Schedule:

• "Only"3 weeks long
• Approximately 5 28 hour shifts, then you work basically every other day, with one golden weekend
• You can plan something with this golden weekend, but otherwise do not plan anything else

First Day:  PICU is the 3rd floor of the children's hospital.  Resident corner is just behind the front desk, meet up about 7a for signout. 

PICU uses this really dumb, antiquated paper signout sheet so the overnight resident will give you some patients and give you their paper form.  Make a copy of them so that you can write on them during the day.  At the end of the day, take the original paper copy and put all the changes in you made during the day and use that sheet to sign out.  Signout on your day shifts is at 5pm.  If you were the overnight resident, sign some patients out to the other residents in the morning so they have some one to round on.  You'll round on your patients first that morning so you can get out early.  The latest you are allowed to stay according to ACGME is 11a.  If you are there later than that (for something that isn't cool like a code/procedures), make sure EOL knows about it.  

Procedures are worth fighting for in PICU.  There is a backup attending during the day that sneaks around and does procedures while you are rounding for hours and hours.  Do what you can to speak up for yourself and ask to do these.  After rounds this behavior continues so try to make sure you're walking around a lot and sniffing for procedures.  A lot of the peds residents have no interest so if one of their patients is having something done, ask if you can get in on it. 

Rounding: The nurses and RTs do a ton of the rounding work for you, so make sure you are up to date with them with the latest changes.  A lot of PICU is tracking how much HFNC and O2 flow your patient is on.  After rounds, put in your orders/notes and then stalk the PED board for sick looking patients.  If you can be the first one down to a sick PED patient you usually end up getting any procedures that are available.  If you are the 28 hour resident, you'll round again with the night attending usually around 9pm.  This is a really dumb few hours where you basically recap what happened earlier that day and then the night shift attending makes some changes which are all almost immediately undone by the day shift attending in the morning.  

Attendings:

Ronnie Kamp - awesome, super smart, applies what he teaches to emergency medicine.  Gives you procedures.

Emily Phillips - new attending, a little hypervigilant but overall ok.

Ira Horowitz - ...

Enrique Cisfuentes - night shift attending, very jolly fat man.  Doesn't use the computer so his night rounds take forever while he has you read him the medicines.  

Emily Dawson - good about giving you procedures if she's primary but pretty sneaky if she's not.

Kara Von Zychlin - ..