CCTC Clinical Practice Index

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Acute Respiratory Infections: Precautions and Testing Resources Critical Care

 
AABDOMINAL COMPARTMENT SYNDROME  
  Procedure: Abdominal Compartment Syndrome MonitoringProcedure 
  Checklist: Abdominal Compartment Syndrome MonitoringChecklist 
 ACUTE PAIN SERVICES  
  Acute Pain LHSC Website (internal)Resource 
  CADD Epidural Instruction CardEducation 
  PCA Quick Review Instruction CardEducation 
 ACUTE RESPIRATORY INFECTIONS (INCLUDING VIRAL/SARS-CoV2): PRECAUTIONS AND LAB TESTING 
  Disclaimer: These guidelines and resources have been posted specifically for the Adult Critical Care Program London Health Sciences Centre (LHSC). They may not be applicable to other units or centres.  Documents are the intellectual property of LHSC. In the spirit of supporting colleagues during this world-wide pandemic, you may use these resources to support your own guidelines development. You accept any risk by using all or part of the material and acknowledge that scientific knowledge is changing on a daily basis. X 
 PRECAUTIONSTable of Precautions During AGMP IN CRITICAL CAREStandard 
  Guideline: Aerosol Generating Medical Procedure CRITICAL CAREGuideline 
  Donning/Doffing Checklist Checklist 
  Donning/Doffing Checklist for PROTECTED PPE Checklist 
  CODE Blue in CRITICAL CAREStandard 
  Extubation (including Heliox)Procedure 
 VIDEO LINKSVideo COVID-19 Intubation (ED VH)Education 
  Video (25 seconds): Correct Method of Collecting Viral Swab (NEJM)Education 
  Video: Donning PPEEducation 
  Video: Doffing PPEEducation 
  COVID-19 Critical Care Education Presentation Videos - You Tube LinksEducation 
 Viral SwabsHow to Collect Viral Swabs for RPCR or SARS-CoV2Procedure 
 OtherHow to Use the IN-ROOM Telephones in Negative Pressure Rooms and Bay 1 and 3Education 
  Telephone Extensions for Portable Patient PhonesEducation 
  How to calculate IV rates without  infusion pump (drop rate)Education 
 AEROSOL GENERATING PROCEDURES  
  Guideline: Aerosol Generating Medical Procedure CRITICAL CAREGuideline 
  Table of Precautions During AGMP IN CRITICAL CAREStandard 
  Link to Intubation VideoProcedure 
 AIRTAP(TM) SYSTEM  
  

Video for use of AirTap(TM) XXL Positioner

Use and Reminders AirTap(TM)

Education

Education

 
 AIR VENTING OF VASCULAR DEVICES  
  

Filters for Venting Vascular Lines: Patients with Intracardiac Shunt

How to Prime and Maintain Air Venting Filter (Carefusion)

Education

Education

 
 AIRWAY SIGNS  
  Laryngectomy SignageCommunication Tool 
  Tracheostomy SignageCommunication Tool 
 AMIODARONE  
  Medical Directive: Procedure for Administration of AmiodaroneMedical Directive 
 AMINOGLYCOCIDES  
  Procedure: Drawing Aminoglycocide LevelsProcedure 
 ANAESTHETIC GASES  
  Policy: Administration of Anaesthetic Gases in Critical CareRRT Policy Manual 
 ANALGESIA AND SEDATION  
  Guideline: Analgesia and Sedation in Critical Care (Analgogesia)Guideline 
 ARDS (Acute Respiratory Distress Syndrome)  
  Guideline: Management of ARDSGuideline 
  Refer to Acute Respiratory Infections (Including Viral/SARS-CoV2): Precautions and Lab Testing 
 ARTERIAL LINES  
  Checklist/Procedural Record:  Insertion of Central Venous or Arterial Line Checklist/Documentation 
  Dressing Change Bundle: Arterial Line Standard 
  Deferral of Arterial Line Placement During Vasopressor Use: LHSC Policy EducationEducation 
  Standard of Care: Arterial Line MonitoringStandard 
  Maintenance Bundle: Arterial LinesStandard 
  Procedure: Arterial Lines: Insertion, Maintenance and Dressing ChangesProcedure 
  Procedure: Removal Femoral Arterial LinesProcedure 
  Procedure: Removal Peripheral Arterial LinesProcedure 
 ATROPINE  
  Medical Directive: Procedure for Administration of AtropineMedical Directive 
 AUDIT - 5 MINUTE AUDIT RESULT ENTRY LINKS 
  

Arm band Safety

Arterial Line Management

Basic Nursing Care

Results Entry 
BBEDS  
  

Compella Beds Tip Sheet A

Compella Bed Tip Sheet B

Education

Education

 
 BEDSIDE ASSESSMENT TOOLS  
  Neuro Assessment TipsEducation 
  Assessment Tool: Neurological AssessmentTool 
  Assessment Tool: Agitation using VAMAASTool 
  Assessment Tool: Pain, Sedation and Delirium Tool 
  Assessment Tool: PQRST (Self-Reported Pain Tool)Tool 
  Assessment Tool: Critical Care Pain Observation Tool (CPOT) (patient unable to self-report)Tool 
  Assessment Tool: Vein Assessment (Peripheral IV) Site Tool 
 BLADDER PRESSURE MONITORING  
  Procedure: Abdominal Compartment Syndrome MonitoringProcedure 
  Checklist: Abdominal Compartment Syndrome MonitoringChecklist 
 BLAKEMORE/MINNESOTA TUBES  
  

Video Setting up Traction Setup (internal access only)

Checklist: Insertion of Blakemore/Minnesota Tube

Education

Checklist

 
 BLOOD CULTURES  
  Administration of Antimicrobials in SepsisEducation 
  Protocol: Blood Culture Collection in CCTCProtocol 
  FAQs for blood culture samplingEducation 
  Procedure: Drawing Blood Cultures Procedure 
 BLOOD DRAWING  
  Procedure: Blood Gas SamplingProcedure 
  Procedure: Blood Sampling from Indwelling LinesProcedure 
 BLOOD GASES  
  Procedure: Blood Gas SamplingProcedure 
  About Venous Blood Gas SamplingEducation 
 BRADEN SCREENING  
  Pressure Injury Risk Assessment Screening (Braden): How to enter in Power ChartEducation 
 BRONCHOSCOPY  
  Flexible Bronchoscope: Information and Guidelines for Use in Adult Critical CareProcedure/Guideline 
  List of Frequently Ordered Bronchoscopy TestsEducation 
CCALCULATING IV INFUSION RATE  
  How to calculate IV rates without an infusion pump using drop rateProcedure 
 CARBAPENEMASE PRODUCING ENTEROBACTERIACEAE SCREEN (CPE)  
  How to Collect MRSA or Carbapenemase Produce Enterobacteriaceae Screen (CPET)Education 
 CARDIOVASCULAR  
  Standards of Care: Cardiovascular Monitoring Standard 
 CARDIAC OUTPUT  
  Procedure: Measurement of Cardiac OutputProcedure 
 CATHETER; URINARY  
  Safety Bundle: Prevention of Catheter Associated Urinary Tract Infection (CAUTI )Standard 
 CENTRAL VENOUS LINES  
 

INSERTION

Checklist/Procedural Record:  Insertion of Central Venous or Arterial Line Checklist/Documentation 
  Line Cart Signage: Central Venous or Arterial Line Insertion Tool 
  Insertion Safety Bundle: Central Venous Lines Standard 
 

INTRODUCERS

Introducer Recognition, CVC Compatibility and Obturator CapsEducation 
 

MAINTENANCE

Standard of Care: Central Venous Catheter MonitoringStandard 
  Maintenance Safety Bundle: Central Venous LinesStandard 
  Dressing Safety Bundle: Central Line Dressing ChangeStandard 
  Procedure: Central Venous and Arterial Dressing ChangeProcedure 
  3M Sutureless Securement Dressing InstructionsEducation 
 

REMOVAL

Procedure: Removal Central Venous Line Procedure 
 CONTINUOUS EEG (CEEG)  
  Procedure: Continuous EEG Setup Procedure 
 CHEST TUBES  
  Checklist: Removal of Chest TubeChecklist 
  Standard of Care: Chest DrainageStandard 
 CODE STEMI  
  Checklist: Code STEMI ChecklistChecklist 
 CODE Stroke  
  Stroke Recognition Education 
 CONTINUOUS LATERAL ROTATION  
  Standard of Care: Continuous Lateral Rotation Standard 
  Procedure: Initiation of Continuous Lateral RotationProcedure 
 CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT)  
 CRRT ORDERSOrdering Guideline for CRRT in CCTCGuideline 
  Guideline Decision-Tree for Filter AnticoagulationGuideline 
  

Power Chart Instructions: Ordering No Anticoagulation Prescription (full slide view)

Ordering CRRT No AC (smaller slides)

  
  Power Chart Instructions: Ordering Filter Heparin PrescriptionOne Chart Instructions 
  

Power Chart Instructions: Ordering Citrate Prescription (full slide view)

Ordering CRRT Citrate (smaller slides)

One Chart Instructions 
  Sequence for Signing Orders in Power Chart (Quick Steps)One Chart Instructions 
  Viewing, Modifying and Discontinuing Power Chart OrdersOne Chart Instructions 
 TITRATION PROTOCOLS

Potassium Titration 

Heparin Titration

Citrate Titration

Protocol 
 

PROCEDURES

Procedure: Accessing Dialysis Line and Initiation of TherapyProcedure 
  Procedure: Ending CRRT Treatment/Blocking Dialysis CatheterProcedure 
  Blood Leak Detector Alarm: Lab AssessmentProcedure 
  Removal of Heater Tubing (TherMax Set)Troubleshooting 
  Potassium Calculation TableProtocol 
  Saline Rescue Line for CRRT Circuit Images 
  Fluid Monitoring: How to find my 0700 and 1900 fluid balance (PrismaFlex)? Education 
 

CHECKLISTS

Checklist for Accessing a Dialysis CatheterProcedure 
 

 

Checklist for Deaccessing a Dialysis CatheterProcedure 
 

INFORMATION

Antibiotic dosing adjustments and CRRTEducation 
  Citrate Anticoagulation: Principles of Citrate AnticoagulationEducation 
   
DDEFIBRILLATION  
  Medical Directive: Procedure for DefibrillationMedical Directive 
 DELIRIUM  
  Delirium ResourcesClinical Resources Site 
  Assessment Tool: Pain, Sedation and Delirium Tool 
  Assessment Tool:  Intensive Care Delirium Screening ChecklistTool 
  Assessment Tool: Confusion Assessment Method ICU (CAM ICU)Tool 
 DISCHARGE OR TRANSFER  
  Checklist: Discharge to Home, Power Chart OrderChecklist 
  Checklist: Discharge from CCTC to HomeChecklist 
  PreAssessment: Discharge from CCTC to HomeChecklist 
  Decision-Tree: Transfer to Medicine ProcessProcess Map 
  How to discontinue critical care orders at transferOne Chart Instructions 
 DOCUMENTATION
 
  
  How to create a rapid set of procedural orders in Power ChartOne Chart Instruction 
 

AI RECORD

Line Tracking and Assessment of Peripheral Vasopressors Standards 
  Documentation: 12 Hour AI Flowsheet Instructions Standards 
 

FLOWSHEET

Documentation: CCTC 24 Hour Graphic RecordStandards 
  Policy: Administration of Peripheral Vasopressors Policy 
EECG MONITORING  
  Standard of Care: ECG Monitoring Standard of CareStandard 
 ECMO  
     
 EPINEPHRINE  
  Medical Directive: Procedure for Administration of EpinephrineMedical Directive 
 END-OF-LIFE CARE  
  Checklist: Quality End-of-Life CareChecklist 
 ENTERAL FEEDINGS  
  Standard of Care: Enteral Feeding and Enteral Tube Management Standard 
  Procedure: Insertion of Enteral Feeding Tube/Small Bowel Feeding Tube Procedure 
  Guideline for Withholding or Continuing Enteral Feed Preoperatively Guideline 
  Nutritional SupplementsEducation 
 EXTRAVASTION   
  Protocol: Treatment of Extravasation of Peripheral VasopressorsProtocol 
FFALLS/TREATMENT INTERFERENCE  
  Safety Bundle: Critical Care Falls and Treatment Interference Risk ReductionStandard 
  Falls Risk Screening (Morse): How to enter in Power ChartEducation 
 FECAL MANAGEMENT  
 

FLEXISEAL

Poster: Insertion and Management Flexiseal ProtectProduct Information 
  Full Educational Video on the Insertion and Management of Flexiseal ProtectProcedure 
 

VIDEO

Brief Overview Flexiseal ProtectProduct Information 
  Balloon Inflation and Indicator Buttons Flexiseal ProtectProduct Information 
  Balloon Insertion Pocket Flexiseal Protect Product Information 
 FLOATING CCTC/MSICU  
  MSICU/CSRU Routines and Floating Guidelines for CCTC Nurses Floating to UHGuideline 
  Map of UH and MSICU/CRSUEducation 
  CCTC Routines and Floating Guidelines for MSICU/CSRU Nurses Floating to VHGuideline 
  Map of VH and CCTCEducation 
 FLUID BALANCE  
  Standard of Care: Fluid Balance Monitoring Standard 
G   
HHEAD OF BED  
  Guideline Decision Tree:  Head of Bed PositioningGuideline 
 HAEMODYNAMIC MONITORING  
  Procedure: Setting Up Hemodynamic Monitoring CircuitProcedure 
  Standard of Care: ECG Monitoring Standard 
  Standard of Care: Arterial Line MonitoringStandard 
  Standard of Care: Central Venous Line MonitoringStandard 

 

 
Standard 
 HIGH FLOW OXYGEN  
  Policy: High Flow Oxygen TherapyRRT Policy 
 HYPOTHERMIA (TARGETED TEMPERATURE MANAGEMENT)  
  

Draft Protocol and Checklist:  Targeted Temperature Management HYPOthermia

Draft Protocol and Checklist: Targeted Temperature Management NORMOthermia

Protocol

Protocol

 
IINFECTION CONTROL  
  

Refer to Acute Respiratory Infections (Including Viral/SARS-CoV2): Precautions and Lab Testing

Refer to LHSC Infection Control Manual for all other Infections

Education 
 INFUSION RATE CALCULATION   
  How to calculate IV rates without an infusion pump using drop rateProcedure 
 INSULIN  
  Protocol: Insulin Titration ProtocolProtocol 
 INTRA-ABDOMINAL PRESSURE MONITORING  
  Procedure: Abdominal Compartment Syndrome MonitoringProcedure 
  Checklist: Abdominal Compartment Syndrome MonitoringChecklist 
 INTRACRANIAL PRESSURE MONITORING (ICP)  
 

CHECKLISTS

Checklist: Selection of ICP Catheter and Monitoring EquipmentChecklist 
  Checklist: Setup of Codman EDS 3TM CSF Drainage Unit Checklist 
  Checklist: Insertion Codman Microsensor/Setup Codman ExpressTM Checklist 
  Checklist: Care of the Patient with Raised ICPChecklist 
  

Checklist: Transporting a Patient with a Codman MicrosensorTM and/or External Ventricular Drainage Device

Checklist 
 

PROCEDURES

Procedure: Insertion and Setup of Codman EDS 3TM External Ventricular Drainage UnitProcedure 
  Procedure: Insertion of Codman MicrosensorTM EVD or Intraparenchymal monitor and Setup of Codman ExpressTM Procedure 
  Procedure: Measurement of ICP Using Fluid Filled EVD Monitoring System (standard transducer)Procedure 
  Procedure: Obtaining a sample of CSF sample from EDS 3TMProcedure 
  Procedure: Lumbar ICP MonitoringProcedure 
 

PATIENT CARE

Troubleshooting ICP Monitoring SystemsEducation 
  Care of the Patient with Raised ICPEducation 
  

Standard of Care: Intracranial Pressure Monitoring 

 

 

Standard 
 

CODMAN INFO

Codman Express Product InformationProduct Information 
  How to Coil the Microsensor for MRIProduct Information 
 INTRAVASCULAR DEVICE (PERIPHERAL)  
  Overview and tips for insertion of BD Nexiva in CCTCEducation 
  Assessment Tools: Peripheral IV Insertion Assessment Tools and Standards Standard 
  Documentation: Peripheral Vasopressor InfusionsStandard 
  Protocol: Treatment of Extravasation of Peripheral VasopressorsProtocol 
  Protocol: Peripheral VasopressorsProtocol 
 INTRODUCERS  
  Introducer Recognition, CVC Compatibility and Obturator Caps Education
 Intubation    
  Intubation Checklist/Aerosol Generating Procedures CRITICAL CAREChecklist 
  

Refer to Acute Respiratory Infections (Including Viral/SARS-CoV2): Precautions and Lab Testing

Refer to LHSC Infection Control Manual for all other Infections

  
LLABORATORY ORDERS AND BLOOD SAMPLING TUBES  
  CCTC Care setsOne Chart Instructions 
  How to collect bacterial swabs for MRSA or Carbapenemase Producing Enterobacteriaceae (CPET) Procedure 
  How to collect Viral RPCR or SARS-CoV2 samplesProcedure 
  Link to BD Vacutainer Tube Selection GuideEducation 
 LARYNGECTOMY  
  Laryngectomy SignageCommunication Tool 
 LIDOCAINE  
  Lidocaine InfusionEducation 
  Medical Directive: Procedure for Administration of LidocaineMedical Directives 
 LUMBAR ICP  
  Procedure: Setup of Lumbar CSF/ICP Monitoring and DrainageProcedure 
MMASSIVE TRANSFUSION PROTOCOL  
  Checklist: Massive Hemorrhage Protocol and Guideline Kit (updated June 4, 2021)Protocol and Guideline 
  How to Order Massive Hemorrhage ProtocolOne Chart Instruction 
  Procedure:  Setup of Level 1 Rapid InfuserProcedure 
  Protocol: Massive Hemorrhage Flowchart LHSC BTL Protocol 
  Tracking Sheet: Recording Blood Products/Prompting Lab/InterventionsTool 
 MEDICAL DIRECTIVES  
  Medical Directive: Procedure for Administration of AmiodaroneMedical Directive 
  Medical Directive: Procedure for Administration of AtropineMedical Directive 
  Medical Directive: Procedure for DefibrillationMedical Directive 
  Medical Directive: Procedure for Administration of LidocaineMedical Directive 
  Medical Directive: Procedure for Administration of EpinephrineMedical Directive 
  Non-ACLS Medical Directives for RNs in Adult Critical CareMedical Directive 
 MINNESOTA/BLAKEMORE TUBE  
  Video Setting up Traction Setup (internal access only)Education 
  Checklist: Insertion of Blakemore/Minnesota TubeChecklist 
 MONITORS (PHILIPS)  
 

GENERAL

Equipment LocationProduct Instructions 
  Overview of Monitoring Hardware and ConfigurationProduct Instructions 
  Central Station and Data StorageProduct Instructions 
  Admitting, Discharging, Standby and TransferringProduct Instructions 
  Display, Navigation and Use of PROFILES AND SCREENS Product Instructions 
  PrintingProduct Instructions 
  Profiles, Screens, COMFORT MODE and Disabling Alarms Product Instructions 
 

MEASUREMENTS

Alarm Management TipsProduct Instructions 
  Disabling AlarmsProduct Instructions 
  ECG TroubleshootingEducation 
  ECG 5 Lead PlacementProcedure 
  ECG 12 Lead PlacementProcedure 
  CEEG Continuous (CEEG): Setting Up the MonitorProcedure 
  

CEEG Lead Placement: Quick Guide

Procedure 
  

CEEG Troubleshooting

Procedure 
  ICP Monitoring: Connecting to Philips MonitorProduct Instructions 
  

CPP Monitoring: Enabling CPP

Product Instructions 
  Respiratory MonitoringProduct Instructions 
  Temperature MonitoringProduct Instructions 
 MRI  
  MRI Compatible TracheostomiesEducation 
  MRI Incompatible TracheostomiesEducation 
 MRSA SWABS  
  How to Collect MRSA/ CPET or Bacterial Swabs Using New SwabsProcedure 
NNASOPHARYNGEAL AND RECTAL SWAB  
  Video: 26 Second Video Showing Correct Method of Collecting Viral Swab (NEJM)Procedure 
  How to collect Viral RPCR or SARS-CoV2 samplesProcedure 
  How to Collect MRSA, CPET Screen or Bacterial Swabs Procedure 
 NEUROLOGICAL SYSTEM  
  Cranial Nerve Assessment (CN II, III, IV and VI)Education 
  Cranial Nerve Assessment (CN VII)Education 
  Neuro Assessment TipsEducation 
  Assessment Tool: Neurological AssessmentTool 
  Neurologic System Monitoring Standard of CareStandard 
 NEUROMUSCULAR BLOCKERS  
  Standard of Care: Neuromuscular Blocking Agent UseEducation 
  Neuromuscular Blocking Drug Selection and ComparisonStandard 
 NURSING CARE  
  Standard of Care: General Nursing Standard for All PatientsStandard 
OOBSTETRICAL PATIENTS  
 

ACCESS CCTC

Guideline to Assess Critical Care Services for Obstetrical PatientsGuideline 
 

OB EMERGENCY

Guideline: Emergency Response and CODE OBGuideline 
  ACLS/Cardiac Arrest During PregnancyEducation 
  Common Obstetrical Problems OverviewEducation 
  Protocol and Guideline: Massive Transfusion Protocol and GuidelineProtocol 
 

PREGNANT

Checklist: Admission of Pregnant Patient in CCTC

Admission Guideline for Pregnant Patient in CCTC (details  for points on checklist)

Checklist

Education

 
  Checklist: Q Shift Assessment of Pregnant Patient in CCTCChecklist 
  PRONING Modifications in Pregnancy - Use of U-shaped obstetrical pillow Visual Checklist 
 

POSTPARTUM

Checklist: Admission of a Postpartum Patient to CCTCChecklist 
  Checklist: Q Shift care of the Postpartum Patient in CCTCChecklist 
 BREAST PUMPInstructions for Using Breast PumpsProcedure 
  Storage of Breast Milk for Patients in CCTCInformation 
 

NEONATAL

Neonatal Medication ChartEducation 
 

DOCUMENATION

CCTC Flowsheet for Pregnant PatientDocumentation 
  
Documentation 
 Oral Care   
  Procedure: Oral Care RoutineProcedure 
 Orders   
  How to create a rapid set of procedural orders in Power ChartEducation 
 Organ Donation   
  Link to Organ Donation Corporate Policy (Internal access)Resource 
PPAEDIATRIC PATIENTS IN ADULT CRITICAL CARE (ADOLESCENTS)  
  Guidelines for the care of Adolescents (14 to 18 years old) in Adult Critical CareGuideline 
 PAIN   
  Assessment Tool: Pain, Sedation and Delirium Tool 
  Assessment Tool: PQRST (Self-Reported Pain Tool)Tool 
  Assessment Tool: Critical Care Pain Observation Tool (CPOT) (patient unable to self-report)Tool 
 PATIENT/FAMILY EXPERIENCE  
  

Creating Word Clouds 

How to use Worditout or WordArt to make word clouds

How to Make a Word Cloud (using Wordle)

Education 
  Tips on Taking Hand PhotosEducation 
  Heart RhythmsEducation 
  NewslettersEducation 
  Family BrochureEducation 
 PERIPHERAL IV  
  Overview and tips for insertion of BD Nexiva in CCTCProduct Information 
  Assessment Tools: Peripheral IV Insertion Standards and Assessment Tools Tool 
  Documentation: Peripheral Vasopressor InfusionsStandard 
  Protocol: Treatment of Extravasation of Peripheral VasopressorsProtocol 
 PERIPHERAL VASOPRESSORS  
  Policy and Documentation Requirements for Peripheral Vasopressors and Arterial Line DeferralPolicy 
  Protocol: Treatment of Extravasation of Peripheral VasopressorsProtocol 
  Education: Use of Peripheral Vasopressors and Arterial Line DeferralEducation 
 PET THERAPY  
  Policy: Refer to LHSC Policy Manual for "Therapy Dog Program" (visit by therapy dog)Policy 
 PROCEDURAL SAFETY  
  Checklist: Procedural Safety Pause (self and team assessment)Checklist 
 PRONE POSITIONING  
 

CHECKLISTS

Checklist: Preparation, Proning and SupinationChecklist 
  PRONING Modifications in Pregnancy - Use of U-shaped obstetrical pillow Visual Checklist 
  Checklist: ProningChecklist 
  Checklist: SupinationChecklist 
 

PROCEDURES

Procedure: Turning a Patient ProneProcedure 
  Procedure: Turning a Patient SupineProcedure 
 PULMONARY ARTERY CATHETER  
  Overview, Insertion, Management and Waveform InformationEducation/Procedure 
  Set-up for PA and CVP (using blue and yellow double transducer kit)Procedure image 
  Standard of Care: Pulmonary Artery Catheter Monitoring Standard 
  Procedure: Removal Pulmonary Artery CatheterProcedure 
  Procedure: Withdrawal of a Pulmonary Artery Catheter from a Wedged or RV PlacementProcedure 
RREMOVAL OF VASCULAR DEVICES  
  Procedure: Removal Central Venous Catheters (jugular, subclavian or femoral)Procedure 
  Procedure: Removal Femoral Arterial LinesProcedure 
  Procedure; Removal Peripheral Arterial LinesProcedure 
  Procedure: Removal Pulmonary Artery CatheterProcedure 
 RESPIRATORY SYSTEM  
  Standard of Care: Respiratory System Monitoring Standard 
  Caring for Individuals on Long Term Mechanical Ventilation: West Park Long Term Ventilation Centre of ExcellenceRescource 
 RESTRAINTS  
  Standard of Care: Restraint Use Standard 
SSAFETY  
  Patient, Visitor and Health Care Worker SafetyResources 
  Procedural Safety PauseChecklist 
 

Safety Bundles

Arterial and Central Venous Line Insertion BundleStandard 
  Arterial and Central Venous Line Maintenance BundleStandard 
  Arterial and Central Venous Line Dressing Change BundleStandard 
  Catheter Associated Urinary Tract Infection (CAUTI)Standard 
  Checklist/Procedural Reocord: Insertion of Arterial or Central Venous LineStandard 
  Falls and Treatment Interference Risk ReductionStandard 
  Ventilator Associated Pneumonia Prevention BundleStandard 
 SEDATION  
  Sedation Weaning Assessment Protocol (SWAP)Protocol 
  Guideline: Sedation and Analgesia in CCTC (Analgogesia)Guideline 
  Assessment Tool: Pain, Sedation and Delirium Tool 
  Assessment Tool: Agitation/Sedation (Ventilator Adjusted Motor Activity Assessment Scale -VAMAAS)Tool 
 SPONTANEOUS BREATHING TRIAL (SBT)  
  Spontaneous Breathing Trial ProtocolProtocol 
 SUBGLOTTIC SECRETION DRAINAGE TUBE  
  Subglottic Secretion Drainage Tube (SSD)Education 
TTARGETED TEMPERATURE MANAGEMENT  
  

Protocol and Checklist:  Targeted Temperature Management HYPOthermia

Protocol and Checklist: Targeted Temperature Management NORMOthermia

Protocol

Protocol

 
 TELEPHONES IN CCTC (PATIENT ROOMS) 
  

How to Use the IN-ROOM Telephones in Negative Pressure Rooms and Bay 1 and 3

Telephone Extensions for Portable Patient Phones

Education

Education

 
 THERAPY DOG PROGRAM  
  Policy: Refer to LHSC Policy Manual for "Therapy Dog Program" (visit by therapy dog)Policy 
  Policy: Refer to LHSC Policy Manual for "Pet Visitation" (visit by patient's own Pet)Policy 
 TOTAL PARENTERAL NUTRITION  
  Total Parenteral Nutrition Dose Calculator (requires MS Excel TM)Tool 
 TRACHEOSTOMY  
  Tracheostomy SignageCommunication Tool 
 TRANSFERS  
  Decision-Tree: Transfer to Medicine ProcessProcess Map 
  How to discontinue critical care orders at transferEducation 
UURINARY SYSTEM  
  Safety Bundle: Prevention of Catheter Associated Urinary Tract Infection (CAUTI)Standard 
VVAP   
  Procedure: Oral Care RoutineProcedure 
  Safety Bundle: Ventilator Associated Pneumonia (VAP) Prevention Standard 
  Subglottic Secretion Drainage Tube (SSD)Education 
 VENTILATION (MECHANICAL)   
  Caring for Individuals on Long Term Mechanical Ventilation: West Park Long Term Ventilation Centre of ExcellenceResource 
  Resources Hamilton G5 VentilatorResource 
 VIRAL SWABSHow to collect Viral RPCR or SARS-CoV2 samplesProcedure 
  Video (25 seconds): Correct Method of Collecting Viral Swab (NEJM)Education 
WWOUND CARE  
  Wound Care ResourcesResource 
  V.A.C. Ulta (Overview of Changes)Education 

 


 

Last Updated: 
March 11, 2024

Brenda Morgan, CNS, CCTC