Download Unit Profile - Cardiovascular ICU (CVICU)

Unit Profile - Cardiovascular ICU (CVICU)
Nurse Manager
Clinical Nurse
Supervisor
Clinical Nurse
Specialist
Educational Nurse
Coordinator
NHPPD
Brief Description of
the Unit
Common Medications
(Categories of Drugs)
Joan McNeice, MS, RN
Chris Title, BSN, RN
Regi Freeman, MS, BSN, RN
232-4772 / Pager 7201
936-4759/ Pager 37939
764-8377 / Pager 34072
Alice Ferguson, MS, BSN, RN
615-2644 / Pager 6134
Margarita Barrientes, BSN, RN
936-6514 / Pager 74425
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The Cardiovascular ICU (CVICU) is located on Level 4 of the Cardiovascular Center
(CVC) and has 24 private patient rooms with sliding glass break-away doors. It is
comprised of two geographical Teams: Team 1, beds #1-12, and Team 2, beds
#13-24. The Clean Supply rooms, Soiled Utility rooms & Medication rooms are
located at each end of this large ICU. We employ approximately 100 Nurses & 17
Patient Care Associates (ICU Techs) and 1-2 Clerks per shift are provided by the
Central Staffing Resource dept. CVICU is the primary unit for these adult medical
service lines: Cardiac Surgery, Vascular Surgery, Heart & Lung Transplant
Surgery, and Thoracic General Surgery. The RNs recover patients directly from
the CVC OR.
1. Vasopressors (e.g., Epinepherine, Norephinepherine, Phenylepherine,
Vassopressin,)
2. Vasodilators/Antihypertensives (e.g., Fenoldopam, Hydralazine Hcl)
3. Inotropes/Chronotropes (e.g., Dopamine, Dobutamine)
4. Beta Blockers (e.g., Labetalol, Metoprolol)
5. Phosphodiesterase Inhibitors (e.g., Milrinone)
6. Diuretics (e.g., Bumetanide, Furosemide)
7. Benzodiazepines/Sedatives (Ativan, Midazolam)
8. Antidiabetic Hormones (Humalog, Lantus, Regular Insulin, NPH)
9. Analgesics (Fentanyl, Morphine, Hydrocodone, Hydromorphone Hcl,
Oxycodone)
Common Patient
Procedures
Common Unit
Practices
Common Medical
Diagnoses
Common Precautions
and Safety Measures
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Antibiotics (e.g, Cefazolin, Ceftazidime, Cipro, Flagyl, Vancomycin, Zosyn)
Proton Pump Inhibitor/Gastric Antisecretory Agents (e.g, Omeprazole,
Protonix)
Coronary Bypass Grafting
Mitral Valve Repair/Replacement
Aortic Valve Repair with/without Aortic Root Repair
Ventricular Assist Device Implantation/Artificial Heart
Heart Transplant
Single/Bilateral Lung Transplant
Open Abdominal Aortic Aneurysm Repair with/without Thoracic Aneurysm
Repair
Type A/Type B Thoracic Aneurysm Repair
Transhiatal Esophagectomy with complications
Extra Corporeal Membraneous Oxygenation (ECMO)
Rounding Standards (e.g., Daily Goals, multidisciplinary)
Handoff and Communication Standards (e.g., SBAR)
Shift to Shift Report
Process and Contacts for calling a Patient Care Conference
Patient and Family Centered Care
Coronary Artery Disease
Congestive Heart Failure
Aortic Insufficiency/Stenosis
Aortic Aneurysm/Dissection
Mitral Valve Insufficiency/Stenosis
Mitral Valve Prolapse
Diabetes
Esophageal Cancer
Pulmonary Fibrosis; Cystic Fibrosis, Pulmonary Failure
10. Renal Failure
Hand Hygiene
Fall precautions
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Pressure Ulcer Prevention
DVT Risk Assessment
Hyperglycemia Protocol—nurse driven
1:1 continuous RN observation of all extracorporeal heart devices.
Decreased restraint use
Pain Management
ID Bands
Gait belt use with modbility/ambulation
Medication Administration—6 Rights
12. Protective isolation (e.g., VRE/MRSA/C-diff/Droplet/Respiratory
infection control precautions)