Nephro critical care

5+ Year Member
Feb 4, 2014
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Fellow [Any Field]
What is the average census u'all are seeing as attendings in clinical practice. As a fellow working with an attending and 3 residents we had a census of 15-22. Some of these were rocks though or patients awaiting transfer to medicine (our university program had a huge problem with hospitalists not accepting ICU pts for days on days and we ended up we discharging a lot of pts ourselves to home/NH). I felt that our fellowship was rather inefficient , slow to extubate and things just didn't move fast. Care was rather crappy. Fellows focused a lot on procedures rather than day to day management.
Now as an attending in a university owned community hospital our average census is 10 with 3-7 new admits in the day as well as moveouts. We move fast and have very low length of vent/ICU stays compared with fellowship. But since all 10 pts are critically ill with fast moving / multiple issues I feel I am running all the time as there are no rocks to chill with. And since specialists usually don't work as fast as we do we rely less on them for pt management unless we need a procedure.
But when I look at other places they feel we don't work that hard. Hospitalists average census is 12-15 with 2/3 admits and their acquity is less than ours.
 

PharmD500

2+ Year Member
Jan 1, 2017
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Pharmacist
The census for the intensivist at my last job was about 10-14. This was at a trauma II community hospital. They were also required to go to all the codes in other areas of the hospital. In the ED, they would back up the ED physician during the code. In other areas, they were the one running the code. They were busy the whole day.
 
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Nephro critical care

5+ Year Member
Feb 4, 2014
228
129
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Fellow [Any Field]
We don't go to ED codes. I would rather we go to the ED codes and assist with central/art lines/intubation but somehow that's the hospital policy. I would also rather go to the trauma activations but again our hospital doesn't want too many cooks stirring the pot.
 
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SurfingDoctor

"Hooray, I'm useful"
10+ Year Member
Oct 20, 2005
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Attending Physician
Weekdays and weekends are different as staffing changes. Weekdays about 10 to 14 is right, on weekends 20 to 24. More admissions on weekdays, typically 3 to 6, due to scheduled surgical cases, more like 1 to 3 on weekends. Calls are in-house and also range from about 4 to 7 admissions on any given night. This is in reference to an university-based PICU, FYI.
 
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Nephro critical care

5+ Year Member
Feb 4, 2014
228
129
Status
Fellow [Any Field]
Weekdays and weekends are different as staffing changes. Weekdays about 10 to 14 is right, on weekends 20 to 24. More admissions on weekdays, typically 3 to 6, due to scheduled surgical cases, more like 1 to 3 on weekends. Calls are in-house and also range from about 4 to 7 admissions on any given night. This is in reference to an university-based PICU, FYI.
Gosh that's busy on the weekends. That would be with residents ? I would have a hard time seeing 24 pts in ICU.
 
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