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We have a total of 42 ICU beds in our community hospital. Acuity is high as we have a large catchment area and we serve as a referral site for surrounding hospitals. Trauma center and comprehensive stroke center. Trying to see how we could make things better.
Currently we have 2 intensivists and 1 NP/PA on days. Open ICU and we see everyone on the vent and on vasoactive agents plus others if we are asked to help. We do multidis rounds on every patient in the unit, regardless of whether we are seeing them or not. Hospitalists, surgeons, cardiologists etc. remain primary and we are a consult service. We are on call every other night from home at night - Hospitalists handle most things but we do have our sleepless nights. We don’t typically go to the ER to see patients waiting for ICU beds but are available for help. I typically don’t see more than 14 encounters but I have had days where it’s 16-17... add procedures on top of that and it can get pretty busy. We also have 4 IM residents in the unit which sucks up time.
How is your ICU set up? How many patient encounters in a day? Are you primary or a consult service? Do you see patients in the ED that are waiting for ICU beds? How many midlevels? Do you have an intensivist in the hospital at night?
Currently we have 2 intensivists and 1 NP/PA on days. Open ICU and we see everyone on the vent and on vasoactive agents plus others if we are asked to help. We do multidis rounds on every patient in the unit, regardless of whether we are seeing them or not. Hospitalists, surgeons, cardiologists etc. remain primary and we are a consult service. We are on call every other night from home at night - Hospitalists handle most things but we do have our sleepless nights. We don’t typically go to the ER to see patients waiting for ICU beds but are available for help. I typically don’t see more than 14 encounters but I have had days where it’s 16-17... add procedures on top of that and it can get pretty busy. We also have 4 IM residents in the unit which sucks up time.
How is your ICU set up? How many patient encounters in a day? Are you primary or a consult service? Do you see patients in the ED that are waiting for ICU beds? How many midlevels? Do you have an intensivist in the hospital at night?