What is good intensive care?

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What is good intensive care?
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Introduction

• What is Intensive Care?
• The importance of ICU nurses, teamwork and
  routines

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What is intensive care
?
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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

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Who is ICU for?
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Who is ICU for?

• The critically ill
• Who have a good chance for recovery

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Critical Care in Europe

• More doctors, nurses, machines, treatments
• But most important is.

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Good routines

• With bad routines we could all go home
• With better routines outcome will be better

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Development in Europe

• 1960

• 2010

• Doctor Questions, Orders
• Nurse Responds and obeys

• Both Questions
• Doctor Treatment decisions

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Teamwork increases patient safety

• ? fewer misunderstandings
• ? fewer mistakes

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• Specialised ICU Nurses
• Goal Directed Therapy

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The nurse is close to the patient
? Sees more ? Hears more ? Acts quickly if
deterioration ? Corrects misunderstandings
during rounds
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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