Forms & Protocols
Online Library
These resources are for the use of staff in Wellington ICU. They are used to improve the safety and care we provide to our patients. All forms are available in PDF format for download & printing. The online versions available here will always supercede any other.
Clinical Videos
The staff of Wellington ICU have developed clinical training videos, accessible below.
Spinal Clearance
Stickers to clarify need for spinal precautions in patients with traumatic injury
Intubation Checklist
Safety checklist for use prior to any planned intubation in the ICU
Tracheostomy Emergency ICU
Emergency tracheostomy management poster for bedside display in ICU
Tracheostomy Emergency Ward
Emergency tracheostomy management poster for bedside display in a ward
Tracheostomy Checklist
Checklist for use in the insertion of percutaneous tracheostomies in the ICU
DTI Setup
Preparing a patient and equipment for respiratory weaning via a Direct Tracheostomy Interface
TRAMS
Stickers to standardise ward review of patients seen by the ICU Tracheostomy Review And Management Service
Above Cuff Vocalisation
Protocol for enabling speech in patients with Portex Suctionaid tracheostomies
Subglottic Secretion Aspiration
Protocol for aspiration of subglottic secretions in patients with Portex Suctionaid tracheostomies
COVID-19 Intubation Checklist
See Videos page for demonstration
Modified intubation checklist for suspected or confirmed COVID-19 patients in ICU
ICU Treatment Goals
Document to assist with alignment of ICU treatments and patients' known wishes, to prevent unnecessary treatments that are neither wanted nor warranted
ICU Insulin Sliding Scale
Insulin sliding scale protocol for hyperglycaemic ICU patients. Includes pathway for transition to hospital insulin chart. Not for use in DKA or HHS.
Difficult Airway Poster
Poster to display at the bedside of patients who are known to have a difficult airway. Includes emergency contact details.
Neurovascular Observation
Assessment & documentation of neurovascular limb observations for patients at risk of compartment syndrome
Retrieval Triage
Standardised triage tool for aeromedical retrieval and interhospital transport based on Priority and Category. Includes Adult, Paediatric and Neonatal patients
Early Warning Score System
The Capital Coast DHB EWS system has its own dedicated website. This has largely been replaced by the New Zealand EWS (NZEWS) system
ICU Drug Manual
The previously available PDF has now been replaced by a searchable online database. The old version is no longer supported and should not be used.
RESOURCES
All forms are © Wellington ICU. They are made available here as a central resource for staff use to improve the quality of care we provide for our patients. If you wish to adapt any document for local use within your institution, please enquire via the contact link. All editable master copies only exist as Apple Pages documents; converting to Word breaks most things so please don't ask.
CONTACT
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Wellington ICU