SICU · Pilot for team review

TICU Rounds Presentation Template

Nursing presentation and resident assessment and plan

Version 2026-10-28

Use this sequence for each patient. Nursing presents the admission context and current bedside status; the resident interprets the findings and proposes the plan. The attending confirms decisions with the team.

Before rounds

Team

Notify the bedside nurse of the rounding order. Assign a presenter and a person to enter orders and record tasks. Arrange coverage for urgent pages when staffing allows.

Nurse introduces the patient

Nurse

“This is , admitted after , on hospital day and postoperative day . The active injuries are . Major procedures include . The patient remains in the ICU for .”

Use the shared injury list and chart for accuracy. The resident confirms or adds any missing injury, procedure, or ICU indication. Keep the introduction brief once the team knows the patient.

Nurse reports overnight events and current systems

Nurse

“Overnight, . My main bedside concern today is .”

Relevant nursing report by system

Neuro and comfort: Exam or GCS change; pain control; RASS and sedation; delirium assessment; restraints; sleep; neuro or spine precautions.
Cardiovascular: Rhythm; BP or MAP trends; current vasoactive infusions; bedside response and perfusion concerns.
Respiratory: Current oxygen or ventilator support; secretions; SAT or SBT result or barrier; cough, IS, and pulmonary care.
GI and GU: Diet or feed tolerance; swallowing concerns; bowel function; urine output, net balance, and Foley status.
Mobility and safety: Activity and restrictions; skin and wounds; device and drain outputs; new concerns or barriers to care.
Patient and family: Questions, preferences, communication needs, and nursing requests for today.

Report important changes, current support, outputs, and bedside concerns. Give exact settings or infusion rates when they affect a decision. The resident remains responsible for verifying the chart and examination.

Resident gives the systems based assessment and plan

Resident

For each active problem: current status and key evidence, interpretation, action today, and target or reassessment time.

Add relevant examination, laboratory and imaging trends, and consultant recommendations. Use the companion page as a prompt.

Team confirms the plan

Team

Invite RT, pharmacy, therapy, nutrition, and case management input.
The attending confirms daily goals and transfer criteria.
Read back new orders and tasks, name an owner and due time, and assign the patient or family update.

TICU Resident Plan and Daily Goals

Resident

Patient and room

Date

ICU day

Current ICU indication

The resident should synthesize the nurse report and independent chart review. Discuss active problems and relevant trends; use explicit decisions for routine safety items.

Resident assessment and plan prompts

Neuro: Injuries and examination; pain and sedation targets; delirium; withdrawal risk when relevant; neuro checks, seizure management, and spine clearance or precautions.
Cardiovascular: Perfusion, shock or volume status; hemodynamic targets; pressors, fluids, and cardiac medications.
Pulmonary: Respiratory failure and support; SAT/SBT and extubation readiness; pulmonary care; chest injury and chest tube plan.
GI and nutrition: Abdominal injury or postoperative status; diet or enteral feeding goals; swallowing; bowel regimen.
GU and FEN: Renal function and electrolyte trends; fluid balance target; diuresis; Foley indication and removal.
Heme and VTE: Bleeding and hemoglobin trend; transfusion need; VTE prophylaxis agent/dose or reason held and restart criteria.
ID: Infection assessment; cultures; antibiotic indication, narrowing, and stop date.
Endocrine: Glucose control and other active endocrine problems.
MSK and skin: Injury and consultant plans; next operation or procedure; weight bearing; PT/OT; wounds and pressure injury prevention.
Devices and disposition: Need for each line, tube, and drain; pending studies; consultant follow-up; ICU barrier and transfer criteria.

Final checks

Confirm injury/procedure updates and tertiary survey status.
Review pain, awakening/breathing trials when appropriate, delirium, mobility, and family needs.
Confirm VTE prophylaxis, indicated stress-ulcer prophylaxis, nutrition, antibiotics, device removal, and code status or goals-of-care changes when relevant.

Daily goals and readback

Goal or task	Owner	Complete by
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ICU barrier or transfer criteria

Family update owner

Circle back on

Pilot for team review | Version 2026-10-28 · Original PDF

Goal or task

Owner

Complete by