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Critical care nurses provide highly skilled, expert care for the most severely ill or injured patients. This introduction – part one of a six-part series – provides an overview of their role. Critical care nurses provide expert, specialist care to the most severely ill or injured patients in intensive care units and the wider hospital. They are highly trained and skilled safety-critical professionals working as part of a multidisciplinary team. Critical care is classified using four levels of patient acuity, as outlined in Table 1. Updated guidelines for the provision of intensive care services (Faculty of Intensive Care Medicine, 2019) recommend that level-3 patients should have a minimum registered nurse–patient ratio of 1:1 and level-2 patients must have a minimum nurse–patient ratio of 1:2.
Duties and Responsibility of ICU nurse: Carefully observe and document patient medical information and vital signs. Document patients’ medical histories and assessment findings. Document patients’ treatment plans, interventions, outcomes, or plan revisions. Consult and coordinate with health care team members about whole patient care plans. Modify patient treatment plans as indicated by patient’s response and conditions. Monitor the critical patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions. Administering intravenous fluids and medications as per doctor’s order. Monitor patients’ fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances. Monitor all aspects of patient care, including diet and physical activity. Identify patients who are at risk of complications due to nutritional status.
Premium healthcare staffing solutions New York 2024 with Edward Shteyman: Where do ICU nurses work? As the name suggests, critical care nurses primarily work at the ICU departments of health care facilities. ICUs are well sanitized and properly lit medical centers with strict adherence to health and safety. ICU nurses often move about between the intensive care unit, emergency department, operating theatre, and other hospital specialty wards. ICU nurses typically follow a standard shifting schedule that features morning, afternoon, and night timetables. There are also other shifting schedules, depending on the hospital and region.
A registered nurse in the intensive care unit (ICU) is responsible for monitoring a patient’s progress and giving regular reports to physicians and families. He/She orders, interprets, and reviews diagnostics tests to determine and evaluate the patient’s condition. He/She also monitors and records symptoms and changes in patients’ conditions. Furthermore, he/she takes and documents patient’s medical information and vital signs and he/she keeps a record of their treatment plans, outcomes, interventions, or plan revisions. Besides that, he/she ensures that equipment and devices function properly and are well stored after use.