دانش پرستاری: از کلاس درس تا جامعه

1) سطح بندی بخش icu چگونه است و چند سطح هست؟

2)آیا بخش دیالیز و ccu جز بخش های مراقبت ویژه هست. اگر هست چرا در ابتدا آن intensive نیست؟

سلام  -  مریم عزیز . در پاسخ به سوال یک در آدرس زیر را می توانم معرفی کنم : طبقه بندی بیماران بستری در بخش مراقبت های ویژه -  البته مورد زیر مربوط به بیماران  اطفال و نوزاد است که در پنج سطح تقسیم بندی شده اند

Appendix A: Intensive Care Levels: Classification of ICU Patients 

http://onlinelibrary.wiley.com/doi/10.1002/9781444300833.app1/pdf

در خصوص  بخش و تجهیزات آن، احتمالا  می توان از رفرنس زیر استفاده کرد؛ سه سطح را معرفی می کند:

LEVELS OF INTENSIVE CARE UNITS

 http://lifeinthefastlane.com/ccc/icu-design-and-staffing

 LEVELS OF INTENSIVE CARE UNITS

LEVEL 1

• should be capable of providing immediate resuscitation and short-term cardiorespiratory support for critically ill patients
• will also have a major role in monitoring and prevention of complications in “at risk” medical and surgical patients
• must be capable of providing mechanical ventilation and simple invasive cardiovascular monitoring for a period of at least several hours

LEVEL II

•  should be capable of providing a high standard of general intensive care, including complex multi-system life support, which supports the hospital’s delineated responsibilities
• minimum of 6 beds

LEVEL III

• a tertiary referral unit for intensive care patients
•  should be capable of providing comprehensive critical care including complex multi-system life support for an indefinite period
• should have a demonstrated commitment to academic education and research
• All patients admitted to the unit must be referred for management to the attending intensive care specialist
• all consultants are FCICMs
• may have over 50 beds, should include pods of 8-15 beds

PICU

• as for a LEvel III unit, but dedicated to the care of pateints under the age of 16 years

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برای سوال دوم:  احتمالا رفرنس زیر مناسب است 

http://www.aci.health.nsw.gov.au/networks/intensive-care/community/icu_definition

تعریف بخش مراقبت ویژه

There are several different types of Units in hospitals that offer care to those patients that are seriously ill. You will hear terms such as 'Intensive Care Units', 'Coronary Care Units', High Dependency Units' and even 'Specialised Intensive Care Units'. Indeed some units combine these functions

انواع بخش مراقبت ویژه

• What is an Intensive Care Unit (ICU)?
• What is a Cardiothoracic Intensive Care Unit (CICU)?
• What is a Neurosurgical Intensive Care Unit (NICU)?
• What is a Coronary Care Unit (CCU)?
• What is a High Dependency Unit (HDU)?

با دانستن تعریف بخش مراقبت ویژه شما می توانید به سوال دوم هم پاسخ بدهید 

... واحدهایی هستند که برای ارائه بالاترین سطح از  مراقبت طبی و پرستاری به بیمارترین بیماران طراحی شده اند

Each year in New South Wales, thousands of patients are admitted into Intensive Care Units (ICUs). These units are designed to deliver the highest of medical and nursing care to the sickest of patients. Some smaller rural and urban hospitals do not have intensive care units while larger metropolitan hospitals may have a number of specialised intensive care units.