Intensive Care Unit
The Adult Medical and Surgical Intensive Care Unit is a 37-bed unit (18 MICU and 19 SICU) providing critical care to patients and family who have sustained life-threatening injury, illness or condition. Rapid medical and nursing care is provided to patients with changing mental or physical status or life-threatening conditions that require continuous assessment, technology, immediate intervention and treatment.
Direct patient service is provided in the ICU by a multidisciplinary team that includes, physician intensivists, specialty physician consults, critical care trained registered nurses, social workers, clinical pharmacist, and clinical dietician. This department serves as a transitional unit to the emergency room and to the general nursing units for patients and families based on admission and discharge criteria for proper utilization and cost control associated with this high level of care.
The Intensive Care services offer the following:
- Complex interventions requiring frequent and sophisticated adjustments (advanced mechanical ventilation using high level of PEEP or alterations in I:E ratio, frequent vital sign checks (one hour or less) during times of instability or post-procedure or high risk interventions.
- Basic, more stable patients requiring prolonged mechanical ventilation as patient is assessed to be stable for transfer to subspecialty units
- High level (use of specialty equipment including intracranial, intra-cardiac monitoring systems)
- Basic or more stable (frequent vital sign checks and neurological exams, hourly intake and output measurements, central venous pressure monitoring for fluid management, continuous pulse oximetry, cardiac and continuous rhythm monitoring)
Concentrated Nursing Care
- When the ratio of nursing service to patient care require 1:1 or 1:2 to assure safety, security, and monitoring to assure stability of physiological and psychological measures.