ValleyProtocolBook

The Valley Hospital MICU Department Standards of Care

Cardiac Assessment: 1. Full set of ALS vitals (BP, pulse, respirations) 2. Assess skin color and moisture. 3. Apply ECG monitoring with interpretation (check for presence of arrhythmias) 4. Perform 12 lead ECG. Transmit as applicable and necessary. 5. Notify Emergency Department of presence of STEMI 6. Assess for level of consciousness 7. Auscultate bilateral breath sounds 8. Assess for JVD and lower leg edema 9. Assess for chest pain (onset, provocation, quality, region/radiation, severity, time of onset) 10. Assess for nausea and vomiting 11. Assess for SOB 12. Ascertain past medical history, medications and allergies 13. Document success or failure of 12 lead transmission to receiving ED as well as medical control. Utilize appropriate drop-down in flowchart on page 8. of electronic charting program.