I come to the hospital 20-30 minutes before the shift Working in ICU. Of course, I must change into a hospital uniform before coming to the ward. Before listening to the report, I make coffee in the morning for myself and the other friends who will be on duty with me. If there are already my friends just before 7:00 am we listen to the friends’ report. Depending on what happened it lasts 5-15 min. My ward for 6 sick places.
There should be six nurses Working in ICU.
Of course, the realities are completely different. Usually we are on call 5 or 4. We are on duty 3 nurses are not uncommon. Some might think that 1 nurse for 1 patient is a lot. Well, maybe my brief description of Working in ICU intensive care unit will help explain that this is not the case.
Which patients can I meet in my ward?
I will immediately answer the most frequently asked question: do we have patients with traffic accidents? No, we have not. There is no orthopedics or neurosurgery in my hospital, so such patients are not brought to my hospital. I don’t know why but the ICU is usually associated with such cases. However, this is a fraction of patients also in orthopedic hospitals. Patients on intensive therapy include: various types of respiratory failure, patients after cardiac arrest, septic shock, hemorrhagic shocks, patients after severe abdominal surgery, renal failure, liver failure, intoxication, burns, seizures and many others Working in ICU.
We start the duty by sharing the sick.
The method of individual nursing care is used in the ward, which means that each patient is assigned a specific nurse who is in charge of nursing the patient himself and is personally responsible for all procedures and medical orders that the patient requires.Depending on how many sick and nursing staff we have, we look after one or two patients throughout the entire shift. Of course, we help each other to care for patients during activities such as changing the patient’s position, toilet, changing bedding and sterile treatments. Individual nursing care is also not possible when the patient is admitted to the ward and his condition is significantly worse. You need the help of at least a few other nurses and doctors Working in ICU. In a state of immediate threat to life, the entire therapeutic team takes care of the patient. Practically the entire on-duty therapeutic team is then involved in working with the patient.
Each duty may look different, it all depends on the patient I care for. Of course, I must complete all medical orders, take care of the patient’s medical records and, above all, care. It should be noted that nursing a patient in intensive care is very time consuming and requires a lot of knowledge.Our patients are usually unconscious and mechanically ventilated.
They are also monitored around the clock, monitoring ECG, saturation, number of breaths, arterial pressure and central venous pressure. All patients have Foley catheters, most central punctures, intra-arterial punctures, which are also used for so-called “Bloody” measurement of blood pressure and cardiac output. We put on all stomach tubes, which are used to feed the sick and check for stomach retention. Because the patient is unconscious, the nurse must take care of the patient completely after Working in ICU. We wash the sick eyes, moisturize them, watch and assess skin condition every day.
You should do the toilet several times a day, perform anti-bedsore prophylaxis, perform a daily bath of the whole body along with a change of bedding, replace all necessary dressings, suck off patients. Every two hours we check and record vital signs of patients. This is only part of the daily activities. In addition, we travel with patients for CT scans, EEG, operating theater and other Working in ICU. Preparation and protection of the patient before leaving the ward may take half an hour. If the patient requires it, we transfuse blood and plasma. We assist doctors in placing central punctures, intubation, extubation, and replacement of intubation tubes.
During the implementation of scheduled and daily duties, it often happens that we have to stop everything we do at a given moment and take care of another patient whose condition has worsened.
During resuscitation, the whole team works together, it is necessary to help the colleague who is the patient. Unfortunately, the other less urgent duties must wait. Everyone has a lot of work, we often change during heart massage to make it effective. It is similar when admitting a patient to the ward. The patient is admitted to the intensive care unit in a very severe condition. The entire medical and nursing team work very intensively at that time. These are usually very stressful situations for everyone and there is no place for individual Working in ICU. We must then work as a team, help and trust each other.
To work in the intensive care unit you need to have some predispositions. People working in this place must be resistant to stress, calm and organized. Work is very hard in both physical and mental terms. Most of the day we are on our feet, we have to carry the sick, change and improve their position. It is also a place of work where we often meet with death, family dramas and work in stressful situations, still ready for a sudden reception of the sick. Working in ICU should also like working with people, because despite individual care you often have to cooperate with other nurses and doctors. You also need to be educated all the time.
To work in intensive care, you must complete a qualifying course in anaesthesiological nursing and intensive care. In addition, many specialist chickens should be completed, which expand not only the knowledge but also the powers of nurses such as cardiopulmonary resuscitation course, ECG performance and interpretation, wound healing or the basics of dialysis.
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