Core practice skills for adult critical care dedicated

Prepared By

Randa Mamdouh

Under Supervision of

Assist. Prof. Dr/ Salwa Samir

Medical Surgical Nursing Department Faculty of Nursing Ain-Shams University2010

OutlinesPart One

Overview of critical care unite Definitions of …..critical care unite,

critical ill patient, chronic ill patientLevels of critical care Common critical conditions need critical

care.

Part

TPN.

Chest tube.

Artificial airways.

• Mechanical

Ventilation.

• Suctioning.

•Definition of core practical skills

•Common practical skills related to body system

• Pulmonary Artery

Pressure

• Arterial Line.

0bjectives

Clarify overview of critical care unite Define critical care unite Define critical ill patient List Regulatory issues in ICU Enumerate Ethical consideration in ICU Explain Infection control in critical care unite List Levels of critical care Enumerate Criteria for admission to an ICU Apply Nursing role in ICU Define core practical skills Explain Stages of skill performance

0bjectives cont. :

Explain Core practical skills in critical care unite.

• Arterial Line.

Swan Ganz. Chest Tube. TPN. Artificial airway Ventilator

Definition of chronic ill patient

Chronic diseases as prolonged illnesses that do not resolve spontaneously and are rarely cured completely. According to the CDC, chronic illnesses such as cardiovascular disease, cancer, respiratory disease, cerebrovascular disease, and diabetes The Centers for Disease Control and Prevention (CDC), (2009)

Definition of critical ill patient

People requiring intensive care after major surgery, with severe head trauma, life-threatening acute illness, respiratory insufficiency, coma, homodynamic insufficiency, severe fluid imbalance or with the failure of one or more of the major organ systems (dictionary, 2004)

Critical care unit

Any unit that attends to critically ill patients, including intensive care units, coronary care units, the emergency room, or the post-anesthesia care unit (dictionary, 2004)

Levels of critical care

Level 1 Patients at risk of their condition deteriorating

Level 2 Patients requiring more detailed observation or intervention including support for a single failing organ system or postoperative care

Level 3 Patients requiring advanced respiratory support alone or basic respiratory support

Role of critical care nurseAmerican Association of Critical Care Nurse AACN

(2009)

Act as a liaison between the patient, the patient’s family and other healthcare professionals

Respect and support the patient rights and autonomous informed decision making

Help the patient obtain necessary care Respect the values, beliefs and rights of the patient Monitor and safeguard the quality of care that patient

receives Provide highest quality of care following evidence based Promoting high standards of professional practice and

safety by mark excellence and certification

Critical disorders need critical care

Common critical cardiac disorders

Heart failure Unstable angina MI. Hypertensive crisis Arrhythmias (AF- SVT- VT). Valve disorders. Congenital heart diseases. Heart block.

Common Respiratory critical disorders

Acute Respiratory failure. ARDS. COPD. Sever Asthma.

Pulmonary embolism.

Acute Pneumonia. Tension pneumothorax.

Common critical Neurological disorders

Stroke.Myasthenia gravis crisesBrain tumorBrain Haematoma.

Common critical Endocrine disorder

Diabetic coma• Hypoglycemic coma

• Hyperglycemic coma & ketoacidosis

Thyroid storm Myxedema coma.

Part

Core practical skills in critical care unite

Definition of core practical skills

(Lesley, 2001) defines practical nursing skills as

hands-on actions that promote the patient's physical

comfort, hygiene, and safe medical treatment which

are commonly referred to as procedures or

psychomotor skills.

Cardiovascular system practical skills

Arterial Line.

Central venous line.

Pulmonary Artery Pressure

IAPB.

Respiratory system

Endotracheal intubations.

Tracheotomy.

Oxygen therapy.

Suctioning.

Chest tube.

Other practical skills

TPN.

Blood Transfusion.

Haemodialysis.

Peritoneal dialysis.