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المستخلص
Intensive Care Units can provide efficient and effective care to the critically ill patients by implementing well admission, discharge criteria’s, policies and procedures.
As standards for ICU, specify that Individual ICUs should create policies specific to their unit. So, each ICU should have clearly defined policies and procedures and define the scope of services it provides and the patient population it serves, as approved by their professional staff.
Looking to our ICU’s, they are still lacking the complete set of documents of policies and procedures done inside these units .So, we found that there is an urgent need to fulfill these requirements in order to improve the efficiency and safety in patient care and to facilitate the daily running in our busy intensive care units.
Policies include admission criteria ,discharge criteria, leveling of ICU according to experience of staff , capacity , optimal unit size , patient care activities , regulations including visiting time, discharge summary, transportation, isolation precautions , communication skills with patients and their relatives and implications of nursing practice.
Procedures include endotracheal intubation , CVP catheter insertion , nasogastric tube insertion , drawing blood samples , drawing ABG samples , arterial line insertion , under-water seal drainage , tracheostomy dressing , cardioversion, , emergency defibrillation, nebulizer settings, pulse oximetry , suction , face masks , enteral feeding,.etc .
We have done a study on the working team in our postoperative ICU in the New Hospital of Surgery to evaluate the level of their knowledge and attitudes from the policies and procedures that should be fulfilled inside the ICU .This study included 47 individuals of the teamwork of ICU , they were evaluated before and after the training