Nursing Resources and Standards
- Important Phone Numbers
- Leadership Phone Numbers
- Safety
- Independent Double Checks for High Alert Medications and Barcoding
- Transportation of Patients
- Security
- Personal Safety
- Broken/nonfunctioning equipment or room fixtures need to be fixed asap
- Resources
- Chain of command (Policy IV.200)
- Intranet/CONNECT
- Internet
- Supportive Care
- Documentation / Care Expectations
- Nursing Notes are REQUIRED
- Care Plan Requirements
- Patient Family Education
- Critical Results– All Critical Results called to you by the lab or obtained by Accucheck Require
- IV drip Rate verification is to be completed and documented on the MAR at each shift change
- Pain Assessment
- Sedation Holiday / Spontaneous Awakening Trial
- Admissions Documentation
- Assessment Requirements
- Changing Dates
- LAB
- Blood Cultures:
- Frequently Ordered Blood Tests with Order of Draw
- Ventilator Associated Event
- Ventilator Associated Pneumonia Prevention Bundle
- Two types of Ventilator Associated Pneumonia
- Pathophysiology
- Measuring Intra-Abdominal Pressure
- Procedure
- Patients at Risk for development of Compartment Syndrome /Intra-abdominal Hypertension
- Effects of Increased IAP
Surgical Specialties
Service Delineation
Trauma
SICU
Surgical Oncology
Care Maps/Guidelines
Spinal Cord Injury
Rib Fracture
- Service Role Delineation in the ICU
- Trauma Service Responsibilities
- SICU Service Responsibilities
- General Surgery / Surgical Oncology
- Spinal Cord Injury (SCI) Management Maintain MAP >85mmHg
- Rib Fracture Protocol
- Pulmonary Toileting Order Sets
- Standard Trauma Pulmonary Toilet Order Set Time Line
- Aggressive Trauma Pulmonary Toilet Order Set Time Line
Medication
Connect→ Departments→ Pharmacy→ References→
Clinical Pharmacology Online
Insulin Action Times
“Can Coverage” for bolus feedings
Neuromuscular Blockade
- High Alert Medications Require
- Meds requiring double checks
- Double check before medication administration must include
- Insulin Fact Sheet
- Insulin Peaks & Duration of Action
- Mixing/Combining Insulin
- Quick Tips
- Neuromuscular Blockade
Cardiovascular
Normal Hemodynamic Parameters
Oxygenation Parameters
Hemodynamic Effects of Vasopressors
Hemodynamic Profiles in Shock
Respiratory
ABG Interpretation
Ventilator Modes
Chest Tubes
- Arterial Blood Gas Interpretation
- Guidelines for interpretation of ABGs and acid-base balance
- Arterial Blood Sample
- Ventilator Modes
- Chest Drain System
- Set Up
- Management
- Transporting
- Troubleshooting
- Dressings
ID HemOnc
Neuro
Stroke
ICP
Spinal Cord
Brain Death
Medical Examiner
- Care of the Stroke Patient
- Upon admission, record a baseline neurological assessment that includes
- Patients that receive tPA have specific vital signs and neurological
- All stroke patients must have stroke education documented.
- ICP Control
- Control of increased ICP involves several strategies:
- Sedation
- Hyperventilation
- Hydration
- Diuretics
- BP Control
- Corticosteriods
- Pentobarbital coma
- Decompressive craniotomy
- Neurological Emergencies
- Decorticates (abnormal flexion)
- Decerebrate (extension)
- Spinal Cord Injury Management
- Overview and Pathophysiology
- Determining Brain Death
- Flow Chart
- Oculovestibular Reflex (cold caloric) (a):
- Gag and cough reflexes (b) & (c):
- Corneal Reflex (d):
- Apnea Test (e):
- Atropine Test (f):
- When to Call the Medical Examiner
Equipment
Alsius
Level 1
Oxyswan
BIS
Flotrac
EVD
Ceiling Lifts
Code Response
Equip. Room SICU/NCCU
- Unit-owned/Based Equipment
- Equipment Housed and Cleaned in Materials
- BIS monitor: Bispectral Index
- Oxyswan Insertion and Calibration
- Selecting a Measurement Label
- Connecting the Optical Module
- After Insertion
- Performing In-Vivo Calibration
- Setting up the In-Vivo Calibration
- Making the In-Vivo Calibration
- Further Information
- Checking Suspicious Values
- Calculating Oxygen Extraction
- FloTrac EV1000 Machine Setup
- Sensor Setup
- FloTrac System
- Level 1
- Alsius Supplies
- MICU Arjohuntleigh Ceiling Lift Tip Sheet
- MICU Code Response
- External Ventricular Device (EVD)
- Zeroing
- Leveling
- Obtaining an ICP tracing
- Draining CSF
- Equipment Room (NCCU/SICU)