MICU-SICU-NCCU Nursing Survival Guide

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

Medication

Connect→ Departments→ Pharmacy→ References→
Clinical Pharmacology Online

Insulin Action Times
“Can Coverage” for bolus feedings
Neuromuscular Blockade

Cardiovascular

Normal Hemodynamic Parameters
Oxygenation Parameters
Hemodynamic Effects of Vasopressors
Hemodynamic Profiles in Shock

Respiratory

ABG Interpretation
Ventilator Modes
Chest Tubes

ID HemOnc

Neuro

Stroke
ICP
Spinal Cord
Brain Death
Medical Examiner

Equipment

Alsius
Level 1
Oxyswan
BIS
Flotrac
EVD
Ceiling Lifts
Code Response
Equip. Room SICU/NCCU