Welcome to the MICU. Uma S. Ayyala. Goals & Objectives of MICU Rotation . To become an integral member of an interdisciplinary MICU team consisting of attendings, fellows, residents, medical students, nurses, and respiratory therapists.
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Uma S. Ayyala
1. Examine your patients fully
2. Infection control – purell, gloves and gowns on EVERYONE, EVERYTIME
3. Listen to, Communicate with and Respect the Nurses
4. Communicate to the nurse immediately any new TDS order or change in TDS order
5. Fill out transfer/handoff sheets before discharge from MICU and communicate with primary team before the patient leaves the unit
6. Call primary attending or service or both for any patient that dies REGARDLESS of time of day
7. Alert the surgical service of any changes in post-operative patients in the MICU immediately REGARDLESS of time of day
8. Never “just” draw a blood or urine culture - THINK before the fever work up
9. Never take a consult and utter “we have no beds”
10.Never wait until the morning!!!
1. Know the CVC - know the days the CVC/A-Line have been in place
2. Know the Antibiotics and days the ABx have been in place
3. Know the cultures
4. Know the IV drips and doses
5. Know the SBT parameters
6. Know the sedatives
7. Know the vent settings
8. Know the ABG/Lactate
9. Know the enteral feeds
10.Know the protocols