Bendigo Health ICU Manual
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Administration
Team members
Useful contacts
Orientation
>
ICU Orientation PPT 2020
ICU Orientation Guide 2020
>
Unit description, inl. contacts, unit details and nursing support
Duty Hours
Expectations
Lines of Responsibility
Hospital at Night
ICU to Ward patient discharge process - flowchart
Ward Rounds
Ongoing patient management: prescribing, investigations
MET calls
Deaths in ICU
Clinical Performance Meeting
Bendigo Health ICU Manual
ICU Hub
Research
Dress code
Infection Control
Procedures
Intubation
Education & Learning opportunities
Admissions & Refusals
Pager/CISCO Phones
National Safety and Quality Health Service Standards
Unit Guide: Feedback
Disclaimer
HMO Learning Objectives
Roster rules for ICU junior doctors (Appendix A)
ICU ROVER 2019
>
Introduction
Unit description and Key Contacts
HMO Schedule: ward rounds and handovers
HMO responsibilities: admissions & discharges
Rostering & Education
Common medical conditions managed in ICU
Useful resources
Basic rules
ICU Consultant Orientation Guide 2019
>
Structure of Bendigo Health
Administration in ICU
Clinical
>
Clinical (introduction)
Referrals
Clinical Documentation - Admissions & Discharges
Deaths in ICU
External transfers
St John of God ICU (SJOG)
Structure of the day
Ward Rounds & Handover
Interface with other units
Clinical Management - local practices
>
Introduction
Respiratory
Cardiovascular
Renal / CRRT
Nutrition
Endocrine
Infection and antimicrobials
Care bundles
Resuscitation and Advanced Care Planning
Analgesia
Outreach responsibilities
>
Introduction
Follow up clinic
Non-clinical expectations
>
Introduction & Portfolios
Mandatory competencies
Professional Development Reviews (PDRs)
Meetings
Orientation & Guides (downloadable versions)
App user tips
>
FindMyShift
Kronos
Synapse
Offsite access to additional email addresses
VHIMS
>
VHIMS Resources (intranet only)
How to enter a VHIMS (intranet only)
Social Media Etiquette
BASIC equipment loan
Medical Students in ICU
ICU Consultants Only
>
Echuca Telehealth Consults
Shift swap form for consultants
Electronic TiL request form
CME Claim Process
Clinical
Admissions & Discharges
>
Admissions & Discharges
Guideline to Surgical Admissions
Daily ICU review & care
>
FAST HUGS IN BED PLEASE
Oxygen prescribing
Oxygen - Paediatric considerations
Care of the Invasively Ventilated Patient – Adult Patient (PROMPT)
Assessing for extubation
Nutrition in ICU
Thiamine prescribing
Patient Diaries
Drugs & Infusions
>
Inpatient prescribing practices
Common ICU Drugs
Drug Infusions A-Z
Drugs by system/action
>
Antibiotics
Diuretics
Antithrombotic therapy
Analgesics in ICU
Antipyretic
Anticonvulsants
Antiplatelets
Antihypertensives
Beta-blockers
Neuromuscular Blocking Agents
Aperients / Laxatives
Prokinetics
Care bundle
>
Post-cardiac arrest care (TTM) (PROMPT)
Care of the Post-Operative Patient
Spinal Trauma- CPG's (includes cervical spine clearance) (PROMPT)
Management Of Uncontrolled, Life Threatening Bleeding (Massive Exsanguination) (PROMPT)
Clinical Protocols + Guidelines
>
Approach to patient with suspected influenza
RAPID INFLUENZA AND RSV TESTING
Stroke Protocol (SCV Oct 2018)
NIV
>
Domiciliary (Home) non-invasive ventilation (NIV)/CPAP patients
NIV (PROMPT)
Tracheostomy Management
PICCO decision making tree
CRRT
Procedures
The Dying Person in ICU
>
Care of the Dying Patient
Organ & Tissue Donation
Patient transfers
>
Emergency calls to the helicopter pad
Transferring ICU patients
>
Intra & Interhospital transfers
MRI transfers - special considerations
Welfare & other supports for patients and family
>
Visiting times
Social work, pastoral care & aboriginal hospital liaison officer support
Interpreter services
Patient relations office
Beyond Clinical
Education & Training
>
Education & Training
>
Learning and Training in ICU
Bendigo Health ICU Medical Education Principles
>
Departmental overview
Medical Stream
Medical Weekly Schedule
>
Wednesdays
Airway training (hands-on-real time) in Operating theatre
Radiology Conference
‘Labs/lytes’ session or equipment or Journal club
Tracheostomy day for doctors
Deteriorating patient workshop
Ambu Bronchoscope and Cook Surgical Airway CPD workshop
Crucial Conversation workshop
Team Skills simulation day
ALS Simulation
Level 1 ECHO training
External Speakers
VICEN
Bendigo ICU Journal club
Expectations for Consultants
Expectations for all ICU Registrars
Expectations for HMOs
Medical Student program
North West Training Hub
ICU Simulation
CICM Primary Exam education
Curated educational videos & websites
>
Virtual bronchoscopy
Mandatory training for medical staff
Term Assessments
>
Registrar Assessments and In-Training Evaluation Reports (ITERs)
Registrar term assessments (consultant access only)
>
Term Assessment form (consultant access only)
Procedures and Skills Competency Assessments
>
Bendigo Health ICU DOPS
CICM CVC WCA
CICM Tracheostromy WCA
CICM Pleural Drain WCA
CICM Ventilation WCA
CICM ALS & BLS WCA
CICM Communication WCA
CICM Brain Death WCA
CICM OCA
ANZCA DOPS
ACEM DOPS
Echocardiography in ICU
BASIC Provider & Instructor Courses
Paediatric BASIC Provider & Instructor Courses
Other education opportunities
Paediatric crit care education
Useful learning links
Research & Quality
>
Research
>
STARRT AKI
SuDDICU
PLUS study
Recent Publications
Well-being
>
Mentorship
Looking after yourself and colleagues
Medical Students in ICU
Paediatric ICU
Introduction
GO NOW Criteria
Admission criteria for paediatric HDU/ICU
Commonly used SCV Paediatric Guidelines
>
Asthma
Bronchiolitis
>
Bronchiolitis
Respiratory Distress Score for monitoring patients with bronchiolitis on HFNC and CPAP
Croup
Diabetic ketoacidosis
>
Algorithm for the management of DKA (to be read in conjunction with SCV guideline)
SCV - Diabetic ketoacidosis
Seizures
>
Febrile seizures
Non-febrile seizures
The Septic Child
>
Assessment & Management (SCV)
Criteria for rapid ICU admission of children with sepsis
Dehydration
>
Dehydration
IV fluid management
Paediatric Crit Care Education
>
ED/Paeds education sessions
Paediatric equipment 'treasure hunt'
Curated paediatric educational videos
Other paediatric crit care education opportunities
Paediatric Resus Card
Emergency!
Code Blue: ALS algorithms
>
Adult ALS algorithm
Paediatric ALS algorithm
Obstetric cardiac arrest flowchart
Emergency algorithms/mnemonics
>
Airway
Breathing
Circulation
>
Management Of Uncontrolled, Life Threatening Bleeding (Massive Exsanguination) (PROMPT)
Disability
MET calls: common scenarios
>
Staff concern
The Dying Patient
Hypoxic Type 1 Respiratory Failure
Hypercapnoeic Type 2 Respiratory Failure
Atrial Fibrillation
Hypotension and CV Shock
Altered consciousness
The Agitated Patient
Oliguria/Anuria
MET calls: resources
Paediatric Resus Card
Management of Diabetes Ketoacidosis
To be applied in conjunction with the SCV guidelines:
www.rch.org.au/clinicalguide/guideline_index/Diabetic_Ketoacidosis
Timeline of Management (as per SCV guidelines)
Algorithm for the immediate management of DKA
Severity of DKA, fluid rates and types of fluid
Altering the glucose content of IV fluids
Home
Administration
Team members
Useful contacts
Orientation
>
ICU Orientation PPT 2020
ICU Orientation Guide 2020
>
Unit description, inl. contacts, unit details and nursing support
Duty Hours
Expectations
Lines of Responsibility
Hospital at Night
ICU to Ward patient discharge process - flowchart
Ward Rounds
Ongoing patient management: prescribing, investigations
MET calls
Deaths in ICU
Clinical Performance Meeting
Bendigo Health ICU Manual
ICU Hub
Research
Dress code
Infection Control
Procedures
Intubation
Education & Learning opportunities
Admissions & Refusals
Pager/CISCO Phones
National Safety and Quality Health Service Standards
Unit Guide: Feedback
Disclaimer
HMO Learning Objectives
Roster rules for ICU junior doctors (Appendix A)
ICU ROVER 2019
>
Introduction
Unit description and Key Contacts
HMO Schedule: ward rounds and handovers
HMO responsibilities: admissions & discharges
Rostering & Education
Common medical conditions managed in ICU
Useful resources
Basic rules
ICU Consultant Orientation Guide 2019
>
Structure of Bendigo Health
Administration in ICU
Clinical
>
Clinical (introduction)
Referrals
Clinical Documentation - Admissions & Discharges
Deaths in ICU
External transfers
St John of God ICU (SJOG)
Structure of the day
Ward Rounds & Handover
Interface with other units
Clinical Management - local practices
>
Introduction
Respiratory
Cardiovascular
Renal / CRRT
Nutrition
Endocrine
Infection and antimicrobials
Care bundles
Resuscitation and Advanced Care Planning
Analgesia
Outreach responsibilities
>
Introduction
Follow up clinic
Non-clinical expectations
>
Introduction & Portfolios
Mandatory competencies
Professional Development Reviews (PDRs)
Meetings
Orientation & Guides (downloadable versions)
App user tips
>
FindMyShift
Kronos
Synapse
Offsite access to additional email addresses
VHIMS
>
VHIMS Resources (intranet only)
How to enter a VHIMS (intranet only)
Social Media Etiquette
BASIC equipment loan
Medical Students in ICU
ICU Consultants Only
>
Echuca Telehealth Consults
Shift swap form for consultants
Electronic TiL request form
CME Claim Process
Clinical
Admissions & Discharges
>
Admissions & Discharges
Guideline to Surgical Admissions
Daily ICU review & care
>
FAST HUGS IN BED PLEASE
Oxygen prescribing
Oxygen - Paediatric considerations
Care of the Invasively Ventilated Patient – Adult Patient (PROMPT)
Assessing for extubation
Nutrition in ICU
Thiamine prescribing
Patient Diaries
Drugs & Infusions
>
Inpatient prescribing practices
Common ICU Drugs
Drug Infusions A-Z
Drugs by system/action
>
Antibiotics
Diuretics
Antithrombotic therapy
Analgesics in ICU
Antipyretic
Anticonvulsants
Antiplatelets
Antihypertensives
Beta-blockers
Neuromuscular Blocking Agents
Aperients / Laxatives
Prokinetics
Care bundle
>
Post-cardiac arrest care (TTM) (PROMPT)
Care of the Post-Operative Patient
Spinal Trauma- CPG's (includes cervical spine clearance) (PROMPT)
Management Of Uncontrolled, Life Threatening Bleeding (Massive Exsanguination) (PROMPT)
Clinical Protocols + Guidelines
>
Approach to patient with suspected influenza
RAPID INFLUENZA AND RSV TESTING
Stroke Protocol (SCV Oct 2018)
NIV
>
Domiciliary (Home) non-invasive ventilation (NIV)/CPAP patients
NIV (PROMPT)
Tracheostomy Management
PICCO decision making tree
CRRT
Procedures
The Dying Person in ICU
>
Care of the Dying Patient
Organ & Tissue Donation
Patient transfers
>
Emergency calls to the helicopter pad
Transferring ICU patients
>
Intra & Interhospital transfers
MRI transfers - special considerations
Welfare & other supports for patients and family
>
Visiting times
Social work, pastoral care & aboriginal hospital liaison officer support
Interpreter services
Patient relations office
Beyond Clinical
Education & Training
>
Education & Training
>
Learning and Training in ICU
Bendigo Health ICU Medical Education Principles
>
Departmental overview
Medical Stream
Medical Weekly Schedule
>
Wednesdays
Airway training (hands-on-real time) in Operating theatre
Radiology Conference
‘Labs/lytes’ session or equipment or Journal club
Tracheostomy day for doctors
Deteriorating patient workshop
Ambu Bronchoscope and Cook Surgical Airway CPD workshop
Crucial Conversation workshop
Team Skills simulation day
ALS Simulation
Level 1 ECHO training
External Speakers
VICEN
Bendigo ICU Journal club
Expectations for Consultants
Expectations for all ICU Registrars
Expectations for HMOs
Medical Student program
North West Training Hub
ICU Simulation
CICM Primary Exam education
Curated educational videos & websites
>
Virtual bronchoscopy
Mandatory training for medical staff
Term Assessments
>
Registrar Assessments and In-Training Evaluation Reports (ITERs)
Registrar term assessments (consultant access only)
>
Term Assessment form (consultant access only)
Procedures and Skills Competency Assessments
>
Bendigo Health ICU DOPS
CICM CVC WCA
CICM Tracheostromy WCA
CICM Pleural Drain WCA
CICM Ventilation WCA
CICM ALS & BLS WCA
CICM Communication WCA
CICM Brain Death WCA
CICM OCA
ANZCA DOPS
ACEM DOPS
Echocardiography in ICU
BASIC Provider & Instructor Courses
Paediatric BASIC Provider & Instructor Courses
Other education opportunities
Paediatric crit care education
Useful learning links
Research & Quality
>
Research
>
STARRT AKI
SuDDICU
PLUS study
Recent Publications
Well-being
>
Mentorship
Looking after yourself and colleagues
Medical Students in ICU
Paediatric ICU
Introduction
GO NOW Criteria
Admission criteria for paediatric HDU/ICU
Commonly used SCV Paediatric Guidelines
>
Asthma
Bronchiolitis
>
Bronchiolitis
Respiratory Distress Score for monitoring patients with bronchiolitis on HFNC and CPAP
Croup
Diabetic ketoacidosis
>
Algorithm for the management of DKA (to be read in conjunction with SCV guideline)
SCV - Diabetic ketoacidosis
Seizures
>
Febrile seizures
Non-febrile seizures
The Septic Child
>
Assessment & Management (SCV)
Criteria for rapid ICU admission of children with sepsis
Dehydration
>
Dehydration
IV fluid management
Paediatric Crit Care Education
>
ED/Paeds education sessions
Paediatric equipment 'treasure hunt'
Curated paediatric educational videos
Other paediatric crit care education opportunities
Paediatric Resus Card
Emergency!
Code Blue: ALS algorithms
>
Adult ALS algorithm
Paediatric ALS algorithm
Obstetric cardiac arrest flowchart
Emergency algorithms/mnemonics
>
Airway
Breathing
Circulation
>
Management Of Uncontrolled, Life Threatening Bleeding (Massive Exsanguination) (PROMPT)
Disability
MET calls: common scenarios
>
Staff concern
The Dying Patient
Hypoxic Type 1 Respiratory Failure
Hypercapnoeic Type 2 Respiratory Failure
Atrial Fibrillation
Hypotension and CV Shock
Altered consciousness
The Agitated Patient
Oliguria/Anuria
MET calls: resources
Paediatric Resus Card