TO PROVIDE OPTIMUM CARE AS PER NEED IN MINIMUM COST. TO UTILISE RESOURSES EFFECTIVELY.
MONITORING SKILL.
DRUG
CALCULATION &MONITORING.
&POST PROCEDURE CARE MONITORING SKILL.
PRE,INTRA
HEMODYNAMIC
ASSESSMENT OF INDICATION FOR VENTILLATION. ABG INTERPRETATION CARE OF VENTILLATOR PATIENT . WEANING OF VENTILLATION. RECOGNISE INDICATION &COMPLICATION OF ENTERAL AND PARENTRAL NUTRITION.
ELEMENTS OF PPC.
INTENSIVE CARE. INTERMEDIATE CARE. SELF CARE. LONG TERM OR EXTENDED CARE. HOME CARE. AMBULATORY OR OUTPATIENT CARE.
STAFFING IN ICU.
NURSES. AT LEAST 2 NURSES PER DAY FOR ONE PATIENT . WESTERN CONTRIES-1:1 PER SHIFT OR 4:1 PER DAY. AUXILLARY PERSONS. ONE MALE AND ONE FEMALE.
ONE
WARD CLERK. ONE SWEEPER. TECHNICAL STAFF. -PHYSIOTHERAPIST. -INHALATION THERAPIST. -ECG TECHNICIAN. -BIOMEDICAL ENGINEER -LAB TECHNICIAN -ELECTRONIC TECHNICIAN.
MANAGEMENT OF ICU.
ICU COMMITTEE. INCHARGE IS MEDICAL OFFICER. POLICIES AND PROCEDURES. -ADMISSION DISCHARGE CRITERIA. -BED UTILIZATION -SPECIAL OBSERVATION CHART -RULES FOR VISITORS.
-INFORMATION SYSTEM TO RELATIVES. -DISCHARGE SUMMARY. -DIETRY SERVICES. -STAFF TRAINING. -STANDING ORDERS. -PROCEDURE MANUEL. -RESOURCE AVAILABILITY.
INTERMEDIATE CARE UNITS ARE THOSE UNITS WHERE PATIENTS ,WHO ARE EITHER MODERATELY ILL OR FOR WHOM THE TREATMENT CAN BE PALLIATIVE ARE CARED FOR.
STAFFING .
CARE REQUIREMENT-4 HOURS MORNING SHIFT-6 PATIENTS EVENING SHIFT-8 PATIENTS. NIGHT SHIFT-12-15 PATIENTS
SUBACUTE LEVEL. -POST ACUTE CARE LIKE VENTILLATOR CARE. -SPECIALISED NURSING SKILLS. -PERFORM CARE OF TERMINALLY ILL.
ACUTE LEVEL. TEACHING&REHABILITATION. PERFORMANCE OF ADL. ASSISTANCE IN DAILY CARE LONGTERM CARE ROUTINE CARE EFFECTIVE SUPERVISION. PALLIATIVE CARE.
SELF CARE.
AMBULATORY PATIENTS WHO ARE CONVALESCING OR REQUIRE DIAGNOSIS OR THERAPY MAY BE CARED FOR IN A SELF CARE UNIT. Eg;PATIENT RECEIVING RADIATION OR PHYSICAL THERAPY.
PHYSICAL FACILITIES.
NURSES RESPONSIBILITIES
SUPERVISION OF ACTIVITIES. IDENTIFICATION OF HEALTH PROBLEMS. HEALTH EDUCATION. DEMONSTRATING PROCEDURES. PERFORM SPECIALISED TREATMENT. HELP IN COPING.
LONGTERM CARE.
PATIENT WHO NEED MEDICAL AND NURSING CARE FOR A PROLONGED PERIOD.
NURSES RESPONSIBILITY.
ASSISTING IN MEETING THE DAILY NEEDS OF CLIENT. ROUTINE CARE. ASSESSMENT &PLANNING OF NURSING CARE. SUPERVISION INTERDEPARTMENTAL COORDINATION.
HOME CARE
SERVICES WHICH ARE DONE FOR PATIENTS WHO CAN BEST BE CARED AT HOME WITH EXTENDED SERVICE FROM THE HOSPITAL WHENEVER NEEDED.
SERVICES REQUIRED.
DIAGNOSTIC AND THERAPEUTIC PROCEDURES. PHYSIOTHERAPY. OCCUPATIONAL THERAPY SPEECH THERAPY. HEALTH INSTRUCTIONS. ROUTINE CARE.
NURSES RESPONSIBILITY.
AMBULATORY CARE.
CARE UNIT IN WHICH SERVICES ARE GIVEN TO THE NEEDY PEOPLE WHO VISITS THE HOSPITAL.
ADVANTAGES OF PPC.
TO THE PATIENT TO THE NURSING PERSONNEL.
DEMERITS OF PPC.
RAPID CHANGE IN PATIENT AREA. REDUCED PATIENT STAFF RELATION. RESISTANCE FOR TRANSFERRING. IMPROPER RELATIONS. DIFFICULT TO MEET ALL CRITERIAS OF EACH UNIT.
SUMMARY
CONCLUSION