Principle of the work of the ICU care points: Have a full understanding and preparation, to take active measures. 1.3 Establish the overall concept, clear treatment priorities. With the continuous progress of technology and modern medicine, the division is getting smaller, and the success rate of specialist treatment is undoubtedly of great benefit. But for patients, as an individual life, its integrity is often split, and the clinical thinking of specialists will become more narrow. The diseases of ICU patients are related to multiple organs and systems, and their clinical manifestations are very complicated. The treatment principles of various organs may be conflicting. If you do not consider the links between them and tend to balance, it requires that the ICU medical staff establish the overall concept and the global concept, paying attention to the balance between various organs, coordinating, and comprehensively using clinical knowledge. Fully considering the priorities of the disease, so that the edge processing, edge-to-disease development and outcome judgment determine the next treatment. 1.4 Unequivocal support for treatment and alternative treatment using. The diseases of ICU patients are generally more critical, often needing appropriate supportive care and alternative governance measures. However, the changes in the development of the disease are extremely complex, and sometimes reversible lesions appear, while sometimes non-reversible ones appear. For patients with still reversible lesions and serious insufficiency of vital organs' function, measures should be taken to support treatment and recovery as much as possible for the major organ systems' function. When the lesion is irreversible, the function of major organ systems will be difficult to recover to some extent, and appropriate alternative treatment measures need to be taken to make the disease outcome tend towards the reversible direction. For example, when patients suffer from respiratory failure, artificial respiration auxiliary machines need to be used to substitute for the expectation of patients' spontaneous breathing.
2ICU care points
2.1 Basic requirements for ICU nurses
Due to the special nature of the work in ICU and the treatment objects, ICU nursing staff must have stable psychological quality and relatively solid clinical skills:
① Nurses must master the equipped instruments' properties, characteristics, use, and be able to identify common failures and treat them timely.
② For patients with severe acute illness, they must always pay attention to the changes in vital signs and seize the opportunity to make appropriate judgments.
③ Proficient in various first aid techniques, under limited conditions, implement the most urgent treatment. Rapid and timely treatment is the first condition of successful resuscitation, which is one of the basic requirements for ICU nurses.
④ Setting can quickly detect changes in condition monitoring system and a complete recovery equipment, medicines, and various emergency operation and care routine with ease, making concrete operations handy.
2.2 Master basic nursing skills
① Basic nursing skills in the ICU care process are particularly important. ICU nurses practice basic nursing skills and deal with the safety of patients to achieve comfort, such as maintaining cleanliness of patients who cannot breathe or are prohibited from certain postures by choosing the safest and most comfortable way.
② According to the patients of different ages, taking different measures of care is also one of the basic requirements of basic nursing skills. Needs of newborns and older patients in most ICU rooms require developing specific care measures and methods to fully estimate the special circumstances that may arise.
2.3 Master conversation technology
Most patients in the ICU room are in critical condition, and those facing the ventilator cannot speak. The following should be paid particular attention to:
① Must first learn to use your eyes to express intentions and meet the patient's requirements. In order to accurately grasp the requirements and understand the patient's problems, start by paying attention to the content and purpose of the dialogue with patients.
② For the contents you want to express, just understanding is not enough; it must be clear to the patient. Repeating and showing efforts to complete the posture is very important. Doing so may make the patient feel warm and rest assured.
③ In the use of various drugs, the role played in the patient's field of vision should be fully considered (due to special treatment, the body cannot just activities).
④ Before any care measures, first explain their purpose and significance to patients. Even if the patient's level of consciousness is low, it should be treated as a normal program of work to be completed. For example, people know in advance about the pain, even if the pain is very serious, tolerance is also strong, but when they do not know in advance, even a slight pain is difficult to tolerate.
⑤ Take positive measures to eliminate the adverse psychological impact of the disease and the surrounding environment on patients.
⑥ Master the wide application of computer technology in the ICU monitoring, treatment, and care process.