Scripps La Jolla SICU- PGY4

Rotation Onboarding: Fill out and submit the packet below with all the documents listed on the checklist. 

Rotation POC:

Scripps La Jolla SICU (Memorial)

Rotation Director

Dr. Ning Lu

Lu.Ning@scrippshealth.org

Residency Admin

Deidre Denny

Denny.Deidre@scrippshealth.org

858.626.6362

Schedule: Call schedule determined by Surgery Senior on that block.

Rotation Information:  (From Dr. Alley-Byrd, fall 2024)

Work schedule: worked two 28 hour call shifts and two day call shifts per week. On non call days the culture was to leave after work was completed which would usually mean 2-4p. Very rarely I would stay until 5-7p those days. 

Census: on average I would round on 3 patients each day and there would be at least be 8-10 patients in the SICU. Typically there is two learners (not including post call resident) and one APP per day working the ICU. The on-call resident is largely responsible for all new patients and trauma activations that come that day though the load would be spread if the on-call person was busy. 

Traumas/consults: approximately 10 per call shift with a range of acuity. Usually at least one ICU admit per day. 

Procedures: personally this rotation I performed 3 chest tubes, 2 intubations, 2 central access, 2 bronchoscopies, frequent laceration repairs, a handful of procedural sedations/ortho reductions and numerous trauma resuscitations. Unfortunately, I was gone on the day of the one ED thoracotomy. Further, I was welcome in the OR though I did not express interest and allowed for my surgical colleagues to assume that role while I focused on resus and SICU management. Further, the ED staff would at times offer procedures to residents but this would be sporadic. Regardless, that is how I got one of my chest tubes (post CPR PTX).