1. Education Needs Assessment is Open for the Next 3 weeks. Give me your feedback on what topics you think should be covered. 2.PrismaSATE is in critical shortage again. Phoxillum will be used as a replacement for patients on Calcium/Citrate therapy. 3. If the sheath on your IABP or Impella is confirmed clotted. After elevating to the team, you may cap the sheath off. 4. Creatinine levels have been added to initial labs for post-op transplant patients. 5. Process change: Cosign is required for all epidural, peripheral nerve catheters, and intrathecal infusions at initiation, hand-off, and container change. 6. Within 24 hours of admission, patients are required to get a learning needs assessment! Here are the steps to complete it. 7. July 23rd is the next procedure course!!! There is still time to sign up! 8. Bedside Open Chest Sim is September 25th. Let Jo/CSL know if you would like to be enrolled!
Competency's 2025: What do you want to see?
Before identifying the competencies that are needed in CVICU, I want to hear what YOU all think are items that could use more education and attention! These can be skills, knowledge, or concepts related to our patient population.
PrismaSATE B22GK 4/0 is the primary solution for CRRT patients receiving citrate anticoagulation.
Assessment:
Due to the critical shortage of PrismaSATE B22GK 4/0, an alternative solution, Phoxillum B22K 4/0, has been identified. These solutions are nearly identical, with the following key differences:
Phoxillum B22K 4/0 contains phosphate (1mMol/L), so patients may require less phosphate replacement.
Phoxillum B22K 4/0 does not contain dextrose.
Recommendation/Plan:
Transition to using Phoxillum B22K 4/0 as the primary alternative until the supply can be regained.
Creatinine Levels on Post-Operative Patients
You may have noticed that you now see an order for a Creatinine level on post-operative heart and lung transplant patients. This is in addition to their initial landing labs which may include CBC, ABG, and Coagulation markers. A Creatinine level was added to the order set so that the team may closely monitor renal function to dose immunosuppression and perioperative antibiotic coverage.
Dual Sign off For Epidurals
To prevent wrong route medication events, infusions for epidural, peripheral nerve block, and intrathecal routes are administered via a different pump, CADD Solis. Epidurals have longitudinally been on VUMC’s high-alert medication list with EPIC dual signoff checks on initiation, container change, and handoff. All epidural infusions with or without opioid medications included will require a sign-off for initiation, container change, and shift handoff starting tomorrow 7/17!
Procedure & Emergency Management Course: July 23rd!
