csho
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csho [2022/06/15 13:17] mdanley created |
csho [2022/06/15 13:30] (current) mdanley |
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| ===== Cardiac Surgery Hand Off Script ===== | ===== Cardiac Surgery Hand Off Script ===== | ||
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| + | **Anesthesia Provider:** "Is every ready for hand off?" | ||
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| + | **Primary Nurse and ICU Staff:** "Yes" | ||
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| + | **All:** Silence | ||
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| + | [Mr./Mrs.] __[Name]__ is a __[Age]__ year old [male/female] who underwent a __[Surgery]__ with Dr. __[Name]__ today. Presenting symptoms include __[Symptoms]__. [His/Her] past medical history of significant for __[PMH]__. | ||
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| + | Induction was [**uneventful**/eventful due to __[Reasons]__]. | ||
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| + | Intubation was [**easy**/moderate/difficult]. We used __[Blade/Glidescope/Bougie]__ to intubate. | ||
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| + | Vascular access includes __[Art/CVC/PAC/PIV]__ and was [**uncomplicated**/complicated by __[Reasons]__] | ||
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| + | Pre-bypass period was [**uncomplicated**/complicated by __[Reasons]__]. | ||
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| + | Separation from bypass required [**inotropic support**/pacing/mechanical support/minimal support]. | ||
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| + | The patient has [**ventricular pacing wires**/atrial pacing wires/both/none]. | ||
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| + | Post-bypass transesophageal echocardiogram revealed __[Findings]__. | ||
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| + | Current medications infusing includes __[Drips]__ [vasopressors/inotropes/sedation/insulin/TXA]. | ||
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| + | Ventilation post bypass was [**acceptable**/complicated by __[Hypoxia/Hypercarbia/Etc]__]. | ||
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| + | ABG was [**within normal limits**/significant for __[Findings]__]. | ||
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| + | Chest tubes are __[Mediastinal/Pleural]__. Are they connected to suction? [RN: “Yes”] | ||
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| + | Estimate blood loss was __[Liters]__. | ||
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| + | Total volume administered includes __[Volume]__ [PRBCs/FFP/Crystalloid/Albumin/Cell Saver]. | ||
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| + | Hemoconcentration was __[Volume]__. | ||
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| + | Total urine output was __[Volume]__. | ||
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| + | We left the operating room at __[Time]__. | ||
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| + | This patient [**is**/is not] a fast-track candidate and [**received**/did not receive] nerve blocks. | ||
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| + | My **biggest concern** for this patient is __[Concerns]__. | ||
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| + | [**LVADs** – State last parameters and any right ventricular concerns/suck down events/volume status]. | ||
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| + | Are there any questions? | ||
csho.1655299056.txt.gz · Last modified: 2022/06/15 13:17 by mdanley
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