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Sat Sep 6 12:03:16 BST 2008

We are a  level 2 center and have an obligatory surgical intensivist
consultation policy for all admissions. We are in the house 24/7. There is
discussion about having anesthesia do the critical care for non trauma
patients  but this does not seem to be a serious propsal.

Sam Picone MD FACS
St Josephs Hospital
Marshfield, WI

On Thu, Sep 4, 2008 at 9:50 AM, Dudick, Cathy <CDudick at meridianhealth.com>wrote:

> I have a question about the care of non trauma surgical intensive care
> patients.
>
>
>
> We are a level 2 trauma center with a busy SICU.  We the trauma
> attendings(all double boarded in surgery/cc), provide 99% of the
> critical care-lines, etc (no real resident/PA coverage at night).  We
> and our surgery department support a formal policy of mandatory surgical
> intensivist consultation for all SICU patients.  Our goal is to provide
> 24hour/7day intensivist in house coverage.  We feel this is in the best
> interest of patient care. Also, it prevents us from "meeting" the
> patient for the first time during a crisis, as we often are called for
> septic shock, airway emergencies, etc, when no other intensivists are
> readily available(mostly after hours and at night).  We would prefer to
> be acquainted with the patients and perhaps treat small problems before
> they escalate.  Lastly, it would help us manage our beds in the ICU.
> The medical intensivists (private practitioners) do not stay in house,
> but balk at the idea of a mandatory surgical Intensivist (hospital
> faculty) consult policy for surgical ICU patients.
>
>
>
> Who cares for that patient in your unit, the surgical intensivist, the
> medical intensivist, etc?
>
>
>
> Are your intensivists in house 24/7?
>
>
>
> Do you have a written policy that mandates a surgical intensivist
> consult for all admissions to the SICU?
>
>
>
> Your input is much appreciated.
>
>
>
> Cathy
>
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