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Clarify with provider if first dose of drug needs to be administered at a specific time- team is usually flexible and can be administered when convenient for RN

Process is attached and as follows:

1) Wash Injury Site- wash the area with running water and soap, flush eyes/mucosa with running water/ eyewash (in our soiled holding area on 9 Center)

2) Notify source patient provider- Provider will need to order "OCC EXP" panel and consent source patient for HIV, Hep B, and Hep C testing. This is documented in a provider note.

3) Exposed employee presents to Occ Med (Ravdin 2) during normal business hours M-F 8a-4p or ED on off hours.

4) Complete 'Body Fluid Injury Report' Form- found on the UPHS Intranet page (right hand side, blue panel). This is essential notification to Occ Med provider for follow up to impacted employee.

Red biohazard bins are stored in clean green bags in the clean holding area. When needed, you bring the red bin to the room of instrument use and transport instruments covered to the soiled holding area for pre-cleaning ahead of sending instruments to sterile processing.

Charge (or leadership if on-site) is responsible for immediate transportation after pre-cleaning to the PCAM Sterile Processing (SP) area (in SurgiCentre). From Pav 9, you take elevators to 2M and follow signage for "Bridge to Perelman Center".

Don't forget the Sterilization Request Form- you can just fill out the tray name if you do not have the complete list of instruments- and to take a copy for our unit's tracking upon delivery to SP.

This is expected to be temporary as there is continued attention to coverage models for the IR service.

DNA to identify the absence of cardiac allograft-rejection. HeartCare® combines Allomap® and

Allosure. The Allomap® component reflects immune activation and has been validated to detect ACR

but does not provide information about graft injury. Allosure® measures donor derived cell free DNA

released from the graft in the setting of injury and can detect both AMR and ACR. Thus, when used

together with HeartCare® information is gained on both immune activation and graft injury. HeartCare®

can be effectively used to screen low-risk patients starting at three months post-transplant instead of

routine biopsies. Biopsies are performed if the HeartCare® score is abnormal. Thus, HeartCare® can

reduce the number of invasive biopsies needed in selected patients who meet the indications for

HeartCare® testing, as identified in this protocol

Policy#01-06-05

Check-ins with nurses caring for these patients to ensure all safety precautions are being followed is warranted. See Leadership with any questions! Policy attached for ease of review.

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From the VAD Coordinator Team:

As always, the coordinators are available 24/7 for help with ANY matters involving this including decision making, guiding patients and families, and actual device discontinuation. 

The expectation is that the VAD Emergency Line would be called to discuss the situation prior to any plans or interventions being made to discontinue the device.  Also as a reminder, if a patient is declining and the decision is made to turn off the VAD and a coordinator is not in the hospital, we DO NOT come in to turn off the device as the wait time for us to arrive could detrimentally effect the patient/family and their experience.  All of us are trained to talk nursing or providers through turning off the device over the phone or FaceTime.  If we know death is imminent, we will help prepare as much as we can to ease the process for both patient/family and bedside staff. 

A certified chemotherapy nurse can be reached on the Oncology Phone at 215-519-5513.

IMPORTANT- if the patient has an "Atrium Oasis" chest tube drain system (the ones we usually see) and you need to replace the drainage system to Teleflex, they are not compatible at the distal connection site. See instructions below.

To replace a CT drainage system from Atrium Oasis to Teleflex:

1. Clamp chest tube above football site with hemostat

2. Remove tape and zip tie

3. Disconnect football

4. Connect new Teleflex drainage system with new included football

5. Remember to add water to the chamber

6. Zip tie/tape connections

7. Remove hemostat

Best practice would be to complete with 2 nurses!

• The code cart app is in the process of being updated to reflect this change, but sharing for awareness in the meantime.

• The code cart is allowed to have both the Trauma kit & MAC kit, as product is depleted.

See pic for how to access!

Effective immediately, the maximum patient weight that can be safely accommodated with Cath Lab equipment is 450 pounds. This change is being made to ensure the safety of our patients and staff, and to maintain safe operating limits for our procedural equipment. 

To better support patients with higher BMIs, we have invested in additional bariatric equipment designed to improve patient safety and comfort during Cath Lab procedures. 

If you have a patient who exceeds the 450-pound maximum, or if special circumstances require discussion, please contact the Cath Lab Charge Nurse at 215-776-4563 or CathLab.Charge@pennmedicine.upenn.edu

• Sutures

• Epicardial wires

• Temp pacer extension wires

• Sorin dilators

• Decanters

• Auto suture surgiclips

For assignment purposes, please assign these nurses a STABLE VAD, not fresh implant with hemodynamic issues.

Nursing will not have any responsibility to the laryngoscope, but overall awareness of its presence is important.