Download Float Information for Tech to CICU

Cardiac ICU – Float Sheet for RN’s
Welcome to the Cardiac ICU! We are Grateful to have your help and know how hard it is to be in an
unfamiliar area. We hope that this information sheet will help guide you and serve as a handy place to
write your report. Please speak up if you are uncomfortable with your assignment.
General Information
 The CICU is an 8 bed Intensive Care Unit
 Unit Phone # 588 – 7580
 Unit Manager: Melinda Loy, RN (office) 588 – 4430, (pager) 917 – 3265
 Unit Coordinator/Charge RN pager: 917 – 1564 Cell: 523-7936
 On-Call Resident Pager: 917 – 2634
 On-Call Respiratory Pager 917-3696
Patient Population
 Syncope, Bradycardia, Heart Blocks, S/P Cardiac Arrest
 Acute Coronary Syndrome, Acute Myocardial Infarction (AMI, STEMI, NSTEMI)
 Congestive Heart Failure
Commonly Used IV Medications
 Anticoagulants: Heparin, Angiomax (bivalirudin), Eptifibatide – These meds require a 2nd
RN verification.
 Antiarrhythmics: Amiodarone, Cardizem, Lidocaine
 Nitrates: Nitroglycerin, Nitroprusside
 Vasopressors and Inotropes: Dobutamine, Dopamine, Phenylephrine, Norepinephrine,
Milrinone
Commonly Used O2 Flow Sheets
 ICU Assessment and VS
 Sheath Monitoring/Post Procedure
 CV Labs Checklist
CICU Specific Care
 Telemetry Monitoring: Print, label, and file tele strips per the Cardiac Monitoring standard.
 Sheath Removal / Monitoring: Most of our patients will have a sheath. Notify the UC if you
have never monitored a sheath removal before. Remember, patients with a sheath are not to have
their beds positioned higher than 30°. In every bedside Walleroo is a handy Quick Reference for
the ACT protocol and Sheath Removal policy. Patients on Angiomax, have their sheaths removed
per the Angiomax removal protocol instead of the ACT protocol.
 Post Cath Lab Care: Patients returning from the cath lab will need an EKG upon arrival to the
unit. VS are completed Q 15 min x4, Q 30 min x 2, and then Q 1 hour. A post procedure recovery
score will also need to be documented Q 15 min until a baseline score is achieved. During sheath
removal, VS and peripheral pulses are to be documented Q 5 minutes until hemostasis is
obtained.
 Chest Pain Protocol: Acute chest pain is common in the CICU. A STAT EKG should be
obtained immediately. SL NTG and IV morphine may be used following the EKG. Notify the
physician if the chest pain protocol is initiated.
 STEMI Activation, Rapid Response, Code Blue: The CICU responds to all in-house STEMI
activations and Code Blues and Rapid Responses within the Heart Center.
 Visiting Hours: The CICU is a locked-unit. Visitors are asked to remain in the patients room
between 0700-0800 and 1900–2000 for RN shift change. Visitors will be restricted during this
time as well. If you are caring for a newly admitted patient, please be sure to provide them with
an admission packet, which includes the visiting policy.
CICU Codes
Bedside Cart Codes: 1234
Med/Clean Supply Room: 1234*
Equipment Room: 10253*
Thanks Again For Your Help – The CICU Staff
Nursing Report Sheet
CICU
Room #
CICU
Room #
Patient
Name:
Patient
Name:
Admission
Diagnosis:
Admission
Diagnosis:
Resident Name /
Resident Pager:
Resident Name /
Resident Pager:
Admission
Date:
Admission
Date:
CV
Rhythm:
Rate:
Pulses:
BP:
GTTs:
CV
Rhythm:
Rate:
Pulses:
BP:
Neuro
LOC:
Neuro Checks:
Neuro
LOC:
Neuro Checks:
Respiratory
O2:
Lung Sounds:
Vent Settings:
Respiratory
O2:
Lung Sounds:
Vent Settings:
GI/GU
Diet:
FSBS:
Foley:
Tube Feeds / Insulin Gtt
GI/GU
Diet:
FSBS:
Foley:
GTTs:
Tube Feeds / Insulin Gtt
IV Access and Gtts
IV Access and Gtts
Plan of the Day:
Plan of the Day:
Don’t Forget the Bedside Safety Check!
Received
Report From:
Don’t Forget the Bedside Safety Check!
Received
Report From: