Critical Care Key Documents

Admission, discharge and handover

• Critical care admission guidelines

• Critical care discharge policy

• Guidelines for step down transfer from critical care areas

Critical Care Outreach

• Outreach operational policy

• Recognising and responding to early signs of deterioration

Rehabilitation and follow up

Patient and relative perspective

Sepsis

• Guideline for management of severe sepsis and septic shock in adults
  

• Guideline for Empiric Treatment of Sepsis 

Acute Respiratory Failure

• Guidelines for acute respiratory failure
• Passy-Muir Speaking Valve (PMSV)

• Use of venous extra-corporeal carbon dioxide removal (ECCO2R, Novalung) in the Critical care unit

Cognitive Impairment

• Analgesia,sedation and management of Delirium in critically Ill adult patients 

• Acute kidney injury

Acute Renal Replacement Therapy

• Guideline for renal replacement therapy within Worcestershire critical care units
  
• Protocol for Citrate Anticoagulation for Renal Replacement Therapy in Intensive Care 

Anaemia  

• Guidelines for red blood cell transfusion in critical care 

Sedation

• Analgesia, sedation and management of Delirium in critically Ill adult patients 

Post Cardiac Arrest Care

• Guideline for neurological prognostication after hypoxic encephalopathy
  

• Guideline for targeted temperature management after cardiac arrest
  

•  Limitation of treatment for adults requiring intensive care
  
• Midlands integrated care plan for the referral and consideration of adult deceased organ and tissue donation
  

Venous thromboembolism

• Guideline for the use of Argatrobin in Critical Care
• Guideline for the use of Dexmedetomidine in Critical Care 

Ventilator associated pneumonia

• Guideline for the prevention of aspiration of ventilated patients within ICCU (30 degree tilt)
  

Line related sepsis

Infection control

Management of patients with tracheostomy tubes

Fluid balance guidelines

Critical care unit nutrition guidelines

PCT Measurement to guide Antimicrobial Therapy on ICU