one weekend off. You may not request weekdays off.
Team: Attending, Fellow, Senior, Intern, NP/PA
Location: 3rd Floor Mather
Morning sign out: 0645 (PLEASE BE CHANGED AND ON TIME READY TO GO!)
Sign out occurs with the entire team in the conference room next to the unit.
Pay attention to sign out for every patient even if they are not yours!
0700 to 0830: pre-round on your patients from most to least sick, introduce yourself to nurses for your patients
Begin your note early so you can update it while you pre-round and make any adjustments after rounds.
0830: Rounds with attending. Generally start between 0830 and 0900.
We generally like at least two members of the team to bring a WOW. One person puts in orders, the other updates sign out.
Pay attention to every presentation!
After rounds: double check orders are in, communicate with nurses, perform necessary procedures, finish your notes.
You MUST sign out your patient to another member of the team if you leave the unit for any reason. We take turns getting lunch so the unit is always staffed.
Lecture: Tuesdays and Thursdays 1300-1400
Respond to Code Blues. We generally go to all code blues in the hospital and help manage the airway.
There is a large red “airway box” near the computers. It includes airway devices and a small set of airway drugs.
If opened, return the drug box to pharmacy and the rest of the box to the anesthesia work room for replacement.
Continue to monitor your patients throughout the day. The nurses are amazing and generally will keep you updated, however that patient is ultimately your responsibility. When in doubt, always ask other members of the team for help.
Evening sign out: 1830
Discuss major events of the day, things for night team to follow up on overnight. Remember that night team is usually 1-2 people, so please complete as much task-based work as possible during the day!
Intern CTICU Survival Guide
Resources
Outline of Marino’s (created by Reddit user u/Boston_Bruins37)
Marino’s The ICU Book
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