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: MICU
Indwelling Pleural Catheter (PleurX/Aspira) Access
There have been some issues with providers accessing Aspira Catheters incorrectly by either using PleurX equipment or needles.These have damaged the Aspira catheters and necessitated their removal. Please view the attached information sheet on proper access.If you are ever unsure, please contact Interventional Pulmonary for guidance
Individuals suspected of experiencing domestic abuse
How do we document? Non objectively. For example: “Bruising on the neck” instead of “strangulation marks,” etc. Who do we call: Henry Ford Police (who will call Detroit Police Department) Case management (for APS filings and social work assessments) Avalon What is Avalon? (http://avalonhealing.org) A center for support for victims of domestic violence and sexual […]
Medical Student Attestations
Here is a recent update on the attestation for staff. Currently MS3 notes are not billable and MS4 notes can be billed. Given the change in schedule best to ask what year the student is as there can be a mix of MS3s and 4s. MS3 inpatient notes: Note TYPE: “Medical/APP Student Note” Currently not billable Staff attestation: .medicalstudenteducationalnote. Residents […]
Radiology at Wyandotte Hospital
It has been challenging for medical group physicians to reach the radiologist at Wyandotte Hospital. The radiologists there are part of the Harris Birkhill group. The chair at HF-Wyandotte is Chris Bartoi, MD. He suggests that you try using Halo. If that does not work there is a central number, 313-982-5386 you can […]
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 […]