TSICU:Patient Care Management

Housestaff Expectations

• Communicate any absence or potential change in shift to Dr. Neville, TSICU Attending, and Dr. Kim
• No eating or drinking in patient care areas
• Practice hand hygiene BEFORE & AFTER every patient encounter
• Maintain and protect PHI/patient confidentiality

Roles and Responsibilities

• Ensure that 2 WOWs are available for morning rounds
• Ensure that patient lists are printed and available by the start of rounds (06:00am)
• Discard of any extra patient lists in the confidential shredder located on the C-side of the TSICU
• Update and maintain patient list with new results, radiology reads/findings, and consult service recs
• Provide family and loved ones with updates, as appropriate

Communication & TeamSTEPPs

• Open and honest communication is crucial to decrease errors, enhance patient safety and teamwork
• Several TeamSTEPPS tools and techniques may be used (huddles, briefings, debriefs)

Conduct of Morning Rounds

• PRIOR to the start of morning rounds, the overnight R2, fellow, and overnight charge/relief RN, will determine the order of rounds based on the following:
  • Severity of illness (Critical, unstable, stable)
  • New admissions
  • Potentially extubatable patients
  • Other
  • media:Standardized_Work_-_3WICU_Morning_Rounds_v.4.pdf

Handoffs

• Handoffs are required for ALL transitions of care. This includes, but is not limited to:
  • Admissions
  • Transfers & Discharges
  • Morning & Evening Passons
  • media:IPASS.jpg