NU2ICU Building the Concepts

NU2ICU V3 logoBuilding the Concepts

Before we start let’s look at the BASICS of environmental nursing safety in ICU

The ICU safety net we build at the start of EVERY shift

Patient – identified, handed over ISBAR including “issues” that need co-observing prior to commencement of care

(ie Stoma), lines labeled – arterial etc

Self inflating Hand ventilation set and face mask is connected or ready for use (gold standard equipment)

Alarms – set and correct (designed to save both you and the patient)

Oxygen – under bed or in trolley and at least 1/2 full (ready for gas failure or transport)

Suction – works and a clean ‘yankeur’ suction catheter attached (vomit avoidance)

Plugs – all important equipment in RED (or blue UPS battery backup sockets if you have them) and switched on (how embarrassing if the power went off)

Chart – fluids both in and out tallied, neurological exams, ventilation, sedation and routine  care  (if it isn’t charted it didn’t happen)   IE mouth care documented by previous staff

Medications – frequency etc correct per todays orders, enough drugs available to last your shift plus next 2 doses (mistakes are sadly very common)

Infusions – signed, correct, labelled and enough for next 2 hours and next infusion ready –  PCA co-signed etc (make sure it matches the order and is “in date”)

ONLY NOW ARE YOU READY TO START!

 SUBJECTS

R.E.S.P.E.C.T.
FAST HUGS BID
Sedation
Respiratory
ABG
The completion of the ICU Chart
Mouth Care
Pressure Area Care
Save your back!
Time
Tell it like it is!

 REFERENCES

Essentials of Critical  Care Nursing: a holistic approach 1st Edition 2013 by Patricia Gonce Morton, Dorrie K. Fontaine

AACN essentials of critical care 1st Edition 2007  by Marianne Chulay, Suzanne Burns

ACCCN’s critical care nursing 2nd Edition 2012 by Doug Elliott, Leanne Aitken and Wendy Chaboyer

Oh’s Intensive Care Manual 7th Edition 2014 by Andrew Bersten, Neil Soni

 

More reading

NU2ICU GENERAL OVERARCHING CONCEPTS

NU2ICU OTHER GENERAL OVERARCHING CONCEPTS