{"id":21964,"date":"2019-08-07T14:15:07","date_gmt":"2019-08-07T18:15:07","guid":{"rendered":"https:\/\/www.med.unc.edu\/pediatrics\/education\/?page_id=21964"},"modified":"2024-04-18T11:45:23","modified_gmt":"2024-04-18T15:45:23","slug":"picu-peds-421-419","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/pediatrics\/education\/clerkship\/individualization-phase\/picu-peds-421-419\/","title":{"rendered":"PICU (PEDS 419)"},"content":{"rendered":"

Welcome Note<\/h2>\n

Welcome to the PICU!\u00a0 We are excited that you will be rotating with us and will be looking for you on Monday.\u00a0 Below are some general tidbits about the rotation.<\/p>\n

Schedule<\/strong><\/h3>\n

Rounds start at 0745 in the PICU during the week and 0800 on Sat\/Sun.\u00a0 On your first day, you may want to get there a few minutes early (0715) just to get settled in and meet the group. Following this, students should arrive by 6am for signout from the overnight resident.\u00a0 The resident space is in the middle of the unit: desks outside 2c10 and 2c11 in front of ‘the board’-a large TV screen in the middle of the unit with patient names and room numbers.\u00a0 You will work out your night shift schedule with the other student and\/or residents when you arrive.\u00a0 You are expected to take 4<\/strong> overnight 12 hour shifts. Don’t take night call the first night and don\u2019t take night call with another student.\u00a0 You do not need to come to work on weekends. Also, you are NOT expected to post call round.\u00a0 The fellow and attending call schedule is posted on the resident reference cabinet, above their work computers.\u00a0 You can add your night schedule here so that everyone knows when to expect you.<\/p>\n

Expectations<\/strong><\/h3>\n

You should receive a copy of the power point of the student orientation.\u00a0 As MS4s you should not carry more than 2-3 patients at any one time and you should refrain from carrying any one patient for more than a week (at the most). \u00a0These limitations are suggested for two reasons.\u00a0 1) Your primary goal should be exposure to as many disease processes as possible, this is why we suggest not following patients for more than 1 week at a time.\u00a0 2) If you carry too many patients you will be too focused on ‘getting work done’ and you won\u2019t have as much time for learning.<\/p>\n

You will be following patients in cooperation with a resident. \u00a0You should pre-round, examine (please do not skip the pre-rounding exam- it\u2019s important) and sift through labs and vitals and develop plans on your patients. Each patient you are following should also be discussed with the resident.\u00a0 You can also feel free to discuss the plan or labs with the fellow or attending if a resident is unavailable.<\/p>\n

Notes<\/strong><\/h3>\n

Students can now write notes that can be incorporated into the medical record.\u00a0 We have a standard PICU note template in EPIC that you will need to use.\u00a0\u00a0 Please ask the residents or fellows to share the template with you so that you can access it.\u00a0 Then you will share your notes with the resident that is following the patient.\u00a0 The resident will then edit the note and route to the attending for co-signature.<\/p>\n

Other items<\/strong><\/h3>\n

The main objectives of this rotation are for exposure to critically ill pediatric patients, developing an understanding of the complex pathophysiology impacting pediatric patients, and learning how they are managed.\u00a0 Come in with a good attitude, a willingness to \u2018get your hands dirty\u2019 and demonstrate that you know the ins and outs of your patients, and you will be fine.\u00a0 One of the most important ways that we can get an assessment of your understanding of the patient and pathophysiology is by assessing your presentations so, please ask for feedback early and often on this!\u00a0 It will serve you well.<\/p>\n

Best of luck and, again, welcome to the PICU we are glad to have you as part of the team.\u00a0 Please, if there are questions, don’t hesitate to ask the attending or fellow on service or send me an email.<\/p>\n

 <\/p>\n

Sincerely-<\/p>\n

Melissa Smith, MD
\nAssistant Professor, Department of Pediatrics
\nDivision of Critical Care Medicine
\nThe University of North Carolina at Chapel Hill
\n417 MacNider Hall, CB #7221
\nChapel Hill, NC 27599-7221
\nPhone: (919) 966-7495
\nPager: (919) 216-4761
\nEmail:\u00a0 Melissa_Smith@med.unc.edu<\/a><\/p>\n

<\/h4>\n

Select Educational Resources<\/h4>\n

Books:<\/h5>\n
    \n
  1. Helfaer, M.A. and D.G. Nichols, Rogers’ Handbook of Pediatric Intensive Care<\/em>. 2008: Lippincott Williams & Wilkins.<\/li>\n
  2. Fuhrman, B.P. and J.J. Zimmerman, Pediatric critical care<\/em>. 2006: Mosby-Elsevier.<\/li>\n
  3. Jones, M.B., Klugman D., Fitzgerald, R.K., et al, Pediatric Cardiac Intensive Care Handbook. 2018: Pediatric Cardiac Intensive Care Books.<\/li>\n
  4. Marino, P.L. and K.M. Sutin, The ICU book<\/em>. 2007: Lippincott Williams & Wilkins.<\/li>\n<\/ol>\n
    Websites:<\/h5>\n

    www.learnpicu.com<\/a><\/p>\n

    UNC Children\u2019s Clinical Care Portal: https:\/\/www.med.unc.edu\/pediatrics\/cccp\/all\/<\/a><\/p>\n