Burn Critical Care Burn Surgeons Bret Alvis Stuart McGrane Blair Summitt (Plastic Surgery) Arna Banerjee Tracy McGrane Lisa Rae (Trauma Surgery) Patrick Henson Roy Neeley Wes Thayer (Plastic Surgery) Chris Hughes Pratik Pandharipande Reuben Bueno (Plastic Surgery) Adam King Nahel Saied Avi Kumar Joseph Schlesinger Sheena Weaver Lisa Weavind Nuerological Critical Care Avinash Kumar Nathan Ashby Sheena Weaver Nahel Saied Roy Neely Tracy McGrane Christopher Hughes Joseph Schlesinger Patrick Henson Adam King Christopher Cropsey Bret Alvis Nurse Managers: Kristin Ayre CSL: Jill Shelton, Misty Ashby, Jason Flippin, Jason Johnson, Donnie Nurse Practitioners: Justin Calabrace (lead ACNP) Briana Witherspoon Lindsay Trantum Hannah Maloney Melissa Wiley Stephanie Russell Wayne Babcock Amanda Hill Katherine Carroll Valerie Scarafia Laine Needham ANESTHESIOLOGY CRITICAL CARE MEDICINE NEW FACULTY MANUAL NCU 6 th Floor Critical Care Tower Avinash Kumar, M.D., FCCM, FCCP Medical Director General Information: The Neuro ICU at Vanderbilt University Medical Center is a 22 bed ICU with 8 additional step down beds. • We admit an estimated 2400 patients/yr. The patient population includes Stroke, Intracranial hemorrhages (SAH, SDH, IPH), postoperative neurosurgical cases, complex spinal procedures, Neuromuscular disorders (GBS, Myasthenic crisis etc), Status epilepsy and other general neurological diagnosis requiring ICU care. • We admit about 100-200 subarachnoid hemorrhage patients per year. • The patient care model can be best described as a collaborative care model with strong input from the NCU team. The primary admitting services are Neurology and Neurosurgery with additional admissions from Orthopedics- spine, ENT (skull base) and overflow Neuro trauma. • All patients admitted to the NCU will be seen and evaluated by the Neuro Critical Care (NCC) Service. • The Neuro ICU provides 24/7/365 coverage at the NCU at VUMC. The team is comprised of an Attending intensivist (> 80% of all attending’s are Neurocritical Care board certified), Fellow, Senior Resident (PG2-3), and 2 interns (Anesthesiology, Neurology or Neurosurgery) and 2 ACNP’s. The night team starts their shift at 6pm and is comprised of 2 ACNP’s who are in-house with Attending/ Fellow as backup. • Fellows alternate First call (home call) with the attending for the week with the attending ALWAYS available as back up. The fellows are not required to stay in-house overnight. • The fellows cover 2 weekends (Fri/Sat) each month the other 2 being covered by the senior anesthesia resident. They have at least 2 weekends off each month in the NCU. • The fellows are expected to have an overview of all patients in the unit (including the patients admitted by the ACNP’s).
Transcript
Burn Critical Care Burn Surgeons
Bret Alvis Stuart McGrane Blair Summitt (Plastic Surgery)
Arna Banerjee Tracy McGrane Lisa Rae (Trauma Surgery)
Patrick Henson Roy Neeley Wes Thayer (Plastic Surgery)
Chris Hughes Pratik Pandharipande Reuben Bueno (Plastic Surgery)
Adam King Nahel Saied
Avi Kumar Joseph Schlesinger
Sheena Weaver Lisa Weavind
Nuerological Critical Care
Avinash Kumar Nathan Ashby
Sheena Weaver Nahel Saied
Roy Neely Tracy McGrane
Christopher Hughes Joseph Schlesinger
Patrick Henson Adam King
Christopher Cropsey Bret Alvis
TechTimes
Nurse Managers:
Kristin Ayre
CSL: Jill Shelton, Misty Ashby, Jason
Flippin, Jason Johnson, Donnie
Nurse Practi t ioners: Justin Calabrace (lead
ACNP)
Briana Witherspoon
Lindsay Trantum
Hannah Maloney
Melissa Wiley
Stephanie Russell
Wayne Babcock
Amanda Hill
Katherine Carroll
Valerie Scarafia
Laine Needham
ANESTHESIOLOGY CRITICAL CARE MEDICINE
NEW FACULTY MANUAL
NCU
6th Floor Critical Care Tower
Avinash Kumar, M.D.,
FCCM, FCCP
Medical Director
General Information:
The Neuro ICU at Vanderbilt University Medical Center is a 22 bed ICU with 8 additional step
down beds.
• We admit an estimated 2400 patients/yr. The patient population includes Stroke,
spinal procedures, Neuromuscular disorders (GBS, Myasthenic crisis etc), Status
epilepsy and other general neurological diagnosis requiring ICU care.
• We admit about 100-200 subarachnoid hemorrhage patients per year.
• The patient care model can be best described as a collaborative care model with strong
input from the NCU team. The primary admitting services are Neurology and
Neurosurgery with additional admissions from Orthopedics- spine, ENT (skull base) and
overflow Neuro trauma.
• All patients admitted to the NCU will be seen and evaluated by the Neuro Critical Care
(NCC) Service.
• The Neuro ICU provides 24/7/365 coverage at the NCU at VUMC. The team is
comprised of an Attending intensivist (> 80% of all attending’s are Neurocritical Care
board certified), Fellow, Senior Resident (PG2-3), and 2 interns (Anesthesiology,
Neurology or Neurosurgery) and 2 ACNP’s. The night team starts their shift at 6pm and is comprised of 2 ACNP’s
who are in-house with Attending/ Fellow as backup.
• Fellows alternate First call (home call) with the attending for the week with the attending
ALWAYS available as back up. The fellows are not required to stay in-house overnight.
• The fellows cover 2 weekends (Fri/Sat) each month the other 2 being covered by the
senior anesthesia resident. They have at least 2 weekends off each month in the NCU.
• The fellows are expected to have an overview of all patients in the unit (including the
patients admitted by the ACNP’s).
ANESTHESIOLOGY CRITICAL CARE MEDICINE
NEW FACULTY MANUAL
NCU
Rounding Times:
Rounding Expectations:
Please make it a point to involve nurses and patient families in daily rounds. The Nursing rounds check sheet was designed
to help with communication with the team.
Please invite family members to participate in rounds if present in the room
You have to examine patients that you care for.
Multidisciplinary rounds with Neurology- EEG service and NeuroRadiology. We round each Wed at 11Am with the EEG
team to review basics of EEG monitoring and classic cases. We meet with the Neuroradiology team at 730AM every
Thursday to review between 5-7 cases each week. This has been well received by the teams and has been a very useful
educational experience.
Please make it a point to introduce yourself to the Neurology consult attending, Stroke attendings and the Neuro surgery
team early in the week so that you have a line of communication established early in your week.
ANESTHESIOLOGY CRITICAL CARE MEDICINE
NEW FACULTY MANUAL
NCU
Note Expectations:
Senior Resident Involvement: Weekdays:
- Present for AM sign-out at 6AM
- Alternate late/early days with fellow
o Leave afternoon rounds and sign out to NPs prior to leaving for the day (usually around 4pm on early days)
o Participate in PM sign-out with NPs on lat days at 1800
Weekends:
- Coordinate with fellow o work alternating weekends
- Arrive at 0600 for sign-out, same responsibilities as weekdays
- Be available to be called back for procedures, unstable patients until 1800
Admitting Team Communication Expectations: Burn surgeons will admit to the BICU as they deem appropriate. There may not be primary communication at the time of admission between the Attending
surgeon and the BICU Attending. However there should be communication within 24 hours of admission of the surgical plan directly between the BICU
Attending and Burn Surgeon. This may need initiated by the BICU Attending. A collaborative approach is the norm within the BICU.
Weekend Roles: May or may not have fellow coverage. The fellows have 2 weekends off each month. In the absence of the fellow you will generally
have a senior anesthesia resident, 2 ACNP’s and 1 intern each weekend day. You and 2 ACNP’s cover nights.
NCU Airway Responsibilities:
• The NCU attending carries the emergency airway phone
• Always check out the phone from the previous week’s attending.
• The phone charger is in the ICU call room on 6S ( 2244*)
• Always checks with the PACU resident on Monday am and let them know
you are the person to call.
• Generally 7am to 5pm is the time you are expected to carry the phone.
• Please not that you will NOT be able to leave the campus during the day unless you
have a person covering the airway phone temporarily in your absence.
