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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: