So every hospital with a heart program I have ever worked in has an a-fib protocol for post CV surgery patients. However where I currently work we do not. As the rapid response nurse I am frequently called to deal with a-fib on our step down and surgical med surge floors. Every time I must call the surgical resident on call and we go about treating it as if this is the first time this has ever happened. It results in long delays in patient care and inconsistency in treatment. I have proposed that we institute a Rapid Response a-fib protocol. I have a meeting on Tuesday morning with the head of CV surgery, one of the CV fellows and their nurse practitioner to propose the protocol. I have several protocols in mind, basically those that have worked well in other heart programs where I have worked but want to see if the CV team has something in mind. My selling points to the CV team are faster treatment for the patient, more consistent treatment, and the opportunity to get the treatment the CV team wants, not what some surgical resident they might not even know wants. My other selling point is that just about all open heart programs have such a protocol. This is true in my experience but I have only worked in 4 programs. My question to you all is does your hospital have a a-fib protocol for post CV surgery patients? I want to know if such protocol are as widespread as I think they are.