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Intensive Care Unit (ICU) Manual

The Unit Practice Manual policies can be viewed or printed using Adobe Acrobat.

Please Note: These policies, procedures and protocols are provided for informational purposes only for the staff of John Dempsey Hospital.  The owner and authors assume no liability whatsoever in connection with the use of the information contained within.

The Lippincott Manual of Nursing Practice should be used for nursing procedures not found in the Nursing Practice or Unit Practice Manual’s. Procedures in the Nursing Practice Manual or Unit Practice Manuals supersede the Lippincott reference.

 

Structure Standards


Protocol: Abthera Negative Pressure Wound Therapy Vacuum Device
Protocol: Admission: Care of the Patient Admitted to the Adult Intensive Care Unit
Procedure: Agitated Saline for Echocardiography: Preparation / Administration
Protocol: Alteplase (t-PA): Administration for Acute Ischemic Stroke
  Attachment: NIHSS Score Sheet and Instructions
Protocol: Amiodarone:  IV Infusion
Protocol: Arterial Blood Pressure Monitoring
Protocol: Autotransfusion (ATS): Chest Tube Drainage Post Open Heart Surgery or Trauma
Protocol: Autotransfusion (ATS):  Continuous System

Protocol: Bedside Items for ICU

Protocol: Cardiac Monitoring: Care of the Patient on Cardiac Monitoring
Protocol: Cardiac Output Determination
Procedure: Cardioversion: Care of the Patient Undergoing
Protocol: Cardioversion:  Emergent
Protocol: Cerebral Vascular Accident (CVA), Suspected
Attachment: NIHSS Score Sheet and Instructions
Protocol: Continuous Renal Replacement Therapy (CRRT)
Protocol: Craniotomy:  Care of the Post-Operative Patient

Protocol: Definity Administration for Echocardiography
Protocol: Diltiazem (Cardizem) Infusion: for Treatment of Atrial Tachyarrhythmia
Protocol: Dobutamine: IV Administration
Protocol: Dopamine: IV Administration

Protocol: ECG:  Assessment of Cardiac Status Using the 12 Lead ECG
Protocol: Emergency Care for Lethal Dysrhythmias
Protocol: Epinephrine: IV Administration
Protocol: Esmolol Hydrochloride: IV Administration

Protocol: Femoral Artery Closure Device
Procedure: Femostop Device, Use of
Protocol: Flolan (Epoprostneol Sodium): Transition to IV Remodulin or IV Epoprosentol for Injection

Procedure: Hemoband Compression Device, Use of
Protocol: Hemodynamic Monitoring
Protocol: Hypothermia Protocol for Resuscitated Cardiac Arrest

Protocol: Intra-Aortic Balloon Pump (IABP): Care of the Patient on the
Procedure: Intracranial Pressure Monitoring/Cerebral Spinal Fluid Drainage Using the Codman ESD 3 External Drainage System

Protocol: Labetalol (Normodyne, Trandate: IV Administration
Procedure: Left Atrial (LA) Pressure Monitoring
Protocol: Lidocaine:  IV Administration
Protocol: Lumbar Drainage

Protocol: Mechanical Ventilator Discontinuation
Procedure: Medication Administration - IV
Protocol: Midazolam:  Care of the Patient Receiving Continuous Infusion
Protocol: Milrinone (Primacor): Continuous Infusion
Protocol: Minnesota Tube, 4 Lumen:  Care of the Patient with a
Protocol: Myocardial Infarction (MI):  Management of Myocardial Pain

Protocol: Natrecor:  IV Administration
Protocol: Neuromuscular Blocking Agents (NMBA): IV Administration
Protocol: Nitroglycerin: IV Administration
Protocol: Nitroprusside Sodium (Nipride):  IV Administration
Protocol: Norepinephrine (Levophed):  IV Administration

Procedure: Open Chest:  Registered Nurse Responsibilities
Protocol: Open Heart Surgery:  Care of the Immediate Post Operative Patient

Procedure: Pacemaker, Temporary: Transvenous Insertion
Protocol: Pacemakers:  Care of Patients with Temporary Pacemakers
Procedure: Pericardial Catheter:  Care of the Patient with
Protocol: Peripheral Nerve Stimulator/Train of Four Monitoring
Protocol: Peripheral Vascular Reconstruction: Care of the Post-Operative Patient
Protocol: Phenylephrine (Neosynephrine): IV Administration
Protocol: Post Cardiac Interventional Procedures
Protocol: Preceptor in ICU
Protocol: Procainamide:  IV Administration
Protocol: Prone Positioning
Protocol: Propofol:  Care of the Patient Receiving Continuous Propofol Infusion

Protocol: Radial Artery Compression Device - TR Band
Protocol: Remodulin (Treprostinil Sodium):  Continuous Subcutaneous Administration
Protocol: ReoPro (Abciximab) Infusion:  Care of the Patient Receiving Post PTCA/Stent
Protocol: Rotational Therapy:  Patient Selection and Implementation

Protocol: Sepsis, Severe Sepsis & Septic Shock: Patient Identification and Care
Procedure: Sickle Cell Crisis: Use of Fentanyl in a Continuous + PCA Infusion for Opioid Tolerant Patients with Sickle Cell Anemia
Procedure: Swan-Ganz Catheter:  Obtaining Mixed Venous Blood

Procedure: Tracheal Aspiration (Deep) Intubated Patient

Protocol: Ultrafiltration (for CHF Patients), Aquadex System

Protocol: Ventilator:  Care of Patient on a Ventilator

Protocol: Weaning:  Ventilator Weaning Post Open Heart Surgery

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