Goals and Objectives of ICU

Knowledge:
Students will:

1. Learn appropriate indications for admission to and transfer from the intensive
care unit for a variety of medical and surgical conditions

2. Learn indications and contraindications for invasive monitoring in the intensive

care setting

3. Learn basic principles for fluid resuscitation for hemodynamic instability

4. Learn the differential diagnosis and basic principles of management of shock

5. Be able to interpret central venous pressure and SvO2 and apply this
information to the management of hemodynamically compromised patients.

6. Learn indications for and potential complications of intubation.

7. Learn basic principles underlying ventilator management and interpretation of

arterial blood gases.

8. Learn the principles of nutrition related to the care of critically ill patients and
ventilator dependent patients

9. Recognize common cardiac arrhythmias including but not limited to atrial

fibrillation and flutter, supraventricular tachycardia, second and third degree
heart block, ventricular ectopy and ventricular fibrillation

10. Learn the medical criteria for death and the indications and contraindications for
organ donation

Skills:
Students will be able to:

1. Obtain necessary historical information for diagnosis and care in a setting

where most patients are poorly communicative

2. Perform a focused physical examination directed at eliciting multisystem

problems

3. Write a comprehensive admit note based on a systems management approach

 4. Interpret CXR films for pulmonary consolidation, pneumothorax, atelectasis,
ET tube placement and central line placement

5. Demonstrate the ability to recognize shock and its different etiologies, and
provide appropriate initial treatment
6. Demonstrate the ability to recognize respiratory failure and to provide
appropriate initial treatment

7. Demonstrate the ability to perform CPR and ACLS skills

Values and Behaviors:

Students will:

1. Learn the indications for withholding and/or withdrawing medical support

based on a thorough assessment of the patient’s illness, including the
medical condition, psychosocial, ethical and spiritual considerations of the
patient

2. Be expected to develop empathy with critically ill patients and their families

3. Be expected to treat all patients with unconditional positive regard

4. Be expected to participate daily in a responsible manner and to consistently

demonstrate satisfactory professional behavior

Assessment of Learning Objectives

1. At the completion of the rotation, students will be evaluated with a case based
written examination, focusing on diagnosis and management of common ICU
problems, including respiratory failure, shock, cardiac arrhythmias and
myocardial ischemia.

2. Skills will be evaluated by licensed physicians who supervise the students, and by
satisfactory participation in a three hour simulation exercise during the rotation.
To pass the rotation, students must be judged satisfactory in their duties and
responsibilities, and must have demonstrated competency in the stated objectives
for skills and values. The student’s medical school log book may also be
reviewed to document satisfactory completion of the skills listed above.

3. Students skills in CPR / ACLS will be assessed through participation and passing
of an ACLS and CPR course.
Predetermined Patient Experiences for ICU Rotations
Each student completing the Intensive Care Rotation must care for:

1. A patient experience respiratory distress or failure (direct involvement)

2. A patient with hypotension (direct involvement)
3. A patient on a cardiac monitor (direct involvement)
4. A patient with invasive monitors placed (direct involvement)
5. A patient with an ethical issue related to their care. This can include end of life /
withdrawal of support issues, or any other ethical issue. This may be met by
student involvement in discussions regarding patients on the team that are not
directly assigned to the student.

Each student completing the Intensive Care Rotation will complete:

1. An admission history from a poorly communicative patient.

2. A focused physical examination in a patient with multisystem problems.
3. Write a comprehensive admit note based on a systems approach.

Recommended Text:
The Washington Manual of Critical Care

Americans with Disability Act

If you are an individual with a certifiable disability and need to make a request for
reasonable accommodation to fully participate in this class, please visit the Dean’s Office
of your school. You will find the Disability policy online in the LLU Student Handbook

Academic Integrity Policy

Acts of dishonesty including theft, plagiarism, giving or obtaining information in
examinations or other academic exercises, or knowingly giving false information are
unacceptable. Substantiated violations are to be brought before the dean for disciplinary
action. Such action may include, but is not limited to, academic probation or dismissal
from the program. You will find the Standards of Academic Conduct Policy online in the
LLU Student Handbook

Protected Health Information Policy

The purpose of the Protected Health Information (PHI) policy is to provide guidance and
establish clear expectations for students regarding the appropriate access to and use of
PHI during course studies and related program activities. Under the Health Insurance
Portability and Accountability Act (HIPPA), patient health information is protected.