1. has a high professional ethics and professional level, a high sense of love, hate and sadness, and an extremely responsible work spirit. 2. Nurses are required to have good quality, good health, quick response, strong adaptability, certain clinical experience, and are composed of backbone nurses who have received comprehensive training in specialized subjects. The ratio of nurses to beds should be 2: 1~3: 1. 3.ICU nursing task is heavy, work intensity is high, and mental tension per unit time is high. After working in ICU for 3-5 years, it should be the turn to work in the general ward. When the ICU is relatively idle, it should be arranged for research and rectification as a necessary adjustment. 4. Familiar with clinical knowledge, principles of rescue and treatment and nursing points of common diseases in various professions are required. Should have the ability to correctly judge and deal with the change of illness; Skilled in using various monitoring instruments and equipment; Memorize all kinds of laboratory data and clinical significance; Skilled in using all kinds of rescue drugs. 5. ICU nurses are required to consciously abide by various rules and regulations, stick to their posts, closely observe the changes of their illness, and be ready to be put into rescue at any time.
2. What qualities should 2.ICU nurses have?
ICU nurses should have the following qualities: high sense of responsibility, good cautious and independent spirit, hard-working, careful, caring, learning-loving, dedicated and good physical quality.
3. What conditions should 3.ICU nurses have? Big brothers ask for advice ~
The nurses in ICU are very tired and complicated, and the patient is unconscious. They need nurses to eat and drink Lazar, so they must be patient and meticulous in ICU, and patients need detailed records.
4. What certificate do nurses need to work in ICU?
ICU nurses should have good physical fitness, be hard-working, have a strong view of caring for the sick and wounded, be honest and trustworthy, be careful and patient, have strong insight, have strong adaptability, strong acceptance, and have solid professional knowledge and related knowledge.
Training of ICU nurses: ICU nurses should be professionals with nursing practice license. At present, there is no training center and professional certificate for ICU nurses in China, and there is a big gap between China and foreign countries in this respect. Now all hospitals are training ICU nurses according to their own conditions.
Training content should generally include:
1, observation and nursing of patients with shock.
2. Invasive stress monitoring.
3. Hemodynamic monitoring.
4. Application and management of artificial airway.
5. The application of mechanical ventilation.
6. ECG monitoring.
7, cardiopulmonary cerebral resuscitation and first aid measures training.
8, blood purification treatment and nursing.
9. Observation and nursing care of patients with disseminated intravascular coagulation.
10, nutritional support for critically ill patients.
1 1, the use of various instruments. Including ECG monitors, ventilators, anesthesia machines, various pumps, defibrillators, thermostats and so on.
5. Tasks and requirements of 5.ICU
Monitoring and treatment of critical illness is a new clinical discipline in recent years. Its purpose is to provide technical and high-quality medical services for life-threatening acute severe patients, that is, to monitor the physiological functions of critically ill patients, support their lives, prevent and treat complications, and promote and accelerate the rehabilitation process of patients. This is a higher level of medical service after continuous rehabilitation, and it is an inevitable trend of social modernization and medical science development. In recent years, with the continuous progress of high technology, various detection and support equipment are widely used in clinic, ICU wards are popularized and standardized, and people's understanding of life and physiological functions is gradually improved. Thus, the ability of supporting and protecting failed organs is improved, and the success rate of rescuing critically ill patients is significantly improved. Many critically ill patients have spent the most difficult time in their lives under strict supervision and careful treatment, and gradually moved towards recovery. At the same time, it also promoted the progress and development of other clinical disciplines.
The basic technical requirements of ICU doctors should include the following aspects: cardiopulmonary cerebral resuscitation ability; Respiratory support ability (tracheal intubation, mechanical ventilation, etc.). ); Can continuously monitor geocentric electricity; Able to identify and deal with arrhythmia and invasive hemodynamic monitoring; Ability to conduct emergency temporary cardiac pacing; Be able to respond quickly to various test results and give immediate feedback; Ability to support multiple stolen devices; The ability to implement total parenteral nutrition; The ability of micro-infusion; Master various monitoring technologies and the ability to operate various technologies; Life support ability (oxygen inhalation, ventilator, ECG monitoring ability) in the process of transporting patients; Have the ability to deal with various medical diseases urgently.
At present, the Chinese translation of ICU is not uniform. It is generally translated as "intensive care unit" or "intensive care unit" in Chinese mainland and "intensive care unit" in Hongkong. From the original text, it seems that the word strengthening has been translated into "strengthening" without doubt, but the meaning of nursing can be scrutinized, which includes two meanings: "nursing" and "treatment". The modern concept of "nursing" can be translated into "guardianship". So some people think that ICU translation may be more accurate. In fact, ICU is characterized by extensive and close physiological function monitoring, and based on this, judgment and treatment are carried out. No matter how it is named, the basic purpose of ICU is to provide higher quality medical services for critically ill patients. Because ICU is engaged in the most dynamic and cutting-edge critical medicine, it is very pioneering, and it can innovate continuously from theory to clinic, doing many things that ordinary wards can't do. On the other hand, the special ICU is also based on the development of medicine, and the significance of "strengthening" is actually only to concentrate the existing methods and means, and it is impossible to go beyond the development of the times and do things that medicine has not been able to do so far. Fully understanding this can standardize the behavior of ICU and dispel some people's doubts and misunderstandings.
ICU is the abbreviation of English intensive care unit, which means intensive care unit. With the development of medical nursing specialty, the birth of new medical equipment and the improvement of hospital management system, intensive care is a medical organization and management form that combines modern medical nursing technology. Small and medium-sized hospitals are a ward, and large hospitals are a special department. Only by focusing on critically ill patients and giving them the best protection in manpower, material resources and technology can we get good treatment results.
ICU has a history of more than 30 years in the world, and now it has become a rescue center for critically ill patients in hospitals. ICU monitoring level and advanced equipment have become an important symbol to measure the level of a hospital. ICU in China started late, starting in the early 1980s. At present, hospitals with ICU in China are not common, but they have been paid attention to and are estimated to develop rapidly. ICU is divided into comprehensive ICU and ICU specialized ICU (such as burn ICU, cardiovascular surgery ICU, neonatal ICU, etc. ). CCU is a specialized ICU, and the first C is the abbreviation of coronary heart disease, which is specially aimed at severe coronary heart disease.
There is a central monitoring station in ICU, which can directly observe all the monitored beds. Each bed covers a wide area, and the beds are separated by glass or cloth curtains. The main patients in ICU are: ① severe trauma, patients after major surgery, patients who must be closely monitored and supported by vital indicators; ② those who need cardiopulmonary resuscitation; ③ Failure of one organ (including heart, brain, lung, liver and kidney) or multiple organs; ④ Patients with severe shock, septicemia and poisoning; ⑤ Patients who need intensive care and treatment before and after organ transplantation. After the condition improved, he was transferred back to the general ward. ICU equipment must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machines, anesthesia machines, electrocardiographs, defibrillators, pacemakers, infusion pumps, micro-syringes, first-aid equipment for tracheal intubation and tracheotomy. In hospitals with good conditions, there are also blood gas analyzers, microcomputers, electroencephalographs, B-ultrasound machines, bedside lead adjusters, hemodialysis machines, intra-arterial balloon counterpulsation machines, routine hematuria analyzers, blood biochemical analyzers, etc. Because ICU monitors and treats critically ill patients under modern medical equipment, the staff working in ICU must have solid basic medical theoretical knowledge, rich clinical experience, strong adaptability, and be proficient in the operation of complex instruments.
ICU can make critical patients get early and accurate diagnosis and emergency and appropriate treatment. Therefore, for critically ill patients struggling with death, ICU ward is undoubtedly an excellent battlefield to overcome death.
//hbfirhos/zkjs/wk/ICU/ICU- 1
Nursing management of ICU in Sun Hong
Intensive care provides patients with continuous and intensive care and measures to restore their condition and prevent complications, so that patients can maintain their best health.
A, ICU nursing staff equipped with:
1, ICU beds and personnel should be equipped according to the scale, nature and tasks of the hospital.
The nursing operation and work in ICU is much more arduous and tense than that in general wards. In order to let every patient be cared by a nurse for 24 hours, and let the nurses have legal rest days, holidays, sick leave and maternity leave, each bed should have 3 ~ 4 nurses.
At present, it is difficult for many hospitals in China to meet this standard, and the relevant departments have no specific regulations on the setting of ICU nurses. I think the ratio of patients to nurses in general ICU should be at least 1: 2 ~ 3, and that in specialized ICU should be 1: 1 ~ 2. Only on the premise of ensuring enough nurses can the nursing quality in ICU be guaranteed.
2, including different levels of nursing staff, the responsibilities of nursing staff at all levels should be clear.
Second, the quality requirements of ICU nurses:
ICU nurses should have good physical fitness, be hard-working, have a strong view of caring for the sick and wounded, be honest and trustworthy, be careful and patient, have strong insight, have strong adaptability, strong acceptance, and have solid professional knowledge and related knowledge.
Third, ICU nurse training:
ICU nurses should be professionals with nursing practice license. At present, there is no training center and professional certificate for ICU nurses in China, and there is a big gap between China and foreign countries in this respect. Now all hospitals are training ICU nurses according to their own conditions.
Training content should generally include:
1, observation and nursing of patients with shock.
2. Invasive stress monitoring.
3. Hemodynamic monitoring.
4. Application and management of artificial airway.
5. The application of mechanical ventilation.
6. ECG monitoring.
7, cardiopulmonary cerebral resuscitation and first aid measures training.
8, blood purification treatment and nursing.
9. Observation and nursing care of patients with disseminated intravascular coagulation.
10, nutritional support for critically ill patients.
1 1, the use of various instruments. Including ECG monitors, ventilators, anesthesia machines, various pumps, defibrillators, thermostats and so on. //CME China/CME//CME _ k 30000 17/ 1307/
6. How should a specialist nurse be certified?
You need to pass the nurse qualification examination and get the nurse qualification certificate.
In the national health professional and technical qualification examination, except nursing (primary bachelor, professional code 003), the scores of other majors and subjects are managed in a rolling way for two years, and the professional qualification certificate can only be obtained after passing the examination of four subjects in the same major for two consecutive examination years.
In secondary vocational schools and institutions of higher learning, those who have completed the general full-time courses of nursing and midwifery for more than 3 years as stipulated by the education authorities in the State Council and the health authorities in the State Council, including engaging in nursing clinical practice for more than 8 months in teaching and general hospitals, and obtained corresponding academic certificates may apply for taking the nurse qualification examination.
Extended reading of ICU nurses' qualifications
Graduates (including graduates in 2009) who have not obtained nursing practice qualification and meet one of the following conditions and have completed nursing clinical practice in teaching and general hospitals for more than 8 months can sign up for the primary nursing professional and technical qualification examination:
1, obtained the professional degree of nursing and midwifery in ordinary full-time secondary vocational schools recognized by the education and health authorities at or above the provincial level;
2. General full-time college degree in nursing and midwifery recognized by the education and health authorities at or above the provincial level;
3. Bachelor degree or above in nursing and midwifery in full-time colleges and universities recognized by the education authorities in the State Council. Candidates' registration qualifications shall be audited by the provincial health administrative department, and those who pass the examination shall be issued by the talent exchange service center of the Ministry of Health as a valid certificate for applying for nurse practice registration.
7. Instructions for new nurses in intensive care unit
After critically ill patients are admitted to ICU, deep venous access should be established immediately and rehydrated quickly for anti-shock treatment, which requires our nurses to have puncture skills that hit the nail on the head. Moreover, ICU nurses should know all the rescues like the palm of their hand, especially the difficult operations with high technical requirements, such as the application of ventilators and the use of large instruments and equipment such as ECG monitors. At the same time, we should also memorize the rescue procedures of diseases, study hard and constantly update our knowledge, so that all staff can treat them correctly, timely and effectively, and avoid aggravating the illness due to improper operation of various nursing treatments. During my internship, I realized that nurses in ICU should be steady, accurate, fast and busy in their work, and each nurse should be able to independently undertake the division of labor and cooperation in organizing rescue. The rescue record of critically ill patients in ICU ward should be written by a special person with clear and accurate handwriting, and medical terms should be applied. Successors must check this record in order to master the rescue situation of patients and avoid medical disputes. We have a lot to learn and master here, so we must make use of every opportunity to keep learning and improve together. In addition to improving the basic nursing operations, we should also master the nursing routines and treatment principles skillfully, so as to achieve the goal of "all for the patients and all for the patients".
8. Quality requirements of 8.ICU nurses
Icu has higher requirements for nurses, such as good physical and psychological quality, but higher professional quality than nurses in other departments, such as condition observation, ventilator use and rescue skills.
Icu has no family members, so it is particularly important for nurses to be cautious and independent. They should have good communication skills and legal awareness.
9. What are the requirements for ICU nurses?
ICU nurses should meet the following requirements:
1. Good quality and professionalism, as well as professional training.
2. Understand and master the physiological and pathological changes of diseases, and have solid theoretical knowledge.
3. Familiar with all kinds of advanced monitoring technology and rescue technology. Familiar with commonly used rescue drugs.
4. Strong clinical skills, keen observation, analysis and adaptability, good at independent thinking, and a certain English foundation.
10. What are the special requirements for a nurse working in ICU?
Every place is different. According to the hospital system, of course, there must be a nurse qualification certificate. However, after the version, you can endure hardships and work hard. ICU is stricter than general nursing requirements and needs excellent basic skills. Most patients are surgical patients, who need a lot of special care and are very troublesome to operate. One-on-one care is very busy, and it is difficult to clean the perineum for a while. You must have a strong sense of effort and dedication. Some hospitals are well paid, but no one wants to go. In some places, because there are too many people going in, the treatment is not as good as that of ordinary departments, and not everyone is willing to go.