[HSF] ICU Management Systems

[ichfno at aol.com]

Our Intensivists. Although I have significant input and complete veto power, if things are fine, I leave things alone, if something is amiss I make my suggestions and if things do not improve in a timely fashion (this timely fashion varies on the situation) the suggestions are no longer suggestions, but orders.

WNovick


-----Original Message-----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 8 Apr 2008 6:46 pm
Subject: [HSF] ICU Management Systems


We are in the process of exploring options to assist in the pre/post-operative care of our patients. Our current system has us taking full care and responsibility for all aspects of this process (pre-op eval/tune-ups, post-op management, line changes, vent weaning, call/working with consults, etc). There are obvious pluses and minuses to this process. What are the other systems which people have to work with and what parts of them do they like and dislike. My concern is that there are always plenty of people who want to be Chiefs, but few who want to be Indians (American expression for many who want to direct and run the show - esp between 9am and 5pm, but few to actually do they real work - i.e. bedside care, put in orders, call and discuss with consults, lines, tubes, weaning, even talking with families and helping admit patients- and do it 24 hr a day and with the same vigor which we - as cardiac surgeons do - particularly in a world were our every move and outcome gets examined under a microscope).?
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In short, who does the "real" work in your ICU??
?
Thoughts??
Comments??
Since we obviously have answer all of the other pressing surgical questions and no one has anything else to talk about.?
?
-michael?
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