Critical Care Trauma Centre

What's New or Frequent


Air Venting

Air venting of IV lines for patients with intracardiac shunt

Anaesthetic Gases

Policy for Administration in Critical Care

Analgesia and Sedation

Analgesia and Sedation Protocol (Analgogesia)


ARDS Management Decision Tree

Arterial Lines

Central Venous or Arterial Line Insertion Checklist

Arterial Line Insertion Bundle

Arterial Line Maintenance Bundle

Arterial Line Dressing Change Bundle

Deferral of Arterial Line Placement During Vasopressor Use

Bedside Assessment Tools

Link to tools and laminated bedside assessment cards

Blood Cultures

Blood Culture Decision Tree

FAQs for blood culture sampling

Administration of Antimicrobials in Sepsis

Procedure for ordering cultures in Power Chart

Braden Screening

Pressure Injury Risk Assessment (Braden): How to enter in Power Chart


List of Frequently Ordered Tests

Catheter Associated Urinary Tract Infection (CAUTI):

CAUTI Prevention Bundle (maintenance)

Central Venous Lines

Central Venous or Arterial Line Insertion Checklist

Central Line Insertion Bundle

Central Line Maintenance Bundle

Central Line Dressing Change Bundle

Central Line Dressing Trial Instructions

CEEG: Continuous EEG

CEEG Setup 

Chest Drainage

Standards for Chest Drainage

Clostridium Difficile

Interpretation of Results (Scroll to page 3 for flow chart on interpretation of lab results)



CODE Stroke

Protocol, posters and t-PA dosing



Antibiotic Adjustment Guidelines for CRRT

Citrate Anticoagulation Protocol: Principles for Use

Titration Protocols: Potassium, Heparin, Citrate and Calcium 

Ordering Guidelines for CRRT in CCTCOrdering Guidelines for CRRT in CCTC

Orders for CCRT: Decision Tree for Selecting Filter Anticoagulation

Orders for CRRT: How to Enter Orders in Power Chart

Orders for CRRT: Sequence for Signing Orders in Power Chart

Cytotoxic Safety Management

Link to LHSC Cytotoxic Procedure

Datex Monitors:

New modes for Datex Monitors


Delirium Resource Centre


Create Order: How to Create a Rapid Order Set in Power Chart for Procedural Medications

See Standards: Documentation

Discharge or Transfer from CCTC

Nursing Checklist for discharge to home

Assessment Information

Medicine Transfer Process

How to discontinue critical care orders at transfer

End of Life Care

Checklist (to promote quality EOL care)

Enteral Feeding Protocol for Patients Going to the Operating Room

Protocol for When to Withholding or Continue Enteral Feeds

Extravasation Protocol

Extravasation Protocol Peripheral Vasopressors

Falls and Treatment Interference Risk Reduction

Critical Care Falls and Treatment Interference Risk Reduction

Falls Risk Screening (Morse): How to enter in Power Chart

Floating Between CCTC and MSICU

MSICU/CSRU Routines and Floating Guidelines for CCTC Nurses Floating to UH

Map of UH and MSICU/CRSU

CCTC Routines and Floating Guidelines for MSICU/CSRU Nurses Floating to VH

Map of VH and CCTC


Quick tips on monitoring and documentation

High Flow Oxygen Therapy

Link to policy

High Frequency Oscillation Ventilation (HFOV)

Nursing Tip Sheet for Patients on HFOV


Hypothermia Procedural and Checklist


Link to LHSC ILearn for Employees

Infection Control Supplies

Infection Control Cart

Intracranial Pressure Monitoring

Insertion of an ICP line: Quick Steps

Infection Control and Prevention website for LHSC/SJHC

Intravenous insertion (peripheral)

Overview and tips for insertion of BD Nexiva in CCTC

Lab Care Sets: CCTC

CCTC Care sets

Lidocaine infusion for pain

Lidocaine Infusion

Massive Transfusion Protocol

Massive Transfusion Protocol Kit

Massive Transfusion Protocol

Massive Transfusion Protocol Ordering Guidelines

Tracking Sheet for Recording Blood Products/Prompting Lab/Interventions

Medical Directives

Non-ACLS Medical Directives for RNs in Adult Critical Care


Compatible tracheostomies

Incompatible tracheostomies

Neuro Muscular Blocking Agents

Drug selection and drug comparison

Obstetrical Patient in CCTC:

Link to Resources

Organ Donation Policy

Link to Corporate Policy (Internal access)

Patient and Family Experience (PAFE) Committee

How to Make a Word Cloud (using Wordle)


Family Brochure

Peripheral IV Initiation

Peripheral IV 

Peripheral IV Insertion Standard and Assessment Scales

Peripheral Vasopressor Policy

Peripheral Vasopressors Infusion Documentation

Extravasation Protocol Peripheral Vasopressors

Philips Monitors




Policy of the Month

Link to Policy of the Month reviews

Pressure Injury Risk Reduction Screening

Pressure Injury Risk Assessment (Braden): How to enter in Power Chart

Procedural Safety Pause:

Procedural Safety Pause (self and team assessment)

Prone Positioning (Updated January 11, 2018):

Pulmonary Artery Catheter:

New Set-up for PA and CVP (2 transducer no bridge)

Quick Checklist for Insertion

Quick Checklist for Measurement of Cardiac Outuput


Patient, Visitor and Health Care Worker Safety

Procedural Safety Pause

Safety Bundles (blood stream infection and ventilator associated pneumonia reduction)


Sedation and Analgesia Protocol (Analgogesia)

Sedation Weaning Assessment Protocol (SWAP)

Urinary Tract infections: C atheter Associated Urinary Tract Infection (CAUTI):

CAUTI Prevention Bundle (maintenance)

VAP Reduction Bundle Refresher:

VAP Prevention Bundle

Sedation Charting Standard

Oral Care Routine



Last update: January 19, 2019