-Given current operational pressures, we need to clarify expectations for procedural support outside ICU A/B.

-Unless there is an immediate life-threatening emergency in a crashing patient, procedural planning must align with available resources on the patient’s home unit.

-ICU A/B and CCRT teams cannot be relied upon as procedural support for ICU C cases when those services are managing their own acute capacity demands.

-Patients should not be transferred into ICU A solely to complete procedures for the purpose of accessing critical care nursing support; always liaise with the Team Leads (charge RNs) if any questions arise and follow their direction.

-For ICU C procedures performed on off-service units, nursing support should come from the ward/floor team and be arranged in advance.

Please note - there are certain units - that have very strict Nursing limitations because they are float-pool RN based:
NO PROCEDURES on these units: 3D North Peds, 4A OB, ECT Area

-If safe procedural support is not available from the home unit, the procedure should be deferred until appropriate resources are in place and/or the MRP can do a swap/bed location change; ICU C MD does not need to do that; the MRP can do that to help us facilitate a procedure (due to the fact that ICU C has other duties).

• For ICU C procedures, please also make sure to collect the stickers from the kits used and place them in the designated location on the ICU C card. This allows us to track usage and back-charge the relevant unit for the cost of the procedure kits being taken from the ICU. This is a major favor being done for us by the ICU team, so please reciprocate by helping us track these costs properly.

• For each ICU C procedure, please collect:

  • 1) patient sticker, place in clipboard on the cart

  • 2) location procedure was done

  • 3) note the procedure performed

Each unit should have a bin in their soiled utility to send instruments to MDR and then MDR sends them back to us as they are labelled with ICU