Here is the protocol for therapeutic hypothermia at Henry Ford West Bloomfield Hospital The Go Live date for starting patients on this protocol is May 1, 2015
Category: MICU
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 […]
Stroke admissions to the Garden ICU
In order to create consistency for patients admitted to the Garden ICU at West Bloomfield with a stroke, the Stroke Committee has created guidelines for these admissions. These guidelines are designed to be followed directly; if there is a deviation, this should be discussed with neurology (stroke team) or neurosurgery and the reason for deviation […]
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 […]
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 […]
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 […]
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 […]