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    Nursing Protocols For Critical Care

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    Debika Das
    The document outlines nursing protocols for critical care patients including protocols for monitoring, assessments, treatments, medications, family visits and protective equipment. Nurses are responsible for the full care of assigned patients and coordinating with other staff. Protocols aim to ensure patient safety and quality of care.

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    © All Rights Reserved
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    Nursing Protocols For Critical Care

    Uploaded by

    Debika Das
    29 views3 pages
    The document outlines nursing protocols for critical care patients including protocols for monitoring, assessments, treatments, medications, family visits and protective equipment. Nurses are responsible for the full care of assigned patients and coordinating with other staff. Protocols aim to ensure patient safety and quality of care.

    Original Title

    NURSING PROTOCOLS FOR CRITICAL CARE

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    The document outlines nursing protocols for critical care patients including protocols for monitoring, assessments, treatments, medications, family visits and protective equipment. Nurses are responsible for the full care of assigned patients and coordinating with other staff. Protocols aim to ensure patient safety and quality of care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views3 pages

    Nursing Protocols For Critical Care

    Uploaded by

    Debika Das
    The document outlines nursing protocols for critical care patients including protocols for monitoring, assessments, treatments, medications, family visits and protective equipment. Nurses are responsible for the full care of assigned patients and coordinating with other staff. Protocols aim to ensure patient safety and quality of care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    NURSING PROTOCOLS FOR CRITICAL CARE

    1. No critical care patient will be left without a nurse in attendance.


    2. Each nurse will be responsible for the entire care of his/her patient, and acts to
    coordinate care with other health team professionals.
    3. Breaks will be arranged according to unit need/safe coverage by mutual agreement
    between each nurse and his/her co-workers. The nurse must give a full report to another staff
    nurse prior to leaving for a break.
    4. The staff nurse will report any changes in his/her patient's condition directly to the
    physician/ Intensivist/Senior Critical Care nurse.
    5. All critical care patients will have continual ECG monitoring.
    6. Alarms must be left on the ECG and arterial lines at all times. Appropriate limits will
    be selected at the nurse's discretion according to institutional policy.
    7. For a stable, non-acute patient without invasive monitoring equipment, vital signs are
    measured at least every hour.
    8. The turning of all critically ill patients every two hours around the clock is done
    unless contraindicated, with skin assessment recorded as part of the every four-hour
    assessment.
    9. All Critical Care patients will have mouth care done every four hours with inspection
    for oral skin sores.
    10. The Critical Care nurse may restrain patients at his/her discretion. Provided
    documentation done according to hospital policies and procedures.
    11. All dressings unless otherwise indicated will be changed daily.
    12. Nursing care will be spaced out to allow periods of rest.
    13. Procedures will be explained to patients; person, place and time being repeatedly
    stated to the patient.
    14. Information and emotional support needs for the family and patient will be provided
    by the nurse/physician/social work/palliative care, as required.
    15. The environment will be maintained in a mechanically safe condition through: dry
    floors, good repair of furniture, proper placement of machines and equipment, cleanliness,
    freedom from clutter, and good repair of equipment.
    16. Isolation technique will be followed as per infection control manual.
    17. Any containers of body fluids (i.e. suction canisters or chest drainage sets) must be
    disposed in the appropriate biohazard bag or box.
    18. All medications will be reviewed by the Critical Care physicians (upon admission to
    Unit.) and either reordered or stopped. Nursing staff will ensure this has been done prior to
    carrying out any medication, treatment or investigative orders. Each treatment/medication
    must be listed.
    19. Respiratory orders may only be carried out when written by the patient's physician.
    Ventilator changes will only be done upon receipt of written order.
    20. All orders written other than by the Critical Care physicians will be brought to the
    attention of the Critical Care physician by the nurse prior to being carried out.
    21. Narcotics MAY NOT be kept at the bedside. If use is not immediate after withdrawal
    from the narcotic cabinet, wastage as per narcotic protocol will be carried out.
    22. Visiting is negotiated between the nurse and family, with consideration given to unit
    activity and institutional policy.
    23. The nurse/physician will notify families of significant deteriorations in the patient's
    condition.
    24. All staff working at a bedside where an acute trauma or actively bleeding patient is
    being managed will wear protective goggles, masks and gloves. Protective gear is also
    required anytime risk of splash from body fluids exists e.g. suctioning.

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