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) C-Level Corridor C-Level Theatres Rooms 1-12b Rooms 14-16Rooms “Windy Cupboards” Outreach, Research, SNOD, Nurse Education Reception

C-Level Corridor C-Level Theatres

C-Level Corridor C-Level Theatres

C-Level Corridor C-Level Theatres

C-Level Corridor C-Level Theatres

C-Level Corridor C-Level Theatres Stairs Patients

THE ICCU TEAM

Dr Laura O’Connor 53274

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

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 Anyone welcome

ED If 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 1 st on – anaes cons if anything happening. 2 nd 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 1 st on for an extra pair of hands 2 nd 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 2 nd 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?