CCU

The CCU service at LAG-USC Medical Center consists of a team of an attending physician, a fellow, 2-3 senior residents (usually PGY2), at least two interns (PGY-1), and usually a medical student. Admissions are accepted by the attending and fellow and .can come from the ED, cath lab, or as transfers.

    • Meet at the workroom outside the entrance to 4D

    • CCU Day Teams should arrive and obtain sign-out from night-float at 6:30am

    • CCU Night Float should arrive and obtain sign-out from day team at 5:30pm

    • 7AM – 7:30AM: Sign-out and Pre-rounding

    • 7:30AM – 8:30AM: Work Rounds with Fellow

    • 8:30AM – 12PM: Multidisciplinary Bedside Rounds

    • 12PM – 5:30PM: Lunch/Patient Care and Management/Afternoon Didactics/Attending Afternoon rounds

    • 5:30PM – 6:00PM: Night-float Sign-out

    • CCU is rarely a consult service for other ICU level patients, but generally is only a primary service.

    • If a team would like to upgrade or transfer a patient to the CCU from a medicine primary service or consult from an ICU service, they should contact the CCU Fellow at ext. x93981

    • Any transfer to CCU from a non-medicine primary service (for ex, surgical primary or another ICU) requires an attending-to-attending level discussion

    • CCU does not have any required lectures, but teaching will be integrated into the day

    • Be sure to report hemodynamic numbers and cardiac specific physical exam findings (JVD, peripheral edema, auscultation, POCUS)

    • Note routing workflow: All notes should be sent to the attending for signature (NOT review.) This includes any specific procedure, event, GOC, or family meeting notes.

    • Assessment and Plan should be documented in a system-based format with specific problems listed under each system

    • All notes should be completed and sent to attending for co-sign prior to the end of the shift

    • Please remember, these notes are not living documents. You do not need to wait until the end of the day to submit, as long as you have accurately documented the expected plan of the day. Please submit to attending for co-signature as soon as they are complete.

Educational Goals & Overview