#Powerpoint lab skeletons cbc template Pc#

Have family contact information and any limits of care (code status) on sign out.

Maintain active type and screens and put blood consents in the CHART for patients who require blood products.

Complete bedside procedures EARLY, which means OBTAIN CONSENT and OPTIMIZE COAGS for procedures early.

Call consults early вЂ“ you know your patients the best.

For the post call team, the APN/ED dayfloat are designated вЂњhelpersвЂќ, especially for procedures, roadtrips, etc.

Everyone should know each patient in the MICU.

High quality sign out and presentations are the only way to deliver quality around the clock critical care. Your sign out and presentations on rounds are ways you communicate your plan and anticipated problems to the cross-covering team. Thus, our mentality is that each MICU patient is a communal patient. Sign outs and cross-cover are criticalвЂ“ The MICU is an around the clock endeavor. The expectation is that you have seen all of your patients and reviewed their information PRIOR to morning rounds. What prompted them to change the vent/start pressors/extubate etc. Look at the orders written overnight and ask your cross cover why they made a change. If you are ever in a situation where you are writing an order without knowing why you are doing so, ask your residents, fellows, attending or APN. This will be enhanced if you ask when you donвЂ™t completely understand something. Use your pharmacist вЂ“ Great resource for information about meds (dosing, interactions, etc)ДЄsk your residents, fellows, attending and APNs for help вЂ“ You will learn a lot on this rotation. If they are paging you, it is because they REALLY need you to come evaluate the patient. Listen to nurses вЂ“ They are extremely experienced and have very important information to tell you. Patient tolerated intermittent dialysis yesterday and needs more volume off today. UOP, Creatinine trends probably belong under hemodynamic data.

Renal: Only necessary if this pertinent information is not already addressed in hemodynamics.

She required X units PRBCs, Y platelets, and Z FFP overnight

Heme/Onc: Hb dropped from X to Z with 400cc of coffee grounds from OGT.

ID: Pt is febrile with a rising WBC despite antibiotics (X,Y, and Z).

Awoke when sedation held yesterday, followed all commands.

Neurologic: Pt remains sedated on the ventilator.

and the respiratory alkalosis we are observing might be explained by вЂ¦вЂ¦ We plan a SBT today but are concerned that ptвЂ™s (oxygenation/ventilation/neuro status/airway) may prevent extubation. PatientвЂ™s oxygenation is (improving vs worsening) and the CXR is (better vs worse).

#Powerpoint lab skeletons cbc template Pc#

By convention, we report vent settings as Mode (AC vs PC vs PS) / Rate/ Tidal Volume/ PEEP/FiO2 вЂ“ and on these settings the ABG is (report as pH/ CO2/ paO2/ sat вЂ“ok to round up to the nearest whole number).

Pulmonary: Pt remains intubated on the following vent settings: XXXX.

Volume status (with data вЂ“ CVP, SVO2, I/Os, UOP, PPV).

Assessment of cardiac function, myocardial ischemia, dysrhythmia etc. Tips: ok to give vitals as either a representative sample or as ranges, but if giving ranges, report blood pressure as X/Y вЂ“ A/B вЂ“ not as a systolic range and diastolic range вЂ“ to allow us to hear the pulse pressure. UOP has remained (adequate vs oliguric) and the patient feels (warm with good cap refill vs cold with thread pulses). She appears to be volume-responsive based on X (physical exam findings, straight leg raise, bedside ultrasound, Pulse Pressure Variation, etc).

Cardiovascular- BP has remained X/Y on the following vasoactive drugs and doses.

Both an outline format and sample narratives are below. Except in rare instances, the 1 st systems addressed should be cardiovascular, pulmonary or neuro. For a typical follow-up patient on rounds, this means stating the patientвЂ™s major events overnight (if any) and then launching in to assessment as below.

Lump together hemodynamic data with CV and volume assessment pulmonary data with vent settings and blood gas results neurologic data with wake-up assessment, etc. PRESENT BY ORGAN SYSTEM -What we mean by this is to abandon your typical SOAP note format for presentations. Updated - originally written by MICU AttendingsДue to the complexity of your patients in the MICU, you will have an incredible amount of data on each patient, and it can be challenging to organize and present all that information in a way that is easy to follow for everyone on rounds.

Sub-I Medicine Clerkship Policies and Sub-I Pagers.

MS3 Medicine Clerkship Note-Writing Policy.

Career Development and Fellowship Applications.

Intern Focused Cardiac Ultrasound Curriculum.

High Yield Inpatient Resources and How-To Guides.

Inpatient Services: Goals and Objectives.

Creating widescreen PowerPoint presentations.