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The Valley Hospital
MICU Department
Standards of Care
Cardiac Assessment:
1.
Full set of ALS vitals (BP, pulse, respirations)
2.
Assess skin color and moisture.
3.
Apply ECG monitoring with interpretation (check for presence of arrhythmias)
4.
Perform 12 lead ECG. Transmit as applicable and necessary.
5.
Notify Emergency Department of presence of STEMI
6.
Assess for level of consciousness
7.
Auscultate bilateral breath sounds
8.
Assess for JVD and lower leg edema
9.
Assess for chest pain (onset, provocation, quality, region/radiation, severity, time of
onset)
10. Assess for nausea and vomiting
11. Assess for SOB
12. Ascertain past medical history, medications and allergies
13. Document success or failure of 12 lead transmission to receiving ED as well as
medical control. Utilize appropriate drop-down in flowchart on page 8. of electronic
charting program.