Trauma ICU
Dr.____________________________,
You are assigned to the Trauma ICU for the month of_____________________.
Schedule: Contact the LSU Surgery chief resident 2-3 weeks prior to your rotation to
receive your schedule and /or submit a schedule request. All schedule requests should
be directed to the Chief Residents. The maximum continuous duty period for residents is
24 hours, after which the resident may no longer assume responsibility for new
patients, but may stay inhouse for transfer of care or conference for up to six hours.
Each resident must have 1 day in 7 free of all duties. Any duty hour violation must be
reported immediately to your program director or anonymously to the Duty Hour
hotline: 599-1161.
Responsibilities: Function as part of the Trauma ICU team and the Trauma Team.
Conference: You are required to attend EM conference and Journal Club. Please
remind you staff the day before each event.
Extras: All procedures must be recorded in NewInnovations.
Supervision: Provided by LSU Surgery faculty and senior level residents.
Evaluations: Compiled by LSU faculty and senior level residents at the completion of
the rotation and submitted via New Innovations.
Meals: available at in Resident Lounge.
LSU Emergency Medicine Residency Program
Trauma ICU Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the MCLANO Surgery rotation, that will
range from a 2 week to 1 month rotation, as assigned by the Program Director. The
rotation will take place at the LSU Public Hospital. The year of training is assigned in the
PGY2 year.
OBJECTIVES: Gain expertise in the management of surgical emergencies. Learn the
priorities and procedures of trauma resuscitation. Become an integral part of the
trauma team and respond to all trauma resuscitations along with junior, senior and staff
surgeons. Gain exposure to OR sterile techniques and surgical techniques.
GOALS:
Participate in daily teaching rounds
Evaluate Trauma and Surgical patients in the Emergency Department
Participate in Surgical Procedures, both in the OR and on the floor
Participate in the routine care of Surgical patients
Participate in consults to the Surgical Service
Follow inpatient surgical patients through discharge, including discharge planning
The clinical and didactic experiences used to meet those objectives included daily
patient care of the MCLANO Surgical Service Patients, along with bedside teaching. The
rotating resident is encouraged to attend lectures available at MCLANO pertaining to the
care of the surgery patient. This rotation experience is part of the greater emergency
medicine curriculum, also including weekly didactics (part of the overall didactic
curriculum).
The feedback mechanisms and methods used to evaluate the performance of the
resident include an end of rotation global evaluation. Immediate feedback may also be
given to the resident, and any significant problems will be discussed during the rotation
with the LSU EM administration.
The resources and facilities in the institution that will be available to each resident
include computer access to Up To Date and the LSU Library services, including current
texts in surgery and emergency medicine. The residents will have access to the
resources of the hospital including call rooms, the LSU Medical Library, Hospital medical
texts, medical records and the cafeteria.
The clinical experiences, duties and responsibilities the resident will have on the
rotation: Residents will act as a part of the Surgery team under the supervision of a staff
physician. The residents will participate in the initial management of surgery patients,
to include pediatric and adult trauma and general surgery patients.
The relationship that will exist between emergency medicine residents and faculty on
the service: The overall goals of resident education and patient care will govern the
relationship between faculty and residents. Residents will receive 24 hour supervision
while on the rotation. All patient care and medical charts will be reviewed and signed by
the Surgery faculty daily and prior to patient discharge.
Duty hours for this rotation will not exceed an average of 80hrs/week, call not longer
than 24 consecutive hours and will include 1 in 7 days off.
This rotation summary has been reviewed and agreed to by the service director and LSU
Program Director.
Specific Competency Based Goals & Objectives:
1. While in the TICU, the resident will demonstrates skill in “Data Gathering” that includes
appropriate focused history and physical exam and ordering and interpretation of
ancillary tests (* PC, MK, ICS, PR)
2. While in the TICU, the resident will demonstrates skill in “Problem Solving” that
includes appropriate and complete differential diagnosis for an undifferentiated patient.
Appropriate organization of data collection in relation to patient management decisions.
(* PC, MK, PBL)
3. While in the TICU, the resident will demonstrates skill in “Patient Management” that
includes a basic treatment plans and timely recognition and appropriate emergency
stabilization of the unstable patients. (* PC, MK, SBP)
4. While in the TICU, the resident will demonstrate skill in “Medical Knowledge”
appropriate for level of training that demonstrates a basic fund of medical knowledge
and the ability to seek the scientific basis for their patient care decisions (*MK, PBL)
5. While in the TICU, the resident will demonstrates technical proficiency in “Procedural
Skills” consistent with level of training that includes supervised intubations, central
venous access, chest tubes and trauma resuscitations. (*PC)
6. While in the TICU, the resident will demonstrate appropriate “Interpersonal and
Communication Skills” that includes effective information exchange with patients, their
families, and professional associates. Demonstrates appropriate conflict resolution
skills. (*ICS, PR)
7. While in the TICU, the resident will demonstrate appropriate “Professionalism” that
includes introduces self to patient and/or family. Respectful of patient’s privacy and
confidentiality (*PR)
8. While in the TICU, the resident will demonstrates an understanding of a “Systems-Based
Practice” that includes understanding basic resources available for care of the TICU
patient. Utilizes the consultation process appropriately. Assists in appropriate bed
triage decisions. Assists in appropriate step-down and transfer decisions. (*SBP, PC)
9. While in the TICU, the resident will demonstrate “Practice Based Learning and
Improvement” skills that includes use of appropriate information resources (ie, texts,
online web sites, etc.) for care of patient (* PBL, PC)
(* denotes core competency area: PC-Patient Care, MK-Medical Knowledge, ICS-Interpersonal and Communication
skills, PR-Professionalism, SBP-Systems Based Practice, PBL-Practice Based Learning and Improvement).