MICU

The MICU service at LAG-USC Medical Center consists of 2 teams, each with an attending physician, a fellow, 2-5 senior residents (PGY2/3), at least two interns (PGY-1), and often a medical student. Admissions are accepted by a supervising MICU fellow. Most patients are admitted through the Emergency Department or as upgrades from the floor. Patients do not need to be seen until they arrive in the MICU.

LAG MICU Orientation
LAG MICU Orientation
USC/LAG PCCM Division Website
USC/LAG PCCM Division Website
Goals & Objectives
Goals & Objectives
General Resources
General Resources

    • MICU A Team: Meet at the computers outside 4A

    • MICU B Team: Meet in the work room outside 4B

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

    • MICU 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

    • MICU is not a consult service, thus if other services have questions about management they should be directed to speak to their primary attending

    • If a team would like to upgrade or transfer a patient to the MICU from a medicine primary service, they should contact the MICU 1 Senior Fellow at ext. x93992

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

    • MICU didactics will occur on weekdays afternoons, with flexible timing to accommodate other ICU happenings. Specific timing for that day’s teaching will be determined by each team’s fellow and attending.

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

    • One resident will be designated as an “admitting resident” during rounds, and this resident should break off of rounds for new admissions.

    • 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