Archive for January, 2021

Categorising Critically Ill Patients by Critical Care Nurses

January 11th, 2021

Critical care nursing is the delivery of specialised care to critically ill patients or patients with the potential to become critically ill – that is, those who have or are susceptible to life-threatening illnesses or injuries. Such patients may be unstable, have complex needs and require intensive and vigilant critical care nursing. The Department of Health categorises acute hospital patient care into levels from 0 to 3:

Level 0 is normal acute ward care.
Level 1 is acute ward care with the input of critical care specialists, e.g. outreach. This may be required because of recent discharge from a critical care unit or because the patient’s condition or therapy/equipment used in their care means increased intervention is needed.
Level 2 is high dependency care for patients requiring an increased level of monitoring owing to their condition or potential for deterioration or patients with single organ failure/support. Nurse to patient ratios for this level of care are usually one nurse to two patients.
Level 3 is intensive care for patients with two or more organ failure/support or requiring mechanical ventilation. Nurse to patient ratios for this level of care are usually one nurse to one patient.
Illnesses and injuries commonly seen in patients on critical care units, either separate level 2 and 3 facilities or combined units, include:

traumatic injuries from such events as road traffic accidents, falls and assaults
cardiovascular disorders, such as heart failure and acute coronary syndromes (unstable angina and myocardial infarction [MI])
elective surgeries, such as abdominal aortic aneurysm repair and carotid endarterectomy
emergency surgeries, such as bowel perforation and neurosurgery
neurological disorders, such as hypoxic brain damage and subarachnoid haemorrhage
respiratory disorders, such as acute respiratory failure and pulmonary embolism
GI and hepatic disorders, such as acute pancreatitis, acute upper GI bleeding and acute liver failure
renal disorders, such as acute and chronic renal failure
cancers, such as lung, oesophageal and gastric cancer
shock caused by hypovolaemia, sepsis and cardiogenic events (such as after MI)
Meet the critical care nurse

They are responsible for making sure that critically ill patients and members of their families receive close attention and the best care possible.

What do you do?

Fill many roles in the hospital setting, such as staff nurses, sisters, charge nurses, nurse-educators, nurse-managers, clinical nurse specialists, advanced nurse practitioners (ANPs), nurse consultants and outreach nurses.

Where do you work?

Wherever critically ill patients are found, including:

adult, paediatric and neonatal intensive care units (ICUs) and high dependency units (HDUs), or combined critical care units caring for both level 2 and level 3 patients
coronary care units
cardiothoracic/neurosurgical/burns/liver units
accident and emergency departments
postanaesthesia/postoperative care units
general wards as part of an ‘outreach’ team (providing care to patients and education to staff caring for patients with complex care needs, potential to deteriorate or recently discharged from a critical care unit).
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How to Become a Critical Care Nurse

January 11th, 2021

A critical care nurse is a professional who deals with seriously ill patients in the intensive care unit. They do not only care for the patients, but also help doctors administer treatment and monitor the conditions of the patients. The service of critical care nurses is highly important and can mean the difference between success and failure of a medical endeavor. In some cases, they can also save the lives of patients. As such, a career in critical nursing can be very stressful and requires extraordinary commitment and genuine passion to help others. Although it is a challenging job, it can also bring great fulfillment. If you wish to become a nurse, it is advantageous to know exactly what the job entails.

Job Profile

The duties of a critical care nurse include caring for patients, checking and monitoring the vital signs of patients, administering appropriate medicines and helping doctors perform treatments. As a critical nurse, your job is more pressurizing than that of a regular nurse as a result of the critical nature of the illnesses of the patients under your care. When critical symptoms show, you must act in an efficient manner to ensure that the appropriate treatment will be administered as soon as possible. You also have to work with many different kinds of medical equipment, including life support systems.

What It Takes to Become a Critical Care Nurse

To become a successful nurse, you must be very attentive as you will be required to provide information regarding patients to the doctors. You are responsible for detecting symptoms in patients and must be constantly prepared for the unexpected as life-threatening symptoms may present at anytime. It is also important that you possess strong knowledge of medications and treatment methods, as well as their effects on patients. You will be required to work closely with doctors and must be prepared to work long hours when emergencies occur. Attention to detail, a strong will and calmness are some of the traits that you need to possess to excel in the field of critical care nursing.

Education Requirements

An education in nursing is a must for anyone who wishes to become a critical care nurse. There are many schools that offer excellent nursing courses and programs that are appropriate for a critical nursing career. If you want to learn the basics of nursing, you can opt for a diploma or Associate Degree in nursing. A Bachelor’s Degree or Master’s Degree in nursing will prepare you for greater career advancement, making you eligible for top critical care nursing positions in the best medical facilities. Typically, nursing programs cover areas of study such as human anatomy, illnesses, medications, and nursing procedures. After obtained the required nursing education, you must obtain an advanced practice certification or a cardiac care certification before you seek employment.

Career Opportunities and Salary

Critical care nurses are in high demand nowadays and you can be assured that you win a great position once you have graduated from nursing school. Most critical care nurses work in hospitals, but there are some who work in nursing schools, outpatient surgery centers, clinics, nursing schools and private homes. With enough experience serving as a critical care nurse, you can get promoted to become a nurse practitioner, or you can even opt to become a professor in a nursing school. The average salary for a critical care nurse is $65,000 a year which may change based on the individuals drive and experience.

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