8
WELCOME
To the Surgical ICU at Vanderbilt
WE, as SICU RN's work w/ the body - from top to bottom
FREQUENTLY USED DEVICES IN THE SICU
SICU Leadership
Who's who?
Unit Director: June McGhee
Clinical Staff Leaders (CSL):
Dayshift
- Liz King
- Joe Ricci
- Tanna Walker
Nightshift
- Hillary Sexton
- Emily Werenczuk
Relief Shift Leaders (RSL):
Dayshift
- Ashley Miller
- Lauren Kennell
- Elaine Stephens
- Anne Woodard
Nightshift
- Caitlan Bradford
- Katie Lewallen
- Anna Robertson
- Rebecca Tucci
SICU Providers:
Providers
Attending
Fellow
Resident
Intern
SICU Nurse Practitioners (hired specifically for our unit; MD's above rotate throughout various services)
About the orders
Bedside RN's notify our SICU NP's regarding clarification of orders, patient concerns, etc.
SICU NP's
Team 1: Teaching
To teach or not to teach
Team 2: Non-teaching
Borders: SICU team not following
- must have received "remove team" order
Team's 1 & 2 are both followed by SICU
- Team 1 will involve "rounding"
- Team 2 followed by specific NP for the day
*The longer on the unit - the more sense this will make, especially if on dayshift*
What does this mean?
Teams you will work with
Various
Teams
- ENT/OTO
- EGS
- Liver Transplant
- Plastics
- Vascular
- Trauma/Trauma surgery
- Infectious Disease
*less often - Kidney Transplant
Wide variety of patient's/surgical procedures
Patient Population
- Liver transplants
(new - living liver donor)
- Total laryngectomy/pharyngectomy
- Abdominal discontinuity
(open belly), numerous abd. surgeries
- Bone/muscular flaps
(various locations on the body)
- face, neck, breasts
- Necrotizing fasciitis
- Deep inferior epigastric perforators
(DIEP flap for breast ca/reconstruction)
- Trauma
(TBI, bone fx, organ lacs, spinal precautions)
*less often - kidney transplants or various patient populations that are overflows from another ICU or a RRT that was brought to the SICU for higher level of care
Unit Board
Chair - Lauren Kennell
Subcommittees:
- Quality:
Kristen
Caitlin
- Education & Research:
Hannah
Savannah
- People & Work
Ashley
Amy
& Unit Board Is?
- Committee made up of direct caregivers (you) who have an active voice & participate in improving their professional practice in collaboration with unit leaders
- Our culture of Shared Governance supports the principles of decentralized decision making, shared accountability, and partnerships among all staff to deliver exceptional patient care, improve quality of care, and enhance work life
Scheduling
Vandyworks
Joe Ricci - Dayshift
Emily Werenczuk - Nightshift
Based on A, B, & C rotation - staff have ability to put in their own schedule
Requirements:
2 on-calls, 4 weekend shifts
*Dates staff put in may be changed if required for adequate staffing