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Rao MD
An ICU is a consolidated area of a hospital where patients with acutely lifethreatening illnesses or injuries receive around the clock specialized medical
and nursing care, such as mechanical ventilation and invasive cardiac
monitoring. Mortality rates in patients admitted to the ICU average 10-20% in
most hospitals. Today many patients are subjected to ICU care in spite of lack
of Indications, who deserves ICU care lacks clarity for whom to admit or not ,
many public Institutions are overcrowded with ICU patients, so every hospital
should have a plan to expand ICU capacity and I will present some data mainly
focusing on the nurses AND resident Doctors, care in hospital ICU s is strongly
influenced by whether intensivists are providing care and the staff
organization in the ICU are following the guidelines in infection control and
prevention. Intensivists are familiar with the complications that can occur in
the ICU and, thus, are better equipped to minimize errors. Leapfrog defines
intensivists as either: if we understand principles of caring the patients nursing
care remain the boon for better survival of patients and reduction of infections
Staff organization in the ICU is also important. In general, hospitals have either
open or closed ICU s. In an open system, patients receive care primarily
from physicians with responsibilities outside the ICU. Critical care specialists
are often available to provide expertise on a consultation basis. In a closed
system, patients are cared for exclusively by critical-care specialists or teams
that are closer on hand for both fine-tuning routine care and dealing with
emergencies. Never forget the ICU care involves the physical aspects of the
caring and above all main theme remain with caring to reduce the Infection
Another proposal would be to have different team organization. One might
have one nurse with expertise in ICU procedures, while you have another