Tip Sheets
Defect specific (ex.TOF, VSD, HLHS), Phases of care, organized by systems
What is the CV post operative pathways
Always placed on crib, warmer, bedrail
saturation parameter
shunt size
emergency protocol
What is BT shunt bedisde tool
indicates right ventricle compliance, volume in ventricle during systole, most commonly associated with volume status
What is preload
continuous noninvasive regional oxygen saturation in brain and somatic tissue
what is Near infrared spectrometry (NIRS)
OR to CICU handoff
What is bypass time, cross clamp time, oxygen/ ventilation status, radiologic studies, arrythmias, bleeding, repair done, findings expected vs unexpected, GTTS,
Details supplies, medications and equipment for complete post operative rooms
Ques RN to verify drug dosing weight, order sets complete, open applicable assessment cascades, etc.
What is the room set up for post operative patients/tip sheet for preparing for post op patient
risks
interventions for a "crisis" event
ETT suctioning protocol
What is the PAH precaution bedside sign
intrinsic ability of heart to contract independent of preload and afterload
What is contractility
atria contracts against closed tricuspid valve
What is cannon A wave
LCOS
what is low cardiac output syndrome
medications due time, labs due, hourly I and O, all in one place
What is a shift note or brain
pacemaker mode, pacemaker set rate, wire location
What is correct pacemaker charting for a paced patient
force ventricle must pump against to eject blood
What is afterload
waveform indicates mitral valve function, reflects LVEDP
What is LAP
Signs of LCOS
What are elevated lactate, drop in NIRS, tachycardiac, poor perfusion, poor urine output, liver congestion, elevated RA PAP
"Status at a glance", important information on patient from admit to discharge in one place
What is the KARDEX :)
must be on, to alert for ECG changes
What is arrhythmia alarm
HR and Stroke volume
What is cardiac output
reflects PVR, usually 1/4 to 1/3 systemic BP
What is PAP
Most important way to prevent infection in your patient
What is handwashing
40,40,40 rule, SVR/PVR, oxygen delivery, and super important Know this!!!!!
What is ABG tips for single ventricle care, cyanotic defects
verifying VS, tubes, lines, I and O, medications, and all documented pt info
What is accurate epic documentation
improves arterial blood oxygenation, when judicious use of oxygen is warranted
What is PRBC administration
Identifying subtle changes in pt status and implementing interventions prior to pt deterioration through knowledge of all invasive, non-invasive, labs, VS and assessment skills.
What is the importance of trends, trends and trends!!!!
cefepime vancomycin / vanco trough
What are ordered antibiotics for an open chest and before every dose