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Summary – Law Enforcement Requests for Patient Information
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...
Assessing Capacity
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...
Pharmaceutical Management of Post-TBI Neuropsychiatric Symptoms
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
Date: January, 24, 2022 Key Contributor(s): Olabisi Sheppard, MD
Transverse and Spinous Process Fractures
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
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...
Airway Pressure Release Ventilation (APRV, Bivent)
Updated 8/20/24 Authors: Buesing, Bauman, Berning
Isolated Orthopedic Injury Admission Guidelines
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 ...
Evaluation and Management of Delirium
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...
Adult Traumatic Agonal Arrest 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...
Indications to Consult Neuro Critical Care
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...
Massive Transfusion in the ICU
CCS Orientation
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
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...
Indications to Consult Pediatric Critical Care
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...
ACS Roles & Responsibilities (2025-2026)
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
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
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...