Burn Trauma Intensive Care Unit II
(PGY1 Rotation - Acute Care)
Maureen Ghanem, PharmD
Ann Marie Prazak, PharmD
Burn Trauma ICU is a tertiary referral center that receives burn patients from the Mountain West area (including Utah, Wyoming, Idaho, Colorado, Nevada, and Arizona). The BTICU is a unique experience in that these patients range in age from newborns to geriatrics with medical acuity ranging from intensive care to rehabilitation. The unit consists of 12 ICU beds, self-contained OR suite, and an outpatient clinic.
The majority of patients cared for in the BTICU have suffered some sort of thermal injury whether from flame, scald, electrical, or chemical source. In addition the BTICU cares for other types of wound related problems including Stevens-Johnson syndrome, toxic epidermal necrolysis, frostbite, necrotizing fascitis, gangrene and other skin disorders which require surgical management.
BTICU is truly a multidisciplanary team consisting of an attending physician, one resident, two interns, occasionally a medical student, nursing, pharmacy, dietary, physical therapy, respiratory therapy, social work, and child life who rounds daily on each patient.
The pharmacy resident is responsible for providing comprehensive pharmaceutical care to all patients in the BTICU. The primary focus of this rotation is patient care and for the resident to become the primary pharmacy contact for the burn team. The resident is expected to attend daily medical rounds with the burn team.
Specific emphasis will be placed on infectious disease issues, altered pharmacokinetics of medication, and metabolic abnormalities that occur in burn patients. Other critical care issues that will be encountered will also be addressed depending on the resident’s experiences prior to this rotation
R1.3 – Exercise practice leadership
R2.1 – Establish collaborative professional relationships with other members of the interdisciplinary critical care team
R2.8 – When appropriate, implement selected aspects of critical care patients’ regimens and/or monitoring plans
R2.11 – Document direct patient care activities appropriately
E1.3 – Evaluate critically ill patients’ medication orders and/or profiles
|Rotation Activity||RLS Goal||Teaching Methods|
|Collect relevant clinical information||R2.11, E1.3||Modeling
|Formulate and design patient specific therapeutic regimens||R1.3, R2.8, R2.11, E1.3||Coaching
|Participate in rounds||R1.3, R2.1, R2.8, R2.11, E1.3||Modeling
|Patient presentations to preceptor||R1.3, R2.8, R2.1, E1.3||Coaching
|Nursing in-service||R2.1, R2.8||Facilitation|
Readings and Preparatory Work:
Will be provided during rotation
Journal Club - 1 journal club presentation will be completed during the rotation
- The article must be related to burn/trauma
- Must be approved by preceptor by Monday of the 2nd week of rotation
- Likely to have impact on patient care
No formal presentation or handout material required
- Topic selected by recommendations from nursing staff in BTICU
- Will be given on ? week of rotation
- Will have direct impact on patient care
- Must include hand out or power point presentation
Typical Daily/Weekly/Monthly Activities:
The resident is expected to be punctual and to prioritize daily activities. A typical day will be 8 hours (0700 to 1530), but additional time is expected to complete daily responsibilities and ensure best outcomes for the patient.
- 0730 - 1100 Daily – Pre rounding (+ 0730 Surgical grand rounds Wednesdays ; 0730 teaching rounds/nursing in-service Fridays)
- 1000 - 1100 Daily - Brief patient discussions with preceptor
- 1000 - +1500 Daily – Rounding with multidisciplinary team
- 1300 - 1600 Daily – Patient discussions, Patient work-up and follow-up, core topic discussions, presentations
- 1400 - 1500 Daily - (+ Pharmacy grand rounds on Tuesdays)
- 1600 + Daily - The resident is expected to complete all pertinent patient care activities prior to leaving for the day. Outside reading and projects will also be expected.
**optional to see an OR case