SJH INTENSIVE CARE UNIT

CONTACT INFORMATION
Report to the SJH ICU 4th floor for orientation by the head ICU nurse on the first day of the rotation (junior residents) and at the time designated by the call schedule.

Supervisors:

Joseph Q. Henkle MD
Memorial Medical Center, D434
Telephone: 545-0187

Faculty:

SIU Intensivist Faculty:
Joseph Henkle, MD
P. James Abraham, MD
Kent Kapitan MD
Peter White, MD

Community Pulmonary/Intensivist Faculty
SIU/Community Cardiology Faculty

EDUCATIONAL PURPOSE
In this rotation, residents will develop their skills in Inpatient ICU management of acutely ill, often unstable patients. They will learn to work as part of an ICU Team with nursing, respiratory therapy and ancillary staff.

RESIDENT DUTIES

See resident responsibilities list

TEACHING METHODS

Lectures

Monday through Thursday, Room 4821 on 4 South, generally 4:00 – 5:00 PM. Residents and students should attend.

Conferences

Critical Care Conference, 2nd Tuesday of each month, Room D219 MMC
Attend weekly Grand Rounds via televideo in Conference Rm. A, SJH, 0800 Tuesdays.

Rounds:

AM Rounds (usually start 8-9 AM, last 1-3 hours average) with faculty attending, all residents, students, and fellow (if available). Brief didactic sessions will follow rounds as per the teaching attending and fellow

PM Rounds (usually starting at 3 PM, M – F, last 1 hour) with day resident/student checking out to the afternoon resident. Fellow, if available, should oversee. Where indicated brief progress notes should be written on patients. (Lectures for students at SJH follows these rounds)

MIX OF DISEASES, PATIENT CHARACTERISTICS and TYPES OF CLINICAL ENCOUNTERS

Acute myocardial infarction	Acid/Base/electrolyte abnl.
Shock (distributive, cardiogenic, hypovolemic, obstructive)	Coma
Respiratory Failure	Intracranial Hemorrhage
GI Bleeding	Poisoning and overdose
Acute Renal Failure	Hepatic Failure
Cardiac Arrythmias	Acute CHF

PROCEDURES

Arterial Lines, thoracentesis, paracentesis
Central Venous Access
Chest tube placement
Ventilator Management
TPN and enteral feeding
EKG interpretation
“Stat Codes”
Lumbar Puncture
Endotracheal Intubation

All procedures performed by residents must be supervised by someone ( qualified resident, faculty, or fellow) who has hospital privileges for the procedures being performed. The attending faculty should be informed prior to the procedure and ascertain adequacy of supervision.

SERVICES

Inpatients
Consults
Codes

EDUCATIONAL RESOURCES

Washington Manual, UpToDate
Micromedex, Poisondex on SJH computer
Principles of Critical Care, 2nd Edition, Hall JB, Schmidt GA, Wood LDH
The ICU Book (Paul Marino).

METHOD OF EVALUATION

Resident Evaluation by Standard performance evaluation form. Each resident should meet with the attending faculty during the last week of the rotation for face-to-face feedback and review of performance.

Program and faculty by standard performance evaluation form.

LEVEL OF SUPERVISION BY FACULTY

Residents with little experience in the skills needed will observe and practice exam and procedural skills under the direct supervision of attending physicians or other qualified individuals, while those with more experience will work with patients in concert with attending physicians.