Is there a link to a good ICU note sample or a ICU note template/outline? Thanks!

Don't know of any particular websites, but I remember this old thread about ICU notes (and the rotation in general)

ICU thread (http://forums.studentdoctor.net/showthread.php?t=199197&highlight=icu+notes)

you probably already have been told this, but just in case ... i was always taught to arrange the A/P by system- cards, pulm, endo, g/u, etc ... including every single system even if there was no problem (and writing "No Issue" next to it), that way you can be sure you haven't missed anything. for us, the rest of the note (s and o) were always the same as any progress note.

Here's a decent ICU website:
http://meded.ucsd.edu/isp/2001/sicu/splash.html

A lot of ICU patients are better served with a problem-based rather than a systems-based note. That EtOH withdrawal or GIB really doesn't need a daily discussion of 15 different organ systems.

A lot of ICU patients are better served with a problem-based rather than a systems-based note. That EtOH withdrawal or GIB really doesn't need a daily discussion of 15 different organ systems.

I was told by one of my attendings to write notes in a problem-based, rather than systems-based, fashion, because this is how the insurance company is billed (by problem), and you need documentation that each of the problems you bill for exist.
System-based is good because it is a way to check yourself to make sure you are looking at the whole picture, but problem-based is the way the hospital gets paid...money makes the hospital world go round :rolleyes:

I was told by one of my attendings to write notes in a problem-based, rather than systems-based, fashion, because this is how the insurance company is billed (by problem), and you need documentation that each of the problems you bill for exist.
System-based is good because it is a way to check yourself to make sure you are looking at the whole picture, but problem-based is the way the hospital gets paid...money makes the hospital world go round :rolleyes:
Even better is a system/problem-based approach. Example:

1. Cardiovascular: MI
2. Cardiovascular: HTN
3. Cardiovascular: Preventive

dont forget that the note is ultimately for YOU.

I write systems based note then follow it up with a plan which always includes DISPO and DVT prophylaxis/ttx. Emphasis on DISPO.

Emphasis on DISPO.

Exactly.

Every day on ICU rounds, the attending's main question is "can this patient be transferred out?" :)