Miscellaneous Information
PONV Management Protocol  NEW Antibiotic Redosing, Adults (pdf) NEW
Blood Tubes: Which Color? Malignant Hyperthermia 
Call Admin Guidelines Dental Damage Policy
Compliance Information  
Herbal Medicines CIWA Protocol
  DNR Orders, Patient Management NEW
Interpreter Service, MMC (pdf) NEW Battery Disposal/ Recycling NEW
Phone List (Room Sites) UPDATED MMC Remote Access (Macintosh)

 

 

CIWA Protocol

Clinical Institute Withdrawal Assessment Protocols for Alcohol, Sedative, and /or Hypnotic Drugs

The CIWA Protocol is an attempt to assess an individual's withdrawal from physically addictive substances by assigning a numerical score to each of several physical signs and symptoms, such as Nausea & Vomiting, Tremor, Sweating, Tactile, Auditory, and Visual Disturbances, Orientation, Agitation, and Headache, as well as measurement of Blood Pressure and Heart Rate. Administration and dosage of drugs (such as benzodiazepines) to treat withdrawal is subsequently based on the patient score, determined at periodic intervals. 

A CIWA Protocol summary sheet is available on each Nursing Station; a copy of the assessment is kept in the chart of each patient undergoing withdrawal therapy.

Blood Tubes for Labs:
Which Color?
H&H, CBC Dark lavender (hard top) 2 cc minimum
PT / PTT Blue Top 4.5 cc
DIC screen
(Post-Open Heart Panel)

 2 Blue tops

1 Dark lavender

 4.5 cc each

2 cc

Basic Metabolic Panel or
Comprehensive Metabolic Panel		 Dark Green 2 cc (OR Solution Room)
Basic Metabolic Panel or
Comprehensive Metabolic Panel		 LIGHT Green If you use a LIGHT GREEN tube, the remainder of the blood can be stored for a while if you later decide you want an additional test 2 cc (OR Solution Room)

Type & Screen
Type & Cross

 Pink Plastic 
 4 cc minimum, 7 ml preferred
MD must Sign Label

Pediatric Type & Screen
Pediatric Type & Cross

 labeled 2 cc light lavender w/ black rubber (OR Solution Room)  

2 cc

MD must Sign Label

Pediatric PT / PTT labeled 2.7 cc clear top w/ blue rubber (OR Solution Room)  2.7 cc

MMC Remote Access (for Macintosh) NEW

Joanne Sullivan (February 2010)

 has put together this nice Instruction Manual on how to access Maine Med's system with a Macintosh.

You will need your MMC Network User Name, Password, and Remote Security Key. In pdf format.

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DNR Orders, Management of
The ASA has issued Guidelines for Management of Patients with Do Not Resuscitate Orders available for downloading in pdf format.