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What is good intensive care?
Introduction
• What is Intensive Care?
• The importance of ICU nurses, teamwork and routines
What is intensive care
?
Care with increased resources• More doctors, nurses
• More Knowledge
• More Equipment
• Correct Treatments
• Good Routines
……………..……..But a limited number of beds
What is intensive care?
Who is ICU for?
Who is ICU for?• The critically ill
• Who have a good chance for recovery
Critical Care in Europe• More doctors,
nurses, machines, treatments
• But most important is….
Good routines
• With bad routines we could all go home
• With better routines outcome will be better
Development in Europe
1960 • Doctor: Questions, Orders• Nurse: Responds and obeys
2010 • Both: Questions • Doctor: Treatment
decisions
Teamwork increases patient safety
→ fewer misunderstandings→ fewer mistakes
• Specialised ICU Nurses
• Goal Directed Therapy
The nurse is close to the patient
→ Sees more
→ Hears more
→ Acts quickly if deterioration
→ Corrects misunderstandings during rounds
Summary• Intensive care is for the sickest patients who have a chance of recovery
• The nurses are vital for good intensive care
Routines and Teamwork are essential in critical care & save lives