INTRODUCTION PRESENTATION ICCU SRH

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

UNIT LAYOUT

Lab, Storage

Staff Room

Dave & Aly’s Office

Girl’s Changing

Boy’s Changing

Interview Rooms (x2)

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Rooms 1-12b

Rooms 14-16Rooms 17 - 18“Windy

Cupboards”

Outreach, Research,

SNOD, Nurse Education

Reception

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THE ICCU TEAM

Dr Laura O’Connor53274

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

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

EDUCATION

www.iccueducation.org.uk@iccueducation

Password is Tippins45

SIMULATION

At least once during attachment

Groups of ~3

Further training needs can be addressed with reasonable notice

MONTHLY FRIDAY MORNINGS Extra staff

Open forum 0900 – 1100

Teaching 11-1200

Anyone welcome

EDIf unsure take someone else

C5243

Difficult Airway Bag

Anaes / ICCU use only

•LMA•Normal•Proseal•Intubating

•OPAs

•Selection of blades (inc straight & 3 and 4 McCoy)

•Bougie

•Stylets

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

HANDOVER

Deliberate Consultant absence.

Do not allow your colleague to leave until information has been adequately handed over.

TRANSFERS Call ICCU Consultant first

1st on – anaes cons if anything happening.

2nd on – anaes cons

ICCU res – ICCU cons

SUNDERLAND-ISMS

No colloid

HD rather than CVVF – RRT via renal

Epidurals

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+

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

WHO TO CALL FOR HELP OOH 1st on for an extra pair of hands

2nd 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 2nd on can’t help with. An extra pair of hands If wondering whether to phone please do.

OTHER THINGS THAT HAVE TO BE MENTIONED

Guidelines

Sickness & Leave

Incident reporting

2222

ANY QUESTIONS?