General Information

• Please be sensitive when talking about families with co-workers.
• All patients in the PICU are either primarily cared for by the PICU service or concurrent care.
• The PICU service is responsible for all patients in the PICU.
• Do not hesitate to contact the PICU attending with any questions:

Name	Number
Brian Binck	247-0916
Carolyn Boyd, MD	426-2436
Tania Burns, MD	426 -2375
Andrew T. Costarino, Jr., MD	426-4512
Edward J. Cullen, Jr., DO	426-4965
James Hertzog, MD	426-4537
Stephen T. Lawless, MD	426-4532
Scott Penfil, MD	426-4515
Glenn Stryjewski, MD	247-2691

• PICU Office number is (302) 651- 5159 (Hours 8 a.m. to 5 p.m.)
• PICU number is (302) 651-5450 (5451, 5452, 5453, 5454) (24 hours/day)
• The PICU attending and charge nurse are to be notified of all admissions.
• The PICU attending is responsible for patient care.  Residents are expected to interact with the Critical Care Attending if there is a change in the patients status or new problems arise.
• Anesthesia resident and emergency room attending are in hospital all night if needed for emergent airway care.
• All transport and floor consult calls should be referred to the PICU attending.
• Ventilators may be physically adjusted only by respiratory therapist, except in emergencies.
• Resident carries a regular beeper and the code beeper. At night the code beepers are given to the night call person.
• Residents post their name and beeper numbers on the PICU master board.
• The hospital emergency number to call for hospital fires and Codes is 5555.
• PICU morning patient rounds usually begin around 7:30 a.m. Timing of afternoon and evening patient rounds will vary depending on patient acuity issues.
• Residents are asked to place their initials on the large PICU board next to their primary patients.
• If on-call residents must leave the PICU, they should notify the charge nurse of their location and make certain that their beeper is operational.
• If residents must leave the unit (for clinic, lectures, etc.), it is their responsibility to sign out their patients to another resident and make sure the charge nurse is aware of the change in responsibility.
• Emergency Medicine residents who have weekly morning conferences are expected to return to the PICU in the afternoon.
• All admissions to the PICU from the general hospital area require an admit note but those patients newly admitted to the hospital require a full history and physical.
• There is an Order Entry Algorithm that must be followed to maximize patient care.
• When ordering complicated radiologic studies, please talk with the radiologist who will do the study so they are aware of what we are looking for. Please inform the unit secretary about special tests that are ordered.
• All requests for consultation must be entered into the computer. Please fill out the consult sheet with preliminary information and call the consulting service directly to discuss the patient. Please inform the unit secretary when you enter a consult.
• Daily in the morning, a computer printout may request that you renew medications on your patients.
• All patients will have at least one note/day; all procedures, transfusions, or unusual events will also require documentation on the chart.
• Blood transfusions must have written permission from the childs legal guardian.
• There is a Transfer Out of PICU algorithm that must be followed in order to maximize patient care.
• Patients discharged from the PICU to home or another medical institution require a short stay discharge summary if less than 48 hours admission or dictated discharge summary for longer admissions.
• Please return all PICU reference books back to the cart after use.
• No food in the PICU work area.
• Please observe Isolation Requirements as posted and continue hand washing before and after all patient contact.