Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster

2010 ◽  
Vol 36 (S1) ◽  
pp. 1-3 ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Standard Operating Procedures ◽  
Mass Disaster ◽  
Influenza Epidemic ◽  
Standard Operating

Impact of adherence to standard operating procedures for pneumonia on outcome of intensive care unit patients*

2009 ◽  
Vol 37 (1) ◽  
pp. 159-166 ◽  
Author(s):  
Irit Nachtigall ◽  
Andrey Tamarkin ◽  
Sascha Tafelski ◽  
Maria Deja ◽  
Elke Halle ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Standard Operating Procedures ◽  
Standard Operating

Automating Standard Operating Procedures in Intensive Care

2007 ◽  
pp. 516-530 ◽  
Author(s):  
Martin Sedlmayr ◽  
Thomas Rose ◽  
Torben Greiser ◽  
Rainer Röhrig ◽  
Markus Meister ◽  
...  
Keyword(s):  
Intensive Care ◽  
Standard Operating Procedures ◽  
Standard Operating

scholarly journals GAMBARAN PELAKSANAAN TINDAKAN ORAL HYGIENE PADA PASIEN DI RUANG INTENSIVE CARE UNIT (ICU)

2017 ◽  
Vol 1 (2) ◽  
pp. 48
Author(s):  
Setianingsih Setianingsih ◽  
Febi Riandhyanita ◽  
Ahmad Asyrofi
Keyword(s):  
Intensive Care Unit ◽  
At Risk ◽  
Intensive Care ◽  
Oral Cavity ◽  
Study Design ◽  
Oral Hygiene ◽  
Sampling Technique ◽  
Standard Operating ◽  
Number Of Microorganisms ◽  
Intensive Care Unit Nurses

AbstrakOral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Oral hygiene juga mampu mengurangi jumlah mikroorganisme dan pengumpulan organisme yang mengalami translokasi serta kolonisasi di dalam mulut. Pasien di ruang ICU sangat berisiko terkena infeksi. Tujuan penelitian ini untuk mengetahui gambaran pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif sejumlah 35 responden yaitu perawat yang bekerja diruang Intensive Care Unit (ICU) menggunakan teknik total sampling. Pelaksanaan tindakan perawatan oral hygiene dalam kategori kurang sebanyak 21 responden (60,0%). Hal tersebut dipengaruhi oleh ketidakseimbangan antara rasio perawat dengan pasien, fasilitas dalam pelaksanaan oral hygiene masih belum memadai, dan perawat juga belum memahami sepenuhnya bagaimana pelaksanaan oral hygiene yang sesuai dengan standar operasional prosedur. Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ICU. Kata kunci     :         Oral Hygiene, Intensive Care Unit, Perawat AbstractDescription of Implementation Oral Hygiene in Patients in the ICU room.Oral hygiene is one of the nursing actions carried out so that the condition of the oral cavity remains clean and fresh so as to avoid infection. Oral hygiene is also able to reduce the number of microorganisms and the collection of organisms that experience translocation and colonization in the mouth. Patients in the ICU room are very at risk for infection. The purpose of this study was to determine the description of the implementation of oral hygiene in patients in the Intensive Care Unit (ICU). This study design using descriptive analytical 35 respondents, a number of respondents is 35 nurses working at Intensive Care Unit (ICU) room using total sampling technique. The implementation of oral hygiene care measures in the less category as many as 21 respondents (60.0%). This is influenced by the imbalance between the ratio of nurses and patients, facilities in the implementation of oral hygiene are still inadequate, and nurses also do not fully understand how the implementation of oral hygiene is in accordance with standard operating procedures. The results of this study suggest, should give rewards / awards to nurses to improve oral hygiene motivation to act in the ICU. Keywords: Oral Hygiene, Intensive Care Unit,  Nurses   

scholarly journals National Early Warning Score for predicting intensive care unit admission among elderly patients with influenza infections in the emergency department: an effective disposition tool during the influenza season

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044496
Author(s):  
Te-Hao Wang ◽  
Jing-Cheng Jheng ◽  
Yen-Ting Tseng ◽  
Li-Fu Chen ◽  
Jui-Yuan Chung
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Logistic Regression ◽  
Intensive Care ◽  
Elderly Patients ◽  
Early Warning Score ◽  
Influenza Epidemic ◽  
Epidemic Season ◽  
Icu Admission ◽  
National Early Warning Score

ObjectiveDuring the influenza epidemic season, the fragile elderlies are not only susceptible to influenza infections, but are also more likely to develop severe symptoms and syndromes. Such circumstances may pose a significant burden to the medical resources especially in the emergency department (ED). Disposition of the elderly patients with influenza infections to either the ward or intensive care unit (ICU) accurately is therefore a crucial issue.Study designRetrospective cohort study.Setting and participantsElderly patients (≥65 years) with influenza visiting the ED of a medical centre between 1 January 2010 and 31 December 2015.Primary outcome measuresDemographic data, vital signs, medical history, subtype of influenza, national early warning score (NEWS) and outcomes (mortality) were analysed. We investigated the ability of NEWS to predict ICU admission via logistic regression and the receiver operating characteristic (ROC) analysis.ResultsWe included 409 geriatric patients in the ED with a mean age of 79.5 years and approximately equal sex ratio. The mean NEWS ±SD was 3.4±2.9, and NEWS ≥8 was reported in 11.0% of the total patients. Logistic regression revealed that NEWS ≥8 predicted ICU admission with an OR of 5.37 (95% CI 2.61 to 11.04). The Hosmer-Lemeshow goodness-of-fit test was calculated as 0.95, and the adjusted area under the ROC was 0.72. An NEWS ≥8 is associated with ICU-admission and may help to triage elderly patients with influenza infections during the influenza epidemic season.ConclusionThe high specificity of NEWS ≥8 to predict ICU admission in elderly patients with influenza infection during the epidemic season may avoid unnecessary ICU admissions and ensure proper medical resource allocation.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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