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MyICU Guide
June 2024

MyICU Guide is a free tool made available to ALL families of ICU patients. Relying on hundreds of studies and other relevant materials to create easy to digest chunks of information to help families of ICU patients navigate the ICU. Below is an example of information contained in the guide.
Table of Contents
Introduction & Purpose of This Guide
What to Expect in the ICU
Meet the Care Team
Medical Conditions That Lead to ICU Admission
Patient Rights & Advocacy
Daily ICU Diary: Forms & Observations
Questions for Doctors, Nurses & Care Teams
Delirium, Coma, and Medical Records
Uploading Records & Building Patient History
Discharge Planning
Post-ICU Recovery
Understanding PICS & Beyond
Plain-English Medical Record Summaries
Support & Volunteer Forums
The Role of Family & Friends
My Story: Rob's ICU Journey
Final Checklists & Wrap-up
Appendices & Exhibits
Notes, Sources, & Reference Materials
1. Introduction & Purpose of This Guide
When a loved one enters the Intensive Care Unit (ICU), life changes in an instant. This guide is designed to support families during one of the most disorienting and frightening periods they may ever experience. It provides a clear structure for capturing vital information, understanding the ICU process, and organizing a record that will assist with recovery long after discharge.
This guide is also a way to empower family members to be more than passive observers: to become informed advocates, memory keepers, and participants in their loved one’s care journey. It was born from lived experience, and it is rooted in the belief that informed families make a meaningful difference.
2. What to Expect in the ICU
24/7 care from rotating teams
Beeping monitors, tubes, ventilators, constant noise
Changing shift teams every 8-12 hours
Strict hygiene protocols, visiting hours
Frequent medical jargon
Did You Know? ICUs are among the most expensive hospital departments, both financially and emotionally. Patients may be unconscious, but family presence still matters.
Tip for Families: Keep a notebook or use this guide daily. If allowed, take photos of the room layout to help your loved one later. Small memory triggers aid recovery.
3. Meet the Care Team
Role | Description |
Attending Physician | Senior doctor overseeing care |
Residents/Fellows | Doctors-in-training under supervision |
ICU Nurses | Provide day-to-day hands-on care |
Respiratory Therapist | Manages ventilator and breathing support |
Case Manager | Assists with discharge and insurance |
PT/OT Specialists | Begin early mobilization if possible |
Chaplains/Social Work | Provide emotional/spiritual support |
4. Medical Conditions That Lead to ICU Admission
Common diagnoses include:
Acute Respiratory Distress Syndrome (ARDS)
Sepsis
Stroke
Heart failure
Post-surgical monitoring
Neurological emergencies
(See Appendix B for full list with descriptions.)
5. Patient Rights & Advocacy
Patients have the right to understand their treatment plan
Ask for daily updates from the care team
Assign a Designated Family Member (DFM) to receive info and relay to others
Request a patient advocate or ombudsperson if needed
Did You Know? You can request a family conference with the full ICU team.
6. Daily ICU Diary
(Dynamic web-based + printable form) Each day:
What happened medically
What the patient looked like
New medications or procedures
Emotional observations
Family questions/concerns
This diary becomes essential during recovery. It will also populate the patient's dynamic PDF record.
7. Questions for Doctors, Nurses, & Care Teams
Suggested questions:
What is today’s goal
Visit myicu.org to get your copy of our guide.
