Cardiac Surgical Skills Training Module/Phase 1: Theoretical Knowledge/Safe Patient Hand-off - Transfer of care to ICU

▼This Cardiac Surgical Skills Training Module is part of Global Surgical Training Challenge. This page is a work in progress.Leave your comments on the talk page. This page is not open edit.

All Team members should have basic Knowledge of ICU care and procedure preformed

• Room has monitor & cables (unless OR monitor used once arrives)
• Suction set up with Y or separate for Chest tube atrium and oral/ ET suction if needed.
• Bag and mask at bedside with oxygen supply (unless hospital provides with patient from OR)
• Code sheet with patients weight for emergency medication  (attached is sample sheet that can be copied and calculated
• Team communication prior to arrival regarding handoff and expectations
• Upon patient arrival – Bedside RN gives permission to the team for handoff to begin (team starts when nurse focused and ready for report). See below^[1][2]
• Vital Signs (Q 15 min for first 30 mins, Q 30 mins first hour and Q hour moving forward, chest x-ray and labs should be obtained.
• Monitor Chest tube output Q 30 min first 2 hours then Q hour.

Detailed report given

• Anesthesia,
• Surgeon
• OR Nurse

MD stating expectations

• Vital sign parameters
• Potential complication

• Chest Tube output parameters
• Any other patient specific factors related to care

Bedside RN

• Repeats back expectations
• Clarifies any questions about safe care