SICU

EDUCATIONAL GOALS AND OBJECTIVES

The educational objectives for the Emergency Medicine resident while on the Surgical ICU rotation are as follows:

Patient Care

  • Demonstrate ability to rapidly perform history and physical exams in critically injured patients.
  • Demonstrate the ability to perform the following procedures: endotracheal and nasotracheal intubations, cricothyrotomy, chest tube thoracostomy, central intravenous placement, Swan-Ganz placement, transvenous cardiac pacing, arterial line placement, ABG, and foley catheterization.
  • Demonstrate the ability to manage a patient on a ventilator.
  • Demonstrate appropriate judgment in the management of critically traumatized patients.
  • Demonstrate appropriate prioritization of diagnostic and therapeutic interventions in critically traumatized patients.
  • Demonstrate an understanding of the appropriate use of consultants in critically traumatized patients.
  • Demonstrate an understanding of the ethical and legal principles applicable to the care of the critically injured patients.

Medical Knowledge

  • Describe the dosages, indications, and contraindications of pharmacologic interventions for shock, cardiac failure, dysrhythmias, sepsis, trauma, toxins, respiratory failure, hepatic failure, renal failure, and neurologic illnesses.
  • Describe the etiologies, hemodynamic issues, and complications of septic, hypovolemic, neurogenic, cardiogenic, and immunologic shock.
  • Discuss and interpret data from ECG monitors, cardiac outputs, hemodynamic monitoring, pulse oximetry, end tidal CO2 monitors and respirators.
  • Demonstrate appropriate judgment in the management of critically ill patients.

Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to surgical intensive care patient
  • Interpersonal and Communication Skills
  • Create and sustain a therapeutic and ethically sound relationship with patients
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills
  • Work effectively with others as a member or leader of a health care team
  • Demonstrate an understanding of the appropriate use of consultants in critically ill patients.

Professionalism

  • Demonstrate respect, compassion, and integrity
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities

Systems-Based Practice

  • Understand how SICU care affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

The Emergency Medicine resident will accomplish these objectives in the following manner:

  •  Attend and participate in daily Surgical ICU teaching rounds
  • Attend all conferences given by the Department of Surgery while on rotation.
  • Evaluate and manage patients under the supervision of Surgical ICU faculty and senior residents.  Progressive patient care responsibilities are at the discretion of the Surgical ICU faculty based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.
  • Discuss and interpret results of all ancillary testing with supervisory faculty.
  • Perform procedures under faculty supervision commensurate with their post-graduate level of training and skill.

 

Rotation Paperwork

Please fill out the rotation form which can be found here as well as any other form provided by Yolanda

 

ROTATION INFORMATION

Thank you Dr. Judkins for this!

Where: SICU, Elmhurst Hospital, 2nd floor of main building (use entrance on Broadway). 79-01 Broadway, Elmhurst, NY, 11373

When: Your first day will be a Monday, please arrive at 7AM for rounds. After rounds, Evelyn will direct you to Hospital Police for your ID. Log into EPIC early so you can call IT with any issues. You are excused from ED Wednesday Conference while in SICU

Schedule/Requests: The schedule will be forwarded to you by Yolanda. If you have schedule requests please ask Yolanda for the email of the current SICU chiefs. Be aware that schedules are made several months in advance

  • Scheduling Hours:
    • Long call: 7am to 8pm
    • Short call: 7am to 4pm
    • Night call: 8pm to 10am

Supervisor: Dr. George Coritsidis, Chief of SICU

Coordinator: Mrs. Evelyne Leroy

  • Email: leroye@nychhc.org

Attire: Scrubs +/- lab coat

Expectations: As the SICU resident, we assist the fellow and attending with managing patients admitted under the general surgery, trauma surgery, or neurosurgery's service. SICU is a closed unit so only residents from SICU place orders on SICU patients

  • AM Rounds: Rounds usually start between 8:30am and 9:00am depending on the attending. Residents arrive around 7am to prepare for rounds, this includes getting sign out from the night call person, getting overnight events and/or changes from the SICU nurses, reviewing all vitals, labs, images, In/Outs, EVD pressures, etc, and following up consult notes. Rounds last about 2 hours. Night resident leaves at 10am SHARP regardless if rounds are finished
  • After rounds: Once rounds are complete, the fellow and residents usually "mini" round to make sure they have the plans correct for each patient. Consult/touch base with admitting team for any additions/changes to plan. Complete progress note for each patient. Short call resident is supposed to stay after rounds to assist long call resident with daily tasks. 
  • Night Call: Upon arrival get sign out from long call resident. No additional notes have to be written overnight. Place orders ie AM labs, AM chest x-ray for all intubated patients, update foley catheter care and restraint orders (every 24 hours) etc. Also responsible for putting in all orders for patients admitted throughout the night, attending or fellow will do the note. Sign out to AM residents around 7am. Night resident stays for AM rounds but must leave by 10am to avoid duty hour violations.