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OR to ICU Handoff

Surgical Critical Care CCS Logistic Documents

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Surgical Critical Care Surgical Critical Care Literature

Summary – Law Enforcement Requests for Patient Information

Trauma 14. Care of the Trauma Patient

Law Enforcement Request NM Staff Response 1 Staff safety/security concerns Staff may always request law enforcement’s presence when concerned for their safety/security. 2 Requests for patient information, general rule Ok to disclose pati...

police
patient information
law enforcement

Assessing Capacity

Trauma 14. Care of the Trauma Patient

Why assess capacity?  Informed consent promotes individual autonomy and fosters rational decision-making, and is founded on the right of self-determination and physician’s fiduciary responsibility to the patient.  Informed consent requires disclosure of inform...

capacity
assessing capacity
decision making

Pharmaceutical Management of Post-TBI Neuropsychiatric Symptoms

Trauma 3. Neurological Trauma

Definitions 1.       Depression: TBI-associated depression is characterized by prolonged, persistent sadness associated with other symptoms such as anhedonia, lack of motivation, decreased self-care, variable sleep and/or appetite pattern, feelings of hopeles...

Alcohol Withdrawal Pathway- PAWSS

Trauma 14. Care of the Trauma Patient

  Date: January, 24, 2022 Key Contributor(s): Olabisi Sheppard, MD

Transverse and Spinous Process Fractures

Trauma 3. Neurological Trauma

Background: The majority of transverse process (TP) and spinous process (SP) fractures are structurally and neurologically stable injuries, which do not require spine service intervention. However there are some features which can be more worrisome for associ...

Evaluation and Management of Hepatic Injury

Trauma 6. Abdominal Trauma

Purpose The liver is the most frequently injured abdominal organ. Most injuries are minor and can heal spontaneously without operative management. Unrecognized injury can be a cause of preventable death following trauma. The following guidelines outline the a...

liver
hepatic
abdominal

Airway Pressure Release Ventilation (APRV, Bivent)

Surgical Critical Care Pulmonary

Updated 8/20/24 Authors: Buesing, Bauman, Berning

Isolated Orthopedic Injury Admission Guidelines

Trauma 7. Orthopedic Trauma

Purpose ·         To identify which isolated traumatically injured patients can appropriately be admitted to the Orthopedic Service Background/Definitions  Quality of care and length of stay continue to be areas for improvement at Nebraska Medicine.  Given ...

ortho
isolated
fracture
admission

Evaluation and Management of Delirium

Trauma 14. Care of the Trauma Patient

Purpose Provide guidance on the evaluation, diagnosis, and management of hospitalized patients who develop delirium.  Background/Definitions Delirium is a neuropsychiatric disorder that is characterized by a disturbance in attention, consciousness and cogni...

delirium
confusion
CAM-ICU
bCAM

Adult Traumatic Agonal Arrest and Resuscitation

Trauma 2. Initial Management and Resuscitation...

Purpose To outline the procedure for the treatment of the adult traumatic patient with a penetrating or blunt mechanism of injury who has no signs of life.  In patients without signs of life for >10 minutes in blunt trauma or >15 minutes in penetrating trau...

traumatic arrest
cardiac arrest
code 99
cpr in progress
cpr
arrest
agonal

Indications to Consult Neuro Critical Care

Surgical Critical Care Neurologic

Overview: The UNMC Neurocritical Care Service will provide consult service to assist in the care of patients in adult ICUs.  The Neurocritical Care Consult service will not replace either the Neurology Consult Service or the Stroke Service. The goal is to as...

consult
neuro
neurocritical care

Massive Transfusion in the ICU

Surgical Critical Care Hematologic

CCS Orientation

Surgical Critical Care CCS Orientation Material

Objectives • Describe the most current evidence-based medical practices pertaining to the treatment of critically ill patients in the SICU.• Demonstrate knowledge and competency in resuscitation skills including advanced cardiopulmonary resuscitation, emergen...

Initial Assessment and Management of Spine Injury

Trauma 3. Neurological Trauma

Purpose To provide an evidence-based, practical guide to the evaluation and management of an adult patient with a spinal injury, including both spinal column fracture (SCF) and spinal cord injury (SCI). Background/Definitions Although fractures of the spine...

spine fracture
spine
spinal cord injury
SCI

Indications to Consult Pediatric Critical Care

Trauma 12. Pediatric Trauma

Purpose The trauma service frequently encounters critically injured pediatric patients (aged 18 years or less) that require admission to the pediatric ICU for resuscitation and management of injuries. To optimize outcomes, assistance in resuscitation and care...

pediatric
critical care
injured children

ACS Roles & Responsibilities (2025-2026)

ACS Resources

Acute Care Surgery - Roles and Responsibilities 2025-2026 Purpose: The purpose of this document is to outline the roles and responsibilities for each team member providing patient care on the Acute Care Surgery service in order to provide coordinated and tim...

Indications to Consult Pediatric Co-Management Team for Pediatric Trauma Patients

Trauma 12. Pediatric Trauma

Purpose: The trauma service frequently admits and cares for injured children (aged 18 years or less). To optimize outcomes and inpatient care, assistance in the management and care of these injured pediatric trauma patients is enhanced by involvement of the p...

Alcohol and Substance Misuse Screening, Brief Intervention and Referral for Treatment (SBIRT) Guidelines for Pediatric Trauma Patients at Nebraska Medicine

Trauma 12. Pediatric Trauma

Policy and Procedure Statement The pediatric co-management team will be consulted on all pediatric trauma patients (18 years and younger) admitted to Nebraska Medicine following injury. As part of their role in the patient’s care, pediatric co-management wil...