Updated All new MICU admissions are to be presented to staff according to the following schedule: Weekdays 7AM-5PM: Present to your assigned MICU staff. Afternoon admits must be presented to assigned staff as well. If staff is in clinic or has other duties and are unavailable, please call assigned MICU GAP staff. GAP schedule can […]
Author: Michael Mendez
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Ultrasound Machine Workflow
There are 5 new ultrasound machines that are available for use as of Wednesday Nov 12, 2014. Three S-series sonosites equipped with a linear probe will be available for vascular access. Units will be housed in pods 1, 2 and 4. One Sonosite Exporte will be available for checkout from the charge nurse on […]
MICU Quality Rounds Update – New format starting on Monday, October 6
In an effort to improve the quality of care across all of our ICU pods, we have been performing a trial of multi-disciplinary “Quality Rounds.” Based upon the most recent feedback from all the caregiver disciplines, efficiency of quality rounds has been a concern. At the most recent ICU collaborative meeting, we decided to modify […]
MICU Collaborative: September 2014
– Infection Control Year-to-date BSI are approaching total for last year. This will be reviewed at ICC. More to follow. – MICU Visiting Hour Pilot Targetting start date on Nov 1st. Patient Support Advocate (PSA) will be identified who can be present 24/7. More specifics/education to follow. Interviewing for attendants to manage waiting room and […]
MICU Triage Rules update 9/14/14
In order to adhere to resident team caps of 18 and to distribute patients evenly when MICU is overflowing, please adhere to the following guidelines for MICU admits. Triage fellows please contact GAP staff for advice. GAP staff should be your resource for staff-to-staff discussions. CICU Triage: During MICU high-census periods (>60 beds), patients with […]
MICU Quality Rounds – Starting Tuesday September 2
In an effort to improve the quality of care across all of our ICU pods, we have been performing a trial of multi-disciplinary “Quality Rounds” across all of our ICUs over the last two months. The feedback has been uniformly positive. Among other things, foleys are being removed, central lines are being addressed, and a […]
GAP Staff – What’s that?
GAP staff is a daily clinical assignment for PCCM senior staff on weekday afternoons that was created for the following purposes: Provide clinical coverage for MICU staff who are in clinic or unavailable due to other clinical/administrative duty Provide MICU triage coverage on Fridays from Noon to 3PM to allow fellow to attend PCCM educational […]
MICU Intubation Guidelines for MICU Fellows – August 2014
The following guidelines apply if staff cannot be present at the bedside to supervise (nights, weekends) the intubation. If you have not completed your anesthesia rotation, anesthesia should be called for all intubations. If you have completed a minimum of 15 intubations (supervised in OR or in MICU) call the overnight intensivist with the information […]
Comfort Measures Order Set and Policy
Currently, we do not have an EPIC order set for comfort measures for the ICUs, only hospice does. In order to provide some guidance in providing symptom management for our patients at the end of life, please review the attached order set and policy. 1. Comfort Measures Order Set You can use this to help guide […]