Keck MICU

The MICU service at Keck consists of a team with an attending physician, a fellow, 1 senior resident (PGY2/3), and potentially off-service interns. Admissions are accepted by the MICU fellow and attending.. Most patients are admitted through the ETC or as upgrades from the floor. Patients do not need to be seen until they arrive in the MICU. The MICU team also responds to rapids and codes in the hospital.

Keck MICU Orientation (pending)
Keck MICU Orientation (pending)
USC/LAG PCCM Division Website
USC/LAG PCCM Division Website
Goals & Objectives
Goals & Objectives
General Resources
General Resources

    • Contact the resident currently on prior to your first day to learn about where sign-out take place

    • MICU Day Teams should arrive and obtain sign-out from night-float at 7am

    • 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

    • 6:00PM: Night-float Sign-out

    • If a team would like to upgrade or transfer a patient to the MICU from a medicine primary service, they should contact the MICU Fellow via Qgenda

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

    • Learning will be integrated into the rotation

    • Be sure to include ventilator settings, attempts at breathing trials, recent blood gas measurements, and ins and outs.

    • 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