Process for handling Death Certificates outside of normal business hours

Because of the need to process death certificants in a timely fashion, ICU physicians may need to fill out this paperwork during off hours. The cell number to use to call Medical Records for Death Certificates on the weekends/holidays from 8:00 am to 4:30 pm is (313) 229-7627 The process for completing this paperwork is here […]

MICU capacity and capping procedure

If the MICU reaches capacity (68 total patients – 20 on Green, 16 on Red, White and Blue), the fellow will notify Dr. Swiderek from 7am-7pm or the night intensivist from 7pm-7am if we cap. For nocturnists who receive this call, please notify: ATMO at 313-916-2987 – press 1 for beds; press 1 for Detroit; […]

Guidelines for Staffing MICU Admissions to HFH Main Hospital

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 […]

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 […]

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 […]

DEM/MICU Interdepartmental Guidelines for Emergent GastroEsophageal Balloon Tamponade (GEBT)

Purpose: The goal of this guideline is to ensure the safety of patients and to provide the best care with the most expert staff available to perform emergent  GEBT placement with a Minnesota or  Sengstaken–Blakemore tube. MICU staff should be aware of the limited time the DEM staff have to assist with clinical services outside […]

ICU Call Staff Coverage

As of July 15, 2014, we will have an Intensivist in-house at HFWB every night.  All fellow calls to the ICU staff physician from 7 PM to 7 AM should be directed to the physician covering HFWB.  They will be carrying the spectralink phone assigned to that number. There is also a physician assigned to […]

Hemodynamic Monitoring using the Vigileo

Thank you to Nancy Hearold for taking the time to review important concepts on the use of the Vigileo Monitor during MICU Resident Education.  See the attached Quick Guide.  Only sections on anatomy, physiology, and Vigileo were included due to file constraint. Vigileo Quick Guide.3rd Ed