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 […]

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 […]

Bronchoscopy in the MICU: Documentation in EPIC

  Fellows and Staff, Please document all MICU bronchoscopies as shown here.  Make sure you are logged into EPIC as Critical Care Provider. 1. Use procedure tab 2. Document ASA/Mallampati – Must be done before the procedure starts! 3. Choose ICU bronchoscopy for correct template (this may not work if you are not logged in as […]

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