ICU can make critical patients get early and accurate diagnosis, urgent and appropriate treatment. Therefore, the ICU ward is undoubtedly an excellent battlefield for critically ill patients struggling on the death line.
Nursing management in the ICU
Critical care provides continuous and intensive care and measures to stabilize the patient's condition and prevent complications in order to maintain the patient's optimal health.
I. ICU nursing staffing:
1. ICU beds and staff should be equipped according to the size, nature, mission and other needs of the hospital.
ICU nursing operations and work most than the general ward to be much heavier and tense, in order to make each patient 24 hours a nurse care, and can allow nurses to have legal days off, vacation and sick leave, maternity leave, etc., so each bed should be in the 3 to 4 nurses.
Now many domestic hospitals are difficult to meet this standard, the relevant departments have not yet ICU nurse staffing specific provisions. I think at least at present should be achieved in the comprehensive ICU in the ratio of patients and nurses for 1:2 ~ 3, specialized ICU in the ratio of 1:1 ~ 2. Only in the premise of guaranteeing enough nurses to ensure the quality of care ICU.
2. To include different levels of nursing staff, the responsibilities of nursing staff at all levels should be clear.
Second, the quality of ICU nurses required:
ICU nurses should have good physical quality, can bear hardships and stand hard work, caring for the injured and sick people with a strong point of view, honest and trustworthy, careful and patient, insightful, resilient and receptive, and to have a solid professional knowledge of the Institute of professional knowledge and related knowledge.
Third, the training of ICU nurses:
ICU nurses should be professionals with a nursing license, now there is no ICU nurse training centers and ICU nurse professional certificate, in this regard, there is a big gap between our country and foreign countries. Now each hospital is training ICU nurses according to their own conditions.
The training content should include:
1, observation and care of shock patients.
2. Invasive pressure monitoring.
3. Hemodynamic monitoring.
4. Application and management of artificial airway.
5. Application of mechanical ventilation.
6, ECG monitoring.
7, cardiopulmonary brain resuscitation and emergency measures of training.
8, blood purification treatment and care.
9, DIC patient observation and care.
10, nutritional support for critically ill patients.
11, the use of various instruments. Including cardiac monitor, ventilator, anesthesia machine, various pumps, defibrillator, thermostat, etc..
2. ICU exposure to the theoretical knowledge of what specialties
icu patients are usually heavy and complex, so the exposure to the specialty knowledge is more, but usually for each specialty is not too proficient, generally please consult. icu more common like the respirator, hemofilter parameters set, hemodynamic monitoring and analysis, emergency tracheal intubation is required icu doctors master. The doctor has to be able to master this.
The ICU is an intensive care unit. Critical care medicine is with the development of medical and nursing profession, the birth of new medical equipment and hospital management system improvement and the emergence of a set of modern medical care technology as one of the forms of medical organization and management. ICU to the critically ill patients to concentrate on the human, material and technical to give the best protection, with a view to get a good effect of the rescue. ICU has a central guardianship station, direct observation of all the guardianship of the The ICU is equipped with a central monitoring station, which directly observes all the monitoring beds. Each bed occupies a wide area, and the beds are separated by glass or cloth curtains. ICUs must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machines, anesthesia machines, electrocardiographs, defibrillators, pacemakers, infusion pumps, micro syringes, tracheal intubation and tracheotomies with the necessary emergency equipment. In Hong Kong and Macau hospitals, ICU is also known as Intensive Care Unit.
3. icu practice nurse to learn those operations familiar with the knowledge
General routine care: oral care, perineal scrubbing, turn over and pat the back, playing meals (nasal feeding), vital signs measurement and recording, bedside shift, disinfection and isolation, suctioning (very important), infusion of fluids Special use of the ventilator (understand the meaning of the commonly used set values and alarms on the line is generally adjusted by the doctor) infusion pump microinjectors, infusion pumps, microfuge, and other emergency equipment needed to cut open the airway.
Understand just out of the basic nursing knowledge in addition to: sputum suction precautions basic vital signs normal value of blood sugar and so on
In addition, in the ICU are many of the respiratory failure ah so a series of organ failure syndrome combined with tracheotomy care
In addition, in the ICU are a lot of respiratory failure ah so a series of organ failure syndrome
In addition, in the ICU are a lot of respiratory failure ah so combined with tracheotomy care
Don't be nervous, you'll get used to it! I'm sure you'll be able to get used to it in time!
4. ICU exposure to the theoretical knowledge of what specialties
icu patients are usually heavy and complex, so the exposure to more specialized knowledge, but usually for each specialty is not too proficient, usually please consult.
The more common ones in the icu are the parameters of the ventilator and hemofilter, hemodynamic monitoring and analysis, and emergency endotracheal intubation, which need to be mastered by the icu doctors. ICU is the intensive care unit.
ICU is a form of medical organization and management that integrates modern medical and nursing technology with the development of medical and nursing professions, the birth of new medical equipment, and the improvement of the hospital management system. ICU concentrates the critically ill patients, and gives the best guarantee in terms of manpower, material resources and technology, in order to get a good treatment effect.
The ICU has a centralized monitoring station, which directly observes all monitored beds. Each bed occupies a wide area, and the beds are separated by glass or cloth curtains.
ICU equipment must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machines, anesthesia machines, electrocardiographs, defibrillators, pacemakers, infusion pumps, micro syringes, tracheal intubation and tracheotomy required emergency equipment. In Hong Kong and Macau hospitals, ICU is also known as Intensive Care Unit.
5. What does ICU do
Hello, ICU is the abbreviation of Intensive Care Unit, meaning intensive care unit. It is a specialized unit that concentrates the knowledge and technology of all relevant professions, advanced monitoring and treatment equipment, and carries out close monitoring of the physiological functions of severe cases and timely and effective treatment.
Task: respiratory failure, circulatory failure and important dysfunction of the patient, not suitable for acute infectious diseases, clear for brain death patients, no acute deterioration of chronic patients, patients with advanced malignant tumors, mental patients and natural death process of the elderly and other hopeless or give up a certain treatment of the patient to provide continuous strengthening of care and measures to make the patient's condition to restore stability, as well as prevent complications. and to prevent complications in order to maintain the patient's optimal state of health.
There are two types of ICUs: comprehensive ICUs (i.e., central care units, central ICUs) are places in hospitals where interdisciplinary manpower and material resources are pooled to provide unified monitoring, treatment, and care for critically ill patients in various disciplines, while specialized ICUs are for critically ill patients in a particular specialty only. But whether it is a comprehensive ICU or a specialized ICU, their basic function is the same - to study and treat critical illness.
6. ICU doctors must have what skills
Intensive Care Unit Intensive Care Unit abbreviated ICU, the concentration of knowledge and technology of the relevant professions, the monitoring of physiological functions and active treatment of severe cases of specialized units. The doctors in the ICU are all the most highly qualified doctors in their hospitals.
The following is the main work of the ICU:
Monitoring: respiratory function monitoring, circulatory function monitoring, renal function monitoring, neurological function monitoring, etc.
Treatment: oxygen therapy, respiratory therapy, circulatory system therapy, water electrolyte acid-base balance adjustment, anti-infection therapy.
Analgesia and sedation
Doctors in the ICU are experienced in hundreds of battles, so what the general practitioner will be, is what they must master.