PGY 39, Day 124
StepWisely(R)
Improve Quality First = IQ First(TM)
The First Ten Steps To Rational Cost Containment = provide the Best Possible Care that will fresult in the best possible outcome.
for PROVIDERS in the Intensive Care Units
These tips are based upon my years of experience taking care of critically ill patients. They are especially designed for inexperienced doctors, medical students, nurses, patients and their families, and to help promote Integrated Quality Team Based Care ... STAY ON TARGET to optimize patient outcome and minimize adverse impact on families and loved ones.
1. Engage the Family: The Family is an ESSENTIAL Part of the Care Team
2. DEFINE ADVANCED DIRECTIVES based upon the PATIENT'S Wishes and in conjunction with the Family ASAP (When there is no family, whomever is responsible for the patient needs to be involved, if possible)
3. Use STOMPP*(TM) and the STOMPPIT*(TM) ATM Team Development Tools to help engage ALL Team Members in the definition & clarification of goals and objectives.
4. Restore ALL end organ perfusion RAPIDLY
5. Restore perfusion to organs at risk ASAP by all means necessary
6. Optimize ALL end Organ and Organ System preservation strategies using STOPs*(TM) (Specific Targest for Organ Preservation)
7. Enable Damage Control, if necessary
8. Enable Specific & Definitive therapy ASAP
9. Check END POINTS & STOPs for ALL therapies FREQUENTLY**, especially with regard to restoration of PERFUSION and achievement of DEFINITIVE THERAPY
10. Change the CARE PLAN/TREATMENT PLAN FREQUENTLY on the basis of weather or not your current plan is working & KEEP ALL TEAM MEMBERS in the loop.
*STOMPP, STOMPPIT & STOPS are familiar to the medical students, interns and residents I teach regularly. Contact me, if you want further information about these Patient Care Tools.
**FREQUENTLY in the ICU means at least hourly and sometimes continuously
Do the right thing and ENJOY!
Dr. Mike
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