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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 21 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 10. 11. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 2. 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 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 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)