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 […]

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 […]

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 […]