1. Lets Explore the ICU

2. What is the Purpose of the ICU?
To provide ___________________ intensive ________________ and treatment of patients seven days a week.

3. The ICU Health Care Team
____________________
Nurses
Physicians (IM, Pulmonary, etc.)
_____________________
Respiratory therapists
Other medical consultants from a broad range of specialties including surgery, ____________, anesthesiology, and ________________

4. Where do the patients come from?
Intensive Care Unit
Where do the patients come from?
The general hospital floors
__________________
_____________ from other hospitals & nursing homes
_______________________
_________________ bypassing the ER

5. What types of patients would you see?
Intensive Care Unit
What types of patients would you see?
Post heart surgery MI’s
Renal and Liver failure _________________
Pulmonary embolism _________________
________ ___________________
Arrhythmias Suicidal
______________ coma ARDS

6. What is on the monitor screen?
Equipment
The monitors are your second major bedside assessment tool – the first is your ___________.
What is on the monitor screen?
EKG
Heart rate
Blood pressure
Arterial pressure
O2 Saturation
Respirations

7. EQUIPMENT cont….
_______________: a machine designed to mechanically move breathable air into and out of the _____________.

8. CHEST TUBES:
a flexible plastic tube that is inserted through the side of the ______________ into the _________ space to drain _________, body ___________ or ____________

9. LARYNGOSCOPE & ETT
_________________: An instrument that helps in intubation for mechanical ventilation.
________________ Tube: inserted into a patient's __________ in order to ensure that the airway is not closed off and that air is able to reach the _________. Regarded as the most reliable available method for ____________ a patient's airway.

10. CRASH CART
A set of trays/drawers/shelves on wheels used in hospitals for transportation and __________________ of emergency __________/equipment at the site of the emergency for ________ _________________.
Includes:
Defibrillator with pads
AMBU bag
Medications
IV equipment
Normal Saline
Procedure kits
Oxygen tank
And much more

11. Central IV Lines
A catheter placed into a large vein in the __________ (internal jugular vein),__________ (subclavian vein) or ________ (femoral vein).
It is used to administer ____________ or fluids, obtain _________ tests and directly obtain cardiovascular _____________________ (central venous pressure).

12. LABS Common Labs Include: _______________ mostly draw the labs
Similar labs to those drawn in the ER
Common Labs Include:
ABG’s (drawn by the _____________ usually)
Evaluates the respiratory effort
_______________ levels
Chemistry
_________________--Fibrinogen, Prothrombin
__________________—proteins released into the bloodstream when heart muscle damage occurs

13. What are the routines of the ICU?
Intensive Care Unit
What are the routines of the ICU?
Report, assessment, ____________________
Record info: flow sheets, ______ sheets, _______________ totals, lab results, ________________
________________
KARDEX
Carrying out orders
Documentation ______________
Administering ________________

14. Intensive Care Unit Feelings of __________________ Scared and afraid
How does the ICU affect the family members?
Feelings of __________________
Scared and afraid
________________
Inquisitive
_________________

15. How to care for the family members? Practice _________________ Care!!!
Intensive Care Unit
How to care for the family members?
Practice _________________ Care!!!
Be ___________________
EDUCATE, EDUCATE, ________________
___________________ needs
Keep them _____________

16. What’s next? Transfer to _____________ Take to _________________
Discharge (rare)

17. What are some important facts to consider before going into an ICU as a student?

18. Intensive Care Unit
There is more than one type of ICU? WHAT?

19. What’s a NICU? Neonatal Intensive Care Unit/Special Care Nursery
For _________________ and __________________ term infants
Different levels of care for newborns…Levels I-III
Level I: Lowest level of care (_____________________)
Level II: ______________ care—IV fluids, __________, “feeder growers”, CPAP, ________ wks gestation or greater
Level III: Highest level of care
__________ weeks gestation or greater (generally)
Ventilators
Surgeries (sometimes in the unit!)—______________________
Nitrous oxide therapy, Extra Corporeal Membrane Oxygenation (ECMO)– __________________________

20. Who works there? Pediatricians ____________________ NNPs, PNPs Nurses
OT _______________
________ (positioning, massage)
Respiratory Therapy
Pharmacist
Pharmacy Technicians
____________________
Chaplains
And more!

21. Why do we need a special ICU for infants?
In premature infants, every body system is ___________________
What problems do you think that a baby would have with each body system?
Nervous?
Cardiovascular?
GI?
Immune?
Endocrine?
Respiratory?
Musculoskeletal?
Reproductive?
Urinary?

22. What problems would you see?
Chronic lung disease of prematurity (BPD)
Necrotizing enterocolitis
__________________
Meconium aspiration
Congenital heart defects
_____________
Anemia
Intraventricular Hemorrhage
___________________
Retinopathy of prematurity
___________________
_______________

23. Developmental care Simulate a _____________ environment
Warm, humid, dark, quiet
Developmental positioning to aid with _____________ and ____________ development
Make the environment less ______________
Poor _________________and growth
Abnormal ___________________

24. Stress signals
May be different than in term babies, children and adults
Crying
Less common in the very ill or very premature babies
____________________
Wrinkled _____________
Averted gaze
__________ arms and legs
“stop” hands
“shut down”
Changes in vital signs

25. What stress cues are this baby displaying?

26. What is RIGHT with this picture?

27. The Goal…