[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-371010-105":59,"doc-detail-371010-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","icu-survival-guide-day-micu-expectations-clinical-guide","ICU SURVIVAL GUIDE - Day MICU Expectations - Clinical Guide","","ICU SURVIVAL GUIDE provides practical, checklist-style expectations and clinical reference for day and night coverage in the ICU. It guides medical students, interns, and residents on consultation workflows, documentation requirements, transfer and handoff practices, and mandatory procedural safety steps. The guide also summarizes key critical-care syndromes, including sepsis with SIRS/SOFA criteria and immediate treatment priorities such as fluid resuscitation, early broad-spectrum antibiotics, lactate monitoring, and vasopressor selection and timing.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/icu-survival-guide-day-micu-expectations-clinical-guide/371010/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/icu-survival-guide-day-micu-expectations-clinical-guide/371010.png","ImageObject",300,407,{"name":92,"@type":93},"PakDamar76","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What are the core Day MICU expectations when requesting consultations?","Question",{"text":113,"@type":114},"Confirm the EPIC consult order is placed, ensure consults are seen within 30 minutes, present consults to the Fellow or Attending, and follow documentation and transfer-consult requirements including H&P notes and consult notes when MICU admission is not needed.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What should be done regarding procedures and procedural safety in the MICU?",{"text":118,"@type":114},"There should be timeouts before every procedure, procedural consent is mandatory unless it is an emergency, and all procedures require a note.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the guide define and treat sepsis?",{"text":122,"@type":114},"Sepsis is defined as SIRS plus suspected infection, severe sepsis includes evidence of organ dysfunction, and septic shock is severe sepsis with persistent hypotension despite adequate resuscitation or pressor requirement. Treatment emphasizes immediate fluid resuscitation, early broad-spectrum antibiotics, lactate monitoring, and starting norepinephrine early after adequate fluids with further vasopressor options as needed.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},371010,1790217954,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},962090893057,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","2018  \nSUNY Upstate Medical University  \nICU SURVIVAL GUIDE  \nRavi Doobay, Subrat Khanal, Lauren Krowl, Ryan Dean, Prathik Krishnan, Hassan Al-Khalisy Brian Pratt, Ioana Amzuta, Carlos Martinez-Balzano, Amit S. Dhamoon  \nThe ICU can be an intimidating and stressful environment. This manual is intended to help support medical students, interns, and residents working in the ICU.  \nPlease be mindful that this manual is a guide for care in the ICU. Clinical treatment decisions are variable and nuanced depending on patient, nursing, and attending factors.  \nTable of Contents:  \nDay MICU Expectations Page 4  \nNight MICU Expectations Page 5  \nSepsis Page 6  \nRespiratory Failure Page 12  \nMechanical Ventilation Page 14  \nLiberation from Mechanical Ventilation Page 15  \nCOPD Page 17  \nAsthma Page 19  \nGI Bleeding Page 20  \nDKA/HHS Page 23  \nAcid Base Disorders Page 24  \nSedation Page 25  \nDelirium Page 29  \nICU Drips Page 32  \nDay MICU Expectations:  \n- When a service asks for a consultation, confirm that an EPIC consult order is placed.  \n- Consults should be seen within 30 minutes.  \n- Consults should be presented to either the Fellow or Attending.  \n- If a patient is readmitted to the ICU, it is considered a bounce back if the same Attending or Fellow is on service.  \n- If a patient is admitted to the ICU, an H&P note should be written.  \n- If a patient does not require MICU admission, a consult note is written.  \n- Transfers from outside hospitals should be admitted under the accepting physician.  \n- If a patient is stable for transfer to the hospitalist service, the MAR needs to be contacted to determine the team/attending.  \n- The Fellow directly contacts accepting hospitalists.  \n- The ICU Resident signs out to the team resident.  \n- Transfer summaries should be written when there is more than  \n48 hours of ICU level care  \n- Death Note should be written in EPIC by pronouncing physician along with prompt EDRS completion  \n- The Fellow or Attending should be notified with changes in goals of care, new hemodynamic compromise, procedure complications, or death followed by a family update  \n- There should be timeouts before every procedure. The placement of CVCs should be confirmed via manometry or transducing before dilating, it is an institutional policy.  \n- Procedural consent is mandatory unless it is an emergency.  \n- All procedures require a note.  \n- MICU interdisciplinary conference is mandatory unless attending to patient care.  \nNight MICU Expectations:  \n- Confirm a Consult was placed in EPIC from the service asking for consultation  \n- Residents should present the consult to the fellow after completion (irrespective of the diagnosis)  \n- Any significant events such as: change in goals of care, hemodynamic compromise, procedure complication, or death should be notified to the fellow immediately with a family update  \n- Bounce backs apply at night as well  \n- MICU on call get the majority of admissions, however can give to the non-call team to make sure the difference in team size isnot more than two patients  \n- Changes to ventilator should be notified to the Fellow and RT  \n- NEVER CHANGE THE VENTILATOR WITHOUT INFORMING THE RESPIRATORY THERAPIST AND ICU FELLOW!  \nSepsis:  \nKey Terms:  \na. Systemic Inflammatory Response Syndrome (SIRS), need 2/4 positive  \na. Leukocytosis (>12,000 ), BANDEMIA, Leukopenia or (\u003C4,000)  \nb. Fever >100.4F OR Hypothermia \u003C 96.8F  \nc. Tachypnea >20 breaths per minute  \nd. Tachycardia >90bpm  \nb. Sepsis: SIRS + Suspected Infection  \nc. Severe Sepsis: Sepsis + Evidence of Organ Dysfunction  \nd. Septic Shock: Severe sepsis + hypotension DESPITE adequate resuscitation (20-30cc/kg, 2L of IVF over 30min) or Pressor requirement is needed  \nSofa Criteria:  \nReference: Singer, M., Deutschman, C. S., Seymour, C. W., Shankar-Hari, M., Annane, D., Bauer, M., & Hotchkiss, R. S.  \n(2016) . The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA, 315 (8), 801-810.  \nReferen","cbCaiaiLjdPkgrQ8","https://ap.wps.com/l/cbCaiaiLjdPkgrQ8","pdf",490481,36,"English","# Day MICU Expectations\n## Night MICU Expectations\n# Sepsis\n## Key Terms\n## Treatment","[{\"question\":\"What are the core Day MICU expectations when requesting consultations?\",\"answer\":\"Confirm the EPIC consult order is placed, ensure consults are seen within 30 minutes, present consults to the Fellow or Attending, and follow documentation and transfer-consult requirements including H\\u0026P notes and consult notes when MICU admission is not needed.\"},{\"question\":\"What should be done regarding procedures and procedural safety in the MICU?\",\"answer\":\"There should be timeouts before every procedure, procedural consent is mandatory unless it is an emergency, and all procedures require a note.\"},{\"question\":\"How does the guide define and treat sepsis?\",\"answer\":\"Sepsis is defined as SIRS plus suspected infection, severe sepsis includes evidence of organ dysfunction, and septic shock is severe sepsis with persistent hypotension despite adequate resuscitation or pressor requirement. Treatment emphasizes immediate fluid resuscitation, early broad-spectrum antibiotics, lactate monitoring, and starting norepinephrine early after adequate fluids with further vasopressor options as needed.\"}]","ICU SURVIVAL GUIDE - Day MICU Expectations - Clinical Guide | PDF",1790191028,91]