List Archives

Sat Sep 6 23:00:06 BST 2008

Cathy,

I would urge you to also address this question to the Critical
Care Medicine list, led by Fearless Leader Dave Crippen:
Here is the link to subscribe:

http://www.ccm-l.org/about.html

Sue

Dudick, Cathy 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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>
>
>  
>

-- 

Sue Roundy, M.Ed., EMT-P (ret.)
President, High Sierra Resources
email:  suefire6 at charter.net  
Past President, Nevada Emergency Medical Assoc.
President & Captain (ret.), Dayton (NV) Volunteer Fire Department 

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