This document addresses how to clean the MICU Sonosite ultrasound, how to search for a patient and aiding with migrating images Please contact Andrew Bissonette, MD with any questions
Category: Main
Rapid Sequence Inbutation (RSI)
The key points for Senior Staff to remember: You can still call anesthesia, particularly for airways anticipated to be difficult. The pre-sedation/analgesia and post-sedation documentation must be done in EPIC, where you need to identify ASA classification, Mallampati score, etc. Intubations should be a two-provider (Sr. staff, fellow, APP) procedure. The existing policy outlines that […]
Sepsis Dot Phrases
There are 2 new sepsis dot phrases which will go live in June 2021. These can either define time zero or make a statement that sepsis is not present. These statements can be utilized in your problem list or a general note.
Acute Liver Failure Protocol
Please see the attached protocol for acute liver failure. This was drafted with input from hepatology, neurology/neuro-critical care, medical critical care, nephrology, and transplant (hepatobiliary) surgery. An EPIC order set is being developed This will help direct care in our acute liver failure patients.
Inhaled epoprostenol and inhaled nitric oxide use for COVID positive patients with ARDS
– Here are the policy and PowerPoint which contains education on inhaled epoprostenol and inhaled nitric oxide use for COVID positive patients with ARDS. – The PowerPoint has audio embedded in it.– The policy will be “live” on 2/17/21.
MICU Roles for staff
As of 12/4/2020, the roles of staff and time working have changed. Please contact ICU leadership to determine which hours in the ICU you are expected to work. MICU White– Will be covered under the previous resident/fellow/staff model with 12 patients in pod 1 and an additional 3 overflows in geographically distant units, capped at […]
Epic workflow for Yellow MICU
Attached is a PDF created by the CMRs to aid with Epic workflow when staff round in the Yellow MICU. Here is the Epic Inpatient Provider User Guide tip sheet for inpatient rounding. It includes creation of progress notes, assigning yourself to the team, managing orders, admitting patient. Finally this is the website for the Provider […]
ECMO care team (ECT)
There are now a core group of critical care physicians comprising ECMO rounding staff. These individuals will be primarily managing these patients with the critical care fellow and resident/APP as part of a ECMO Care Team (ECT). The process was started on 1/21/2019; the details are in this attachment. When the Team is needed, the caller will dial […]
Targeted Temperature Management (TTM) in the MICU
HFH MICU will start TTM for patients after PEA and asystolic (nonshockable) arrests who otherwise meet criteria on July 15, 2019 Initially, this will apply to inhouse arrests and out of house arrests that reach the MICU within the TTM window; The ED will start TTM for out of hospital nonshockable rhythms in the near […]
Chimeric antigen receptor (CAR) T-Cell Therapy
Please refer to attached education/information for CAR T-Cell Therapy. Heme/Onc will be treating patients with CAR T-cell therapy in the near future and some of these patients will end up in the MICU. Heme/Onc will be available for help but this power-point presentation should be used as a reference.