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Published byChrystal Foster Modified over 9 years ago
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INTRODUCTION PRESENTATION ICCU SRH
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18 Beds ≈ 1000 admissions/yr (50:50 L2:L3) 365/24/7 consultant intensivist cover Advanced, higher, intermediate, basic, ACCS (x3), Foundation programme (F1&F2), Respiratory, ICM (stage 1,2,3) Acute medicine ICNARC – Top 10 unit
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UNIT LAYOUT
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Lab, Storage Staff Room Dave & Aly’s Office Girl’s Changing Boy’s Changing Interview Rooms (x2) C-Level Corridor C-Level Theatres Rooms 1-12b Rooms 14-16Rooms 17 - 18 “Windy Cupboards” Outreach, Research, SNOD, Nurse Education Reception
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C-Level Corridor C-Level Theatres
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C-Level Corridor C-Level Theatres
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C-Level Corridor C-Level Theatres
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C-Level Corridor C-Level Theatres
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C-Level Corridor C-Level Theatres Stairs Patients
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THE ICCU TEAM
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Dr Laura O’Connor 53274
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AND… 4 Consultant microbiologists ~100 nurses Ward Manager 1.5 physio 1 dietician 1/2 pharmacist Clinical nurse educators Research nurse SNOD Outreach Rehab team
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OUTREACH Senior nurses First hospital in NE to have 24/7/365 cover See all discharges from critical care & referrals Referrals triggered by NEWS or concerns You are often their first point of call for often difficult ward decisions, which can be political rather than clinical……be supportive
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EDUCATION
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www.iccueducation.org.uk @iccueducation Password is Tippins45
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SIMULATION At least once during attachment Groups of ~3 Further training needs can be addressed with reasonable notice
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MONTHLY FRIDAY MORNINGS Extra staff Open forum 0900 – 1100 Teaching 11-1200 Anyone welcome
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ED If unsure take someone else
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C5243
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Difficult Airway Bag Anaes / ICCU use only LMA Normal Proseal Intubating OPAs Selection of blades (inc straight & 3 and 4 McCoy) Bougie Stylets
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CATH LAB B floor, end of cardiology ward (B21) If called then go as first responder If in ED and patient going to cath lab contact ICCU cons immediately (24/7) If called to cath lab notify ICCU cons as soon as you get called Same setup as for paeds calls
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HANDOVER Deliberate Consultant absence. Do not allow your colleague to leave until information has been adequately handed over.
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TRANSFERS Call ICCU Consultant first 1 st on – anaes cons if anything happening. 2 nd on – anaes cons ICCU res – ICCU cons
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SUNDERLAND-ISMS No colloid HD rather than CVVF – RRT via renal Epidurals
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RESIDENT ROTA Minimum 1 resident & 1 other 1 other usually either F1 or F2 F2 joins on call rota (weekend days and evenings) after approx 2 months Overnight resident only 1:5+
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DAILY ROUTINE Handover 0800 until completed Allocate patients 0900 ward round 1100 coffee and 5:15 Sort your patients Some time between 1700 and 1830 Consultant handover Handover 2000 until completed Medicus Instructions on Website
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WHO TO CALL FOR HELP OOH 1 st on for an extra pair of hands 2 nd on for help / advice (or an extra pair of hands) Consultant unless told otherwise for: All paediatric resuscitation Cath lab All admissions All refusals except the obvious Any queries or concerns that the 2 nd on can’t help with. An extra pair of hands If wondering whether to phone please do.
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OTHER THINGS THAT HAVE TO BE MENTIONED Guidelines Sickness & Leave Incident reporting 2222
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ANY QUESTIONS?
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