CRITICAL CARE AT ACCH

What are the critical illnesses we treat?

What is critical care?

Comprehensive, specialized and individualized intensivist and nursing care services which we render to patients with life-threatening conditions. This includes trauma and major surgery, from the point of injury or illness until discharge from intensive care.

Classification of critical care patients

Level 0: Normal ward care

Level 1: At risk of deteriorating, needing support from our critical care team

Level 2: More observation and intervention, single failing organ or post-operative care

Level 3: Advanced respiratory support or basic respiratory support, multiorgan failure

High Dependency Care

Coronary Care Units (CCU)

Renal High Dependency Unit (HDU)

Post-Operative Recovery Room

Accident and Emergency Departments (A&E)

Intensive Care Unit (ICU)

NEONATAL CARE UNIT (NICU)
This is defined as the units managing newborn babies who need intensive medical attention.  They would probably need continuous ventilatory support, ongoing invasive monitoring, close clinical supervision, and corrective therapies to reverse potentially life-threatening conditions.
PEDIATRIC INTENSIVE CARE UNIT (PICU)
 This is a multidisciplinary intensive care unit offering all critical care services to infants, children, and adolescents. Will develop & implement tertiary services & remain on the leading edge of advanced therapies and procedures-Will also provide consultation resources to the emergency department, the inpatient wards, and other referring centers.
ADULT INTENSIVE CARE UNIT
 Here those needing continuous ventilatory and hemodynamic support, ongoing invasive monitoring, close supervision, and corrective therapies to prevent or reverse potentially & immediately life-threatening conditions are cared for. All critical care patients are managed within the same physical environment and will include a mix of medical, surgical, trauma and neuro/neurosurgery patients.

CRITICAL ILLNESSES WE TREAT

  • Acute respiratory failure and ventilator support
  • Critical care anaesthesia
  • Trauma
  • Sepsis
  • Shock
  • Cardiovascular System
  • Pulmonary System
  • Neurological Disorders
  • Drug Ingestion and Drug Overdose
  • Gastrointestinal Disorders
  • Endocrine and Autocrine Disorders
  • Renal Disorders
  • Postoperative Care 
  • Fluid Responsiveness and Fluid Resuscitation
  • Hematological Disorders
  • Psychological issues
  • Mobilization and physiotherapy
  • Secondary infections
  • Multiple Organ Failure

ROLES OF CCN FOR CRITICALLY ILL PATIENT

  • Respect & support the right of the patient or patient’s designated surrogate autonomous informed decision-making
  • Intervene when the best interest of the patient’s in question
  • Help patient obtain necessary care
  • Respect the values, beliefs & rights of the patient
  • Support the decision of the patient or designated surrogate, or transfer care to adequately qualified critical care nurse
  • Intercede for the patient who cannot speak for themselves in a situation that requires immediate action
  • Monitor & safeguard the quality of care the patient receives
  • Acts as a liaison between the patient, the patient’s family & other healthcare professionals

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