Rotations
CVICU
Rotations · CVICU · Workflows
The three you will reach for
The same cards as the library below, put where they are asked for fifty times a week.
New CVICU AdmissionUnverified
What this needs
- Where the notification came from, and how urgent it is
- Immediate bedside assessment: airway, breathing, circulation, perfusion
- Telemetry, ECG, vitals, labs, imaging, active devices
- The shock phenotype, or whatever the key instability is
- Staff with the attending early
- Initial orders and monitoring
- The initial assessment and immediate plan, documented
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The exact Cerner admission order-set names and the local default orders.
Answered by: Program
Orders & Order SetsUnverified
What this needs
- Whether the order is fellow-entered or recommended
- The Cerner order set it lives in
- Indication
- Prerequisites
- Common pitfalls
- The related workflow
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The exact local order-set names.
Answered by: Program
Documentation TemplatesUnverified
What this needs
- CVICU admission / H&P
- Daily progress note
- Consult note
- Procedure note
- Transfer note
- Code / post-arrest note
- Death note and discharge summary
These are the fields the program asked a contributor to fill in, not the answers. The answers have to come from the program.
The exact Cerner template and AutoText names.
Answered by: Program
Coverage & Handoff
The four rules the program has actually written down.
4–6 PM late coverageWho owns a new consult or admission between four and six
How it goes
- CVICU and Consults alternate ownership of the 4–6 PM block; the schedule decides which of you has it today.
- The late fellow owns every new consult and every CVICU admission in that window, on both services.
- New consults are staffed with the long-call team’s attending — the matrix on Overview names them for the day.
- At 6 PM the window closes: routine new consults stop and only urgent and emergent work continues.
Friday 24-hour CVICU callSix on Friday morning to ten on Saturday, both services
How it goes
- The CVICU fellow holds in-house call from 6:00 AM Friday.
- The call covers CVICU admissions and urgent or emergent consults — both services, one fellow.
- After 6 PM, routine new consults are deferred; urgent and emergent consults are evaluated.
- Saturday is post-call: finish the essential notes and the handoff and leave. 10 AM is the maximum.
- The Consults fellow takes the equivalent 24-hour call on Saturday.
After 6 PMWhat still gets seen, and what waits
How it goes
- Routine new consults are not taken after 6:00 PM.
- Urgent and emergent consults are evaluated whatever the hour.
- Identify the on-call attending for the question being asked before you start.
- Document what you did and hand off explicitly what you did not.
What happens to a non-urgent consult called in after 6 PM — whether it queues somewhere, or is simply picked up in the morning.
Answered by: Program
Post-call handoff and departureTen o’clock is a ceiling, not a target
How it goes
- Complete the notes that cannot wait and hand over everything that can.
- Hand off every unresolved issue explicitly, with what is pending and who is waiting on it.
- Leave as soon as that is done. 10:00 AM is the maximum departure time, not the expected one.
Admission & Stabilization
From the phone call to the first plan.
Receive admission, determine urgencyWhere the call comes from and how fast you have to moveUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Immediate bedside assessmentAirway, breathing, circulation, perfusionUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Review telemetry, ECG, vitals, labs, imaging, devicesUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Clarify the shock phenotypeOr whatever the key instability actually isUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guideStaff with the attending earlyUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guidePlace initial orders and monitoringUnverified
The exact Cerner admission order-set names and the local default orders for a CVICU admission.
Answered by: Program
Document the initial assessment and planUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Daily Management
The round, and what it is built on.
Pre-round and overnight eventsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Review hemodynamics and trendsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guideMedication, pressor and inotrope reviewUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Ventilator and oxygen reviewUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Renal and urine output reviewUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Device and line reviewUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Reassess goals: procedure, transfer, de-escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Communicate the plan with nursing and the primary teamsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Procedures & Bedside Tasks
Educational frameworks. Every local supply location is still missing.
Arterial lineUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Central venous lineUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Pulmonary artery catheterSetup, placement, and reading what it gives youUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Related guideTemporary transvenous pacemakerUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
IABP bedside supportUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
TEE coordinationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Cath lab coordinationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
ECMO escalation and cannulation supportUnder Review
The local ECMO activation workflow and which team owns it. Nothing here should be followed until that exists.
Answered by: Program
Shock & Escalation
Recognition is on the Clinical Guide; this is who you call.
Cardiogenic shock pathwayUnder Review
Local shock-team activation criteria, the number or pager to reach it, and the order things happen in.
Answered by: Program
RV shock pathwayUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Mixed and distributive shock recognitionUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
STEMI and mechanical MI complication escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Tamponade and pericardiocentesis escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Massive PE escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Aortic dissection escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Acute severe valvular lesion escalationUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Transitions & Logistics
Getting somebody out, and getting hold of somebody.
Transfer to floor or stepdownUnder Review
Any local bed or transfer rules that differ from general ICU practice — who accepts, what has to be off, and who writes what.
Answered by: Program
Discharge from ICU-level careUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Find the primary nurse or charge nurseUnverified
Where the assigned RN and the charge nurse are found — Cerner, the unit board, or a phone list — and the exact path.
Answered by: Program
Contact respiratory therapyUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Arrange an outpatient monitorUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Arrange follow-upUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Request consultsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Family meeting and goals-of-care logisticsUnverified
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Documentation
The notes. Every template name is still missing.
CVICU admission / H&PUnder Review
The exact Cerner note-template and SmartPhrase / AutoText names for each note on this list.
Answered by: Program
Daily progress noteUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Consult note, when acting as consultantUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Procedure noteUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Transfer noteUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Code / post-arrest noteUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Family meeting / goals-of-care documentationUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Death note and discharge summaryUnder Review
Nobody has written this one yet. It stays empty rather than being filled with something plausible — a workflow a fellow would act on has to come from the program.
Still needed from the program
Listed rather than guessed. These are the facts this page cannot answer.
- Admission ordersThe exact Cerner order-set names and the local default orders for a CVICU admission.
- DocumentationThe exact Cerner note-template and SmartPhrase names.
- EquipmentWhere the PAC kits, the TVP equipment, the ultrasound and the IABP, Impella and ECMO supplies are kept.
- ECMOThe local ECMO activation workflow, and which team owns it.
- TransferAny local bed or transfer rules that differ from general ICU practice.
Last updated 2026-09-19 · Program, CVICU Work Guide specification, 2026-09-19
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