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1. Surgical-Trauma Intensive Care Unit
The Surgical - Trauma Intensive Care Unit rotation is a four week surgery / critical
care rotation for pharmacy residents. This rotation provides provision of
pharmaceutical care for those patients in the SICU. The SICU is a 10 bed unit for
critically ill general surgery, trauma, orthopedic, and transplant patients. The
complete spectrum of pharmaceutical care services experienced during the rotation
include:
• Patient profile review with problem medication order identification and
resolution
• Assistance with medication order entry, order review and order clarification
• Rounding with SICU and primary surgery teams
• Providing pharmacokinetic and nutritional support consults
• Interaction with nurses, physicians, and nutritional support specialists
• Coordination of distribution problems not resolved by in-patient pharmacy
• Core content which will be covered via patient experiences, discussions of
reading materials, and/or case presentations includes a review of:
• Post-operative infectious complications
• Venous thrombosis prophylaxis
• Gastrointestinal stress ulcer prophylaxis
• ICU analgesia, sedation, and neuromuscular blockade
• Monitoring cardiovascular parameters when using inotropes
• Sepsis and inflammatory response syndrome (SIRS)
• Nutritional support for critically ill surgery patients
• Pharmacokinetics in critically ill patients
• Multiple organ failure and oxygen delivery in critically ill patients
• Fluid balance and fluid replacement in critically ill patients