ICU Progress Notes
- Use the ICU Progress Note Template
- SmartPhrase .ICUProgress needs to be shared with you
- Systems Based Assessment and Plan
- Document an ACCURATE Exam!
We ALL Copy forward notes, but you MUST make sure information is updated!
Patient Family Communication
• One of the MOST Important things we do in the ICU
• PLEASE document as Patient/Family Communication:
• Family Contact Information
• Goals of Care Discussions
• Changes in CODE Status
Please use short notes
If a patients condition changes or deteriorates you should probably talk about it so your colleagues know what happened!