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FEATURED PROGRAM The Ohio State University Wexner Medical Center Neurosciences Critical Care Program By Diana Greene-Chandos, MD At the end of each of my business emails Every room has floor-to-ceiling windows either facing the there is a quote by Emerson that reads “Do downtown view of the Columbus city skyline or facing the not go where the path may lead, go instead famous “shoe” stadium of the champion OSU Buckeye football where there is no path and leave a trail.” program. Unfortunately, on the 10th floor, we are not high That quote is there because of my experience enough to see fully into the shoe to watch the games. The rooms in creating the vision, service line, ICU, and are set up as suites. The smaller family space in each room – with the leadership and expertise of my has two large chairs that each pull into small beds, a closet for wonderful partners – a multifaceted academic personal belongings, a flat screen TV separate from the patient’s program at The Ohio State University. TV, as well as a privacy curtain. Prior to 2010, neurocritical care at OSU did not exist as a In addition, each room has a full bathroom with a large enough distinct service line. For greater than 40 years, patients who had shower to accommodate a chair for a seated shower. The patient neurosurgical diseases went to the SICU and those with medical part of the room is three times the size of the family space. It neurological diseases went to the MICU. It was the joint vision houses two separate booms, a ceiling-mounted lift system and of Neurosurgery Chair Nino Chiocca and Neurology Chair oversized beds with self propelling abilities. Michael Racke that created resources for an NCCU director and team as well as a commitment for a gorgeous new dedicated 24- The ICU also includes a spacious nurse practitioner suite with bed ICU. enough lighting to get a suntan on hot days; a fellow office space facing “the Shoe”; two education rooms and a large conference With my belief in the two chairs, multiple meetings with the room with video teleconferencing; two call rooms with large SICU director, many promises in writing, and a passion for this bathrooms, flat screens, and computers; a translational research university that goes back a few generations in my family, I packed room with subzero freezer; respiratory therapy room with point of up my life and moved to Columbus after seven successful years of care ABG machine; pharmacy room; large nurse’s lunch room and private practice. To say that the past 5.5 years have been a labor locker room and – the piece de resistance – a dedicated CT scanner of love is an understatement. Academic program development staffed with a radiology tech 24/7. There is also a large family is an entirely different animal than private practice program waiting area with a greeter staffed by hospital volunteers and two development. dedicated family meeting rooms. The facets one needs to consider, beyond just the two departments, Our program currently has 10 acute care NPs, two NCCU fellows are more complex than simply the economics that are usually per year, and six neurocritical care attendings (with backgrounds behind the majority of decisions in private practice. With these from Neurology and General Surgery) with the plan to hire an challenges, coupled with overcoming some beliefs held by a few additional one or two attendings in the next year. Our nurses key players in nursing that subspecialty ICUs diminish nursing (some of whom traveled with me for a mini-internship with the critical care skills, the hurdles were significant. Being a woman in nurses at the Johns Hopkins Neuro ICU) are growing each year. a predominately male run hospital leadership system created yet Nurses undergo extensive academic training from our dedicated another interesting layer. CNS team (led by Dorina Harper, CNS), charge nurse group (with Donna Fishback, Nancy Fitzgerald, and Gena Thompson as our Ultimately, with lots of education to many people, an unfailing steadfast devotees from inception) as well as from our ACNPs commitment to the vision, personal stubbornness and grit, as well (particularly Susan Yeager and Tom Lawson). as the recruitment of some major champions like Susan Yeager ACNP and Michel Torbey MD, MPH, I am able to share with you We have a dedicated neuro-respiratory therapy team and a the details of our incredible program and ICU that has flourished dedicated specialty pharmacist (Sarah Adriance, PharmD). In at The Ohio State University. addition, our two neurosurgery interns spend six months each in the NCCU. Neurology residents spend a total of eight weeks with Currently our unit is a state-of-the-art 24-bed NCCU with 18 us during their residency. Emergency medicine residents will start beds serving as general neurocritical care and six dedicated neuro- rotating with us in July as a requirement for two weeks each. The oncology critical care beds. It is housed on the 10th floor of the SICU and MICU fellows come for two weeks each. Fourth year James Cancer Center and Solove Critical Care Tower on The Ohio medical students can come for a four-week sub-internship and State Wexner Medical Center Campus which was completed in third year medical students can choose NCCU as a neuroscience 2013. Each room was ergonomically developed with the idea of core rotation. marrying the comfort of the critically ill patient and their family members with optimal maneuverability of the caregivers and We have state-of-the art equipment. We have two dedicated full space for ICU equipment. airway carts with McGrath laryngoscopes (but as a fellow here, you will first learn to intubate the REAL way). We have a new bronchoscopy cart on its way. We have multiple continuous EEG continued on page 24 23


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