CCTC Clinical Practice Index

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

XYZ

CRITICAL CARE COVID RESOURCES

 

A

ABDOMINAL COMPARTMENT SYNDROME

 
   

Procedure: Abdominal Compartment Syndrome Monitoring

Procedure

    Checklist: Abdominal Compartment Syndrome Monitoring Checklist
  ACUTE PAIN SERVICES  
    Acute Pain LHSC Website (internal) Resource
    CADD Epidural Instruction Card Education
    PCA Quick Review Instruction Card Education
  AEROSOL GENERATING PROCEDURES  
   

Guideline: Aerosol Generating Medical Procedure CRITICAL CARE

Guideline

    Table of Precautions During AGMP IN CRITICAL CARE Standard
    Link to Intubation Video Procedure
  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 Signage Communication Tool
   

Tracheostomy Signage

Communication Tool

  AMIODARONE  
    Medical Directive: Procedure for Administration of Amiodarone Medical Directive
  AMINOGLYCOCIDES  
    Procedure: Drawing Aminoglycocide Levels Procedure
  ANAESTHETIC GASES  
    Policy: Administration of Anaesthetic Gases in Critical Care RRT Policy Manual
  ANALGESIA AND SEDATION  
    Guideline: Analgesia and Sedation in Critical Care (Analgogesia) Guideline
  ARDS  
    Guideline: Management of ARDS Guideline
  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 Education Education
    Standard of Care: Arterial Line Monitoring Standard
    Maintenance Bundle: Arterial Lines Standard
   

Procedure: Arterial Lines: Insertion, Maintenance and Dressing Changes

Procedure

    Procedure: Removal Femoral Arterial Lines Procedure
    Procedure: Removal Peripheral Arterial Lines Procedure
  ATROPINE  
    Medical Directive: Procedure for Administration of Atropine Medical Directive

B

BEDS  
   

Compella Beds Tip Sheet A

Compella Bed Tip Sheet B

Education

Education

  BEDSIDE ASSESSMENT TOOLS  
    Neuro Assessment Tips Education
    Assessment Tool: Neurological Assessment Tool
    Assessment Tool: Agitation using VAMAAS Tool
    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 Monitoring

Procedure

    Checklist: Abdominal Compartment Syndrome Monitoring Checklist
  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 Sepsis Education
    Protocol: Blood Culture Collection in CCTC Protocol
    FAQs for blood culture sampling Education
    Procedure: Drawing Blood Cultures  Procedure
  BLOOD DRAWING  
   

Procedure: Blood Gas Sampling

Procedure

    Procedure: Blood Sampling from Indwelling Lines Procedure
  BLOOD GASES  
    Procedure: Blood Gas Sampling Procedure
   

About Venous Blood Gas Sampling

Education

  BRADEN SCREENING  
    Pressure Injury Risk Assessment Screening (Braden): How to enter in Power Chart Education
  BRONCHOSCOPY  
    Flexible Bronchoscope: Information and Guidelines for Use in Adult Critical Care Procedure/Guideline
   

List of Frequently Ordered Bronchoscopy Tests

Education

C

CALCULATING IV INFUSION RATE  
    How to calculate IV rates without an infusion pump using drop rate Procedure
  CARBAPENEMASE PRODUCING ENTEROBACTERIACEAE SCREEN (CPE)  
   

How to Collect MRSA or Carbapenemase Produce Enterobacteriaceae Screen (CPET)

Procedure
  CARDIOVASCULAR  
    Standards of Care: Cardiovascular Monitoring  Standard
  CARDIAC OUTPUT  
    Procedure: Measurement of Cardiac Output Procedure
  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 Caps Education
 

MAINTENANCE

Standard of Care: Central Venous Catheter Monitoring Standard
    Maintenance Safety Bundle: Central Venous Lines Standard
    Dressing Safety Bundle: Central Line Dressing Change Standard
    Procedure: Central Venous and Arterial Dressing Change Procedure
    3M Sutureless Securement Dressing Instructions Education
 

REMOVAL

Procedure: Removal Central Venous Line  Procedure
 

CONTINUOUS EEG (CEEG)

 

    Procedure: Continuous EEG Setup  Procedure
  CHEST TUBES  
    Checklist: Removal of Chest Tube Checklist
    Procedure: Insertion, Maintenance and Removal of Chest Tubes LHSC Nursing Procedure
    Standard of Care: Chest Drainage Standard
  CLOSTRIDIUM DIFFICILE  
    Interpretation of Results for Clostridium Difficile Report (LHSC only) Education
    Procedure: Colonic Irrigation Through Diverting Ileostomy Protocol Procedure
  CODE STEMI

 

    Checklist: Code STEMI Checklist Checklist
  CODE Stroke

 

 

 

Resource Link: Protocol, posters and t-PA dosing information Education
  CONTINUOUS LATERAL ROTATION  
 

 

Standard of Care: Continuous Lateral Rotation  Standard
   

Procedure: Initiation of Continuous Lateral Rotation

Procedure
  CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT)  
  CRRT ORDERS

Ordering Guideline for CRRT in CCTC

Guideline

    Guideline Decision-Tree for Filter Anticoagulation Guideline
   

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

Ordering CRRT No AC (smaller slides)

 
   

Power Chart Instructions: Ordering Filter Heparin Prescription (full slide view)

Ordering CRRT Heparin (smaller slides)

One 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 Orders One Chart Instructions
    Protocols for Titration: Potassium, Heparin, Citrate and Calcium Protocol
 

PROCEDURES

Procedure: Accessing Dialysis Line and Initiation of Therapy

Checklist: Accessing a Dialysis Catheter

Procedure
 

 

Procedure: Ending CRRT Treatment/Blocking Dialysis Catheter

Checklist: Ending CRRT Treatment/Blocking Dialysis Catheter

Procedure

    Blood Leak Detector Alarm: Lab Assessment Procedure
    Potassium Calculation Table Procedure
    Four Way Stopcock and Rescue Line  Images
    Fluid Monitoring: How to find my 0700 and 1900 fluid balance (PrismaFlex)?  Procedure
 

CHECKLISTS

Checklist for Accessing a Dialysis Catheter Procedure
 

 

Checklist for Deaccessing a Dialysis Catheter Procedure
 

INFORMATION

Antibiotic dosing adjustments and CRRT Education
    Citrate Anticoagulation: Principles of Citrate Anticoagulation Education
  COVID-19 RESOURCES FOR ADULT CRITICAL CARE  
  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
 

PRECAUTIONS

Table of Precautions During AGMP IN CRITICAL CARE Standard
    Guideline: Aerosol Generating Medical Procedure CRITICAL CARE Guideline
    Donning/Doffing Checklist  Checklist
    Donning/Doffing Checklist for PROTECTED PPE  Checklist
    CODE Blue in CRITICAL CARE Standard
    Extubation (including Heliox) Procedure
 

VIDEO LINKS

Video COVID-19 Intubation (ED VH) Education
    Video (25 seconds): Correct Method of Collecting Viral Swab (NEJM) Education
    Video: Donning PPE Education
    Video: Doffing PPE Education
    COVID-19 Critical Care Education Presentation Videos - You Tube Links Education
 

LAB ORDERS

How to Order COVID-19 Tests and Locate Results One Chart Instructions
    How to identify correct collection tubes and obtain bacterial swabs for MRSA or Carbapenemase Producing Enterobacteriaceae (CPET)  Procedure
 

TELEPHONES 

How to Use the IN-ROOM Telephones in Negative Pressure Rooms and Bay 3-5 Education
    Telephone Extensions for Portable Patient Phones Education
 

OTHER

How to calculate IV rates without  infusion pump (drop rate) Education

D

DEFIBRILLATION  
   

Medical Directive: Procedure for Defibrillation

Medical Directive

  DELIRIUM  
    Delirium Resources Clinical Resources Site
    Assessment Tool: Pain, Sedation and Delirium  Tool
    Assessment Tool:  Intensive Care Delirium Screening Checklist Tool
   

Assessment Tool: Confusion Assessment Method ICU (CAM ICU)

Tool

  DISCHARGE OR TRANSFER  
    Checklist: Discharge to Home, Power Chart Order Checklist
    Checklist: Discharge from CCTC to Home Checklist
    PreAssessment: Discharge from CCTC to Home Checklist
    Decision-Tree: Transfer to Medicine Process Process Map
   

How to discontinue critical care orders at transfer

One Chart Instructions

  DOCUMENTATION
 
 
    How to create a rapid set of procedural orders in Power Chart One 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 Record Standards
   

Policy: Administration of Peripheral Vasopressors 

Policy

E

ECG MONITORING  
    Standard of Care: ECG Monitoring Standard of Care Standard
  EPINEPHRINE  
    Medical Directive: Procedure for Administration of Epinephrine Medical Directive
  END-OF-LIFE CARE  
    Checklist: Quality End-of-Life Care Checklist
 

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 Supplements Education
  EXTRAVASTION   
   

Protocol: Treatment of Extravasation of Peripheral Vasopressors

Protocol

F

FALLS/TREATMENT INTERFERENCE  
    Safety Bundle: Critical Care Falls and Treatment Interference Risk Reduction Standard
    Falls Risk Screening (Morse): How to enter in Power Chart Education
  FECAL MANAGEMENT  
 

FLEXISEAL

Poster: Insertion and Management Flexiseal Protect Product Information
    Full Educational Video on the Insertion and Management of Flexiseal Protect Procedure
 

VIDEO

Brief Overview Flexiseal Protect Product Information
    Balloon Inflation and Indicator Buttons Flexiseal Protect Product Information
   

Balloon Insertion Pocket Flexiseal Protect 

Product Information

  FLOATING CCTC/MSICU  
    MSICU/CSRU Routines and Floating Guidelines for CCTC Nurses Floating to UH Guideline
    Map of UH and MSICU/CRSU Education
    CCTC Routines and Floating Guidelines for MSICU/CSRU Nurses Floating to VH Guideline
   

Map of VH and CCTC

Education

  FLUID BALANCE  
    Standard of Care: Fluid Balance Monitoring  Standard

G

   

H

HEAD OF BED  
    Guideline Decision Tree:  Head of Bed Positioning Guideline
  HAEMODYNAMIC MONITORING  
    Procedure: Setting Up Hemodynamic Monitoring Circuit Procedure
    Standard of Care: ECG Monitoring  Standard
    Standard of Care: Arterial Line Monitoring Standard
    Standard of Care: Central Venous Line Monitoring Standard

 

 

Standard

  HIGH FLOW OXYGEN  
    Policy: High Flow Oxygen Therapy RRT Policy
  HYPOTHERMIA (TARGETED TEMPERATURE MANAGEMENT)  
    Protocol and Checklist:  Hypothermia Induction, Maintenance and Withdrawal (Targeted Temperature Management)  Protocol

I

INTRA-ABDOMINAL PRESSURE MONITORING  
    Procedure: Abdominal Compartment Syndrome Monitoring Procedure
       
   

Checklist: Abdominal Compartment Syndrome Monitoring

Checklist

  INTUBATION   
    Intubation Checklist/Aerosol Generating Procedures CRITICAL CARE Guideline
    Table of Precautions During AGMP IN CRITICAL CARE Guideline
   

Link to Intubation Video

Procedure

  INFECTION CONTROL  
    Infection Control Supply Cart Procedure
    Intubation Checklist/Aerosol Generating Procedures CRITICAL CARE Education
    Video: (26 Seconds) Correct Method  for Collecting Viral Swab (NEJM) Education
 

LAB ORDERS

How to Order COVID-19 Tests and Locate Results: UPDATE FOR INFLUENZA SEASON 2020-2021 One Chart Instruction
    How to identify correct collection tubes and obtain bacterial swabs for MRSA or Carbapenemase Producing Enterobacteriaceae (CPET)  Procedure
  INFUSION RATE CALCULATION   
    How to calculate IV rates without an infusion pump using drop rate Procedure
  INSULIN  
    Protocol: Insulin Titration Protocol Protocol
  INTRACRANIAL PRESSURE MONITORING (ICP)  
 

CHECKLISTS

Checklist: Selection of ICP Catheter and Monitoring Equipment Checklist
    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 ICP Checklist
 

PROCEDURES

Procedure: Insertion and Setup of Codman EDS 3TM External Ventricular Drainage Unit Procedure
    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 3TM Procedure
    Procedure: Lumbar ICP Monitoring Procedure
 

PATIENT CARE

Troubleshooting ICP Monitoring Systems Education
    Care of the Patient with Raised ICP Education
   

Standard of Care: Intracranial Pressure Monitoring 

 

 

Standard

 

CODMAN INFO

Codman Express Product Information Product Information
    MRI Compatibility and Codman Microsensor Product Information Product Information
  INTRAVASCULAR DEVICE (PERIPHERAL)  
    Overview and tips for insertion of BD Nexiva in CCTC Education
    Assessment Tools: Peripheral IV Insertion Assessment Tools and Standards  Standard
    Documentation: Peripheral Vasopressor Infusions Standard
    Protocol: Treatment of Extravasation of Peripheral Vasopressors Protocol
   

Protocol: Peripheral Vasopressors

Protocol

  INTRODUCERS  
   

Introducer Recognition, CVC Compatibility and Obturator Caps

Education

L

LABORATORY ORDERS  
    CCTC Care sets One Chart Instructions
  LARYNGECTOMY  
    Laryngectomy Signage Communication Tool
  LIDOCAINE  
    Lidocaine Infusion Education
   

 Medical Directive: Procedure for Administration of Lidocaine

Medical Directives

  LUMBAR ICP  
   

Procedure: Setup of Lumbar CSF/ICP Monitoring and Drainage

Procedure

M

MASSIVE TRANSFUSION PROTOCOL  
    Checklist: Massive Hemorrhage Protocol and Guideline Kit (updated June 4, 2021) Protocol and Guideline
    How to Order Massive Hemorrhage Protocol One Chart Instruction
    Procedure:  Setup of Level 1 Rapid Infuser Procedure
    Protocol: Massive Hemorrhage Flowchart  LHSC BTL Protocol
    Tracking Sheet: Recording Blood Products/Prompting Lab/Interventions Tool
  MEDICAL DIRECTIVES  
    Medical Directive: Procedure for Administration of Amiodarone Medical Directive
    Medical Directive: Procedure for Administration of Atropine Medical Directive
    Medical Directive: Procedure for Defibrillation Medical Directive
    Medical Directive: Procedure for Administration of Lidocaine Medical Directive
    Medical Directive: Procedure for Administration of Epinephrine Medical Directive
   

Non-ACLS Medical Directives for RNs in Adult Critical Care

Medical Directive

  MINNESOTA/BLAKEMORE TUBE  
    Video Setting up Traction Setup (internal access only) Education
   

Checklist: Insertion of Blakemore/Minnesota Tube

Checklist

  MONITORS (PHILIPS)  
 

GENERAL

Equipment Location Product Instructions
    Overview of Monitoring Hardware and Configuration Product Instructions
    Central Station and Data Storage Product Instructions
    Admitting, Discharging, Standby and Transferring Product Instructions
    Display, Navigation and Use of PROFILES AND SCREENS  Product Instructions
    Printing Product Instructions
    Profiles, Screens, COMFORT MODE and Disabling Alarms  Product Instructions
 

MEASUREMENTS

Alarm Management Tips Product Instructions
    Disabling Alarms Product Instructions
    ECG Troubleshooting Education
    ECG 5 Lead Placement Procedure
    ECG 12 Lead Placement Procedure
    CEEG Continuous (CEEG): Setting Up the Monitor Procedure
   

CEEG Lead Placement: Quick Guide

Procedure
   

CEEG Troubleshooting

Procedure
    ICP Monitoring: Connecting to Philips Monitor Product Instructions
   

CPP Monitoring: Enabling CPP

Product Instructions
    Respiratory Monitoring Product Instructions
   

Temperature Monitoring

Product Instructions

  MRI  
    MRI Compatible Tracheostomies Education
   

MRI Incompatible Tracheostomies

Education

  MRSA SWABS  
   

How to Collect MRSA/ CPET or Bacterial Swabs Using New Swabs

Procedure

N

NASOPHARYNGEAL SWAB  
    Video: 26 Second Video Showing Correct Method of Collecting Viral Swab (NEJM) Procedure
    How to Order COVID-19 Samples for Critical Care Patient  One Chart Instructions
    How to Collect Specimen for COVID-19 Procedure
   

How to Collect MRSA, CPET Screen or Bacterial Swabs Using New Swabs

Procedure

  NEUROLOGICAL SYSTEM  
    Neuro Assessment Tips Education
    Assessment Tool: Neurological Assessment Tool
    Neurologic System Monitoring Standard of Care Standard
  NEUROMUSCULAR BLOCKERS  
    Standard of Care: Neuromuscular Blocking Agent Use Education
   

Neuromuscular Blocking Drug Selection and Comparison

Standard

  NURSING CARE  
    Standard of Care: General Nursing Standard for All Patients Standard

O

OBSTETRICAL PATIENTS  
 

ACCESS CCTC

Guideline to Assess Critical Care Services for Obstetrical Patients Guideline
 

OB EMERGENCY

Guideline: Emergency Response and CODE OB Guideline
    ACLS/Cardiac Arrest During Pregnancy Education
    Common Obstetrical Problems Overview Education
    Protocol and Guideline: Massive Transfusion Protocol and Guideline Protocol
 

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 CCTC Checklist
 

POSTPARTUM

Checklist: Admission of a Postpartum Patient to CCTC Checklist
    Checklist: Q Shift care of the Postpartum Patient in CCTC Checklist
 

NEONATAL

Neonatal Medication Chart Education
 

DOCUMENATION

CCTC Flowsheet for Pregnant Patient Documentation
   

Documentation

  Oral Care    
    Procedure: Oral Care Routine Procedure
  Orders    
    How to create a rapid set of procedural orders in Power Chart Education
  Organ Donation    
    Link to Organ Donation Corporate Policy (Internal access) Resource

P

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 Photos Education
    Heart Rhythms Education
    Newsletters Education
    Family Brochure Education
  PERIPHERAL IV  
    Overview and tips for insertion of BD Nexiva in CCTC Product Information
    Assessment Tools: Peripheral IV Insertion Assessement Tools and Standards  Tool
    Documentation: Peripheral Vasopressor Infusions Standard
    Protocol: Treatment of Extravasation of Peripheral Vasopressors Protocol
   

Protocol: Peripheral Vasopressors

Protocol

  PERIPHERAL VASOPRESSORS  
    Documentation: Peripheral Vasopressor Infusions Standard
    Protocol: Treatment of Extravasation of Peripheral Vasopressors Protocol
    Protocol: Peripheral Vasopressors Protocol
    Education: Use of Peripheral Vasopressors and Arterial Line Deferral Education
  PET THERAPY  
    Policy: Refer to LHSC Policy Manual for "Therapy Dog Program" (visit by therapy dog) Policy
    Guideline: For Therapy Dog Visitation in CCTC Guideline
    Consent: For Visit by Therapy Dog Consent 
    Consent: Decline Therapy Dog Visits Consent
   

Tracking Sheet: Therapy Dog Visits

Tool

  PROCEDURAL SAFETY  
    Checklist: Procedural Safety Pause (self and team assessment) Checklist
  PRONE POSITIONING  
 

CHECKLISTS

Checklist: Preparation, Proning and Supination Checklist
    Checklist: Proning Checklist
    Checklist: Supination Checklist
 

PROCEDURES

Procedure: Turning a Patient Prone Procedure
    Procedure: Turning a Patient Supine Procedure
  PULMONARY ARTERY CATHETER  
    Overview, Insertion, Management and Waveform Information Education/Procedure
    New Set-up for PA and CVP (2 transducer no bridge) Procedure
    Standard of Care: Pulmonary Artery Catheter Monitoring  Standard
    Checklist: Insertion of a Pulmonary Artery Catheter Checklist
    Checklist: Measurement of Cardiac Output Checklist
   

Procedure: Removal Pulmonary Artery Catheter

Procedure

    Procedure: Withdrawal of a Pulmonary Artery Catheter from a Wedged or RV Placement Procedure

R

REMOVAL OF VASCULAR DEVICES  
    Procedure: Removal Central Venous Catheters (jugular, subclavian or femoral) Procedure
    Procedure: Removal Femoral Arterial Lines Procedure
    Procedure; Removal Peripheral Arterial Lines Procedure
    Procedure: Removal Pulmonary Artery Catheter Procedure
  RESPIRATORY SYSTEM  
    Standard of Care: Respiratory System Monitoring  Standard
  RESTRAINTS  
    Standard of Care: Restraint Use  Standard

S

SAFETY  
    Patient, Visitor and Health Care Worker Safety Resources
    Procedural Safety Pause Checklist
 

Safety Bundles

Arterial and Central Venous Line Insertion Bundle Standard
    Arterial and Central Venous Line Maintenance Bundle Standard
    Arterial and Central Venous Line Dressing Change Bundle Standard
    Catheter Associated Urinary Tract Infection (CAUTI) Standard
    Checklist/Procedural Reocord: Insertion of Arterial or Central Venous Line Standard
    Falls and Treatment Interference Risk Reduction Standard
   

Ventilator Associated Pneumonia Prevention Bundle

Standard
  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 Protocol Protocol
  SUBGLOTTIC SECRETION DRAINAGE TUBE  
    Subglottic Secretion Drainage Tube (SSD) Education

T

TELEPHONES IN CCTC (PATIENT ROOMS)  
   

How to Use the IN-ROOM Telephones: Negative Pressure and all other rooms

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
    Guideline: For Therapy Dog Visitation in CCTC Guideline
    Consent: For Visit by Therapy Dog Consent
    Consent: Decline Therapy Dog Visits Consent
   

Tracking Sheet: Therapy Dog Visits

Tool

  TOTAL PARENTERAL NUTRITION  
    Total Parenteral Nutrition Dose Calculator (requires MS Excel TM) Tool
  TRACHEOSTOMY  
    Tracheostomy Signage Communication Tool
  TRANSFERS  
    Decision-Tree: Transfer to Medicine Process Process Map
   

How to discontinue critical care orders at transfer

Education

U

URINARY SYSTEM  
    Safety Bundle: Prevention of Catheter Associated Urinary Tract Infection (CAUTI) Standard

V

VAP   
    Procedure: Oral Care Routine Procedure
    Safety Bundle: Ventilator Associated Pneumonia (VAP) Prevention  Standard
    Subglottic Secretion Drainage Tube (SSD) Education

W

WOUND CARE  
    Wound Care Resources Resource
   

V.A.C. Ulta (Overview of Changes)

Education

 

Last update:  June 9, 2021

Last revised: April 26, 2021

Brenda Morgan, CNS, CCTC