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