Residency: Intensive Care Rotations

NICU

With over 60 beds, CHKD's Level 4 Neonatal Intensive Care Unit (NICU) is capable of caring for infants as young as 23 weeks gestation.  This resident-focused educational experience, consisting of 2-3 PL1's and 1-2 PL2's, offers:

  • the opportunity to do procedures starting as an intern
    • umbilical catheterization
    • lumbar punctures
    • intubations
    • chest tubes
  • team rounding to provide the best comprehensive care for patients
    • nutritionist
    • pharmacist
    • social worker
  • one-on-one mentorship with attendings
  • close relationships with patients/families

The NICU team ; each member spends a 6 night block for overnight patient care.

PICU

The recently remodeled Pediatric Intensive Care Unit (PICU) at CHKD is the largest in the region with 25 critical care beds.  This rotation gives 4-5 PL2/PL3 residents the chance to:

  • do procedures
    • place central lines
    • place chest tubes
    • intubate with the 24/7 in-house intensivists
  • care for complex surgical patients
    • cardiothoracic surgery
    • ECMO
    • neurosurgery
    • renal transplant patients
  • see general and subspecialty surgical patients
  • treat complex subspecialty patients
  • work one-on-one with attendings, nurses, and RT's
  • round as a team, even collaborating with a specialized PICU pharmacist

The PICU educates residents from EVMS Pediatrics at CHKD, Portsmouth Navy Pediatrics and EVMS Emergency Medicine as well as fellows from the CHKD Pediatric Emergency Medicine Program.