Pediatric Intensive Care Unit

The Pediatric Anesthesiology Fellow is to have clinical and didactic exposure to the following:

Patient Care and Medical Knowledge Focus

• Cardiopulmonary resuscitation and life support
• Demonstrate proper performance of cardiopulmonary resuscitation in children
• Resident is to be certified in Pediatric Advanced Life Support
• Demonstrate ability to initiate proper fluid resuscitation
• Demonstrate ability to utilize pharmacologic agents in support of the circulation
• Demonstrate ability to utilize electrical therapy for malignant dysrhythmias
• Demonstrate understanding of the management priorities in cardiopulmonary resuscitation and pediatric advanced life support
• Mechanical ventilation
• Demonstrate understanding and effective use of mechanical ventilation in neonates, infants, children, and adolescents
• Pharmacologic support of the circulation
• Demonstrate effective use of pharmacologic agents in support of the circulation
• Indications and techniques for placement of venous and arterial catheters
• Demonstrate proficiency in the placement of venous and arterial catheters, including central venous catheters
• Demonstrate understanding and proficiency in the use of ultrasound in the placement of venous and arterial catheters
• Recognition and treatment of vital organ dysfunction
• Demonstrate understanding and effectiveness in obtaining and interpreting appropriate laboratory information; demonstrate appropriate response to results
• Demonstrate timely recognition and treatment of vital organ dysfunction.
• Emergency transport of critically ill patients within the hospital and between hospitals
• Demonstrate understanding of the management priorities, personnel assignment, and communication necessary to safely transport critically ill children and neonates.
• Recognition, prevention, and treatment of pain in medical and surgical patients.
• Demonstrate ability to utilize proper analgesics and sedatives in a critical care environment.
• Understand the altered pharmacology of analgesics and sedatives in the critically-ill child.

Interpersonal and Communication Skills

• Psychological support of patients and their families
• Gain exposure, by both observation and experience, in competently and compassionately communicating with parents in emotionally – stressful times and being able to offer appropriate support and resources

Systems-Based Practice

• Demonstrate awareness and cooperation with patient safety goals in areas of:
• Communication among caregivers in patient sign-off and transfer
• Medication Safety
• Reducing risk of health-care associated infections

Practice-Based Learning and Improvement:

• Utilize evidence –based research tools (Info-link) to reinforce clinical decision-making
• Accept constructive feedback on medical knowledge and technical skills

Professionalism

• Abide by professional code of conduct at all times during ICU rotation
• Participate in patient rounds and arrive in timely manner
• Be fully engaged in patient care and be prepared for patient presentation during rounds