You are on page 1of 3

Critical care team

Nurses
Trainees
Dietician
Visiting technicians
Pharmacist
Technicians
Speech & language therapist

Level of critical care


1. ICU

Other member of the health team

Health care assistance


Secretaries
Ward clerks
Domestic staf
Porters
Social worker
Chaplaincy

Critically ill patient

Patient who are highly risk for


actual or potential life
threatening health problem
Dysfunction / failure of one or
more organs especially kidney &
cardio
Usually require intensive
monitoring

Critical condition

Person with life threatening


condition
Acute renal failure
Acute myocardial infraction
Cardiac tamponance
Severe shock
Hearth block
Polytrauma
Severe burns

Factors affecting when assessing


suitable for admission

Diagnosis
Severity of illness
Age
Recent cardiopulmonary disease
Coesxisting disease

Unit in the hospital where seriously ill


patient are cared for specially trained
staf (MD, nurses, RT, clinical nurse
specialist, pharmacist)
1:1 ratio
24 hours consultation
Has a basin per bed and locked doors
3 to 5 per 100 bed capacity hospital
2 to 20% of hospital bed space
1 isolation bed in every ICU
150 200 square meter feet with 8 feet
between bed
3 oxygen, suction
2 air outlet
16 power outlet
Types of ICU
1. Open model allows many
diferent member of the medical
team to manage the patient
2. Closed model limited to ICU
certified doctors
3. Hybrid Model combination of
closed and open model
Classification of ICU

1. Level I can be referred as high


dependency, close monitoring,
resuscitation has to perform any time
2. Level II - Patients requiring more
detailed observation or intervention
including support for a single failing
organ system or post-operative care
and those 'stepping down' from higher
levels of care.
3. Level III located in a major hospital
(more than 6 beds for small) & (more
than 14 beds for very large)

Area: floor space 26M with concrete wall

2. High Dependency unit

Care for patient who need increase


level of monitoring
4 bed unit
Short stay
1:2 ratio
Patient can stay up to 72 hours

Seven C of Critical care

Compassion
Communication
Consideration
Comfort
Carefulness
Consistency
Closure
Staffing ICU
1. Medical staf
2. Nursing staf (has a bedside nurse
and a nurse assistance)
3. Allied services

Injury

Designed by a Chief architect


and manage by an engineer

Recommend Noise Range

45dB daytime
40dB afternoon
20dB night
50 70dB average noise in a
hospital

1. Acute- has a short run on it course


regardless of intervention, can be cure
by OTC
2. Chronic require a medical
supervision of a disease that has
turned pver a long period of time
Effects of illness
1. Impact on the patient
2. Impact on the family

Ill health
Ailment
Disease

Member of the family who is ill


Seriousness & eight of illness
Cultural & social custom that the
family follows
Effects of Injury

1. PATIENT Encourage health


professional to become more aware of
patient lifestyle and support it
2.

FAMILY
Role change
Financial problem
Changes in social custom
loneliness
Classification of Injury

Illness & Injury


Illness

Damage
Harmful event which result in
tissue damage cause by acute
transfer of energy in a for or
kinetic

Classification of Illness

Design in ICU

State of poor health


Highly personal, personal,
social, emotional & spiritual
deviation function to be
diminished

1. according to cause

traumatic injury
other injury from external, physical
cases

infection
toxins
metabolic injury
injury due to disease

2. according to location

torn, cut, puncture


blunt force
spinal cord
nerve injury
soft tissue
cell damage to DNA

You might also like