1. Ethical Moral Practice
1.1. Responsibilities of a Critical Care Nurse
1.1.1. Codes of Professional Conduct
1.1.2. Principles of Autonomy
1.1.3. Beneficence
1.2. Competent Behavior Cluster of a Critical Care Nurse
1.3. Ethical Issues in Critical Care Nurse
1.3.1. Informed Consent
1.3.2. End of life issues
1.3.3. Organ and Tissue Transplantation
1.4. Ethical Decision Making
1.5. Ethical Principles
1.5.1. Autonomy
1.5.2. Beneficence
1.5.3. Justice
1.5.4. Veracity
1.5.5. Fidelity
1.5.6. Confidentiality
2. Levels of Critical Care
2.1. Level 1
2.1.1. Risk of Deterioration, Recovering Patients
2.2. Level 2
2.2.1. Single Organ Failure
2.3. Level 3
2.3.1. Multi Organ Failure
2.4. Level of Acuity
2.4.1. Non Urgent
2.4.2. Urgent
2.4.3. Emergent
2.5. Discharge and Health Teaching Plan
2.5.1. Teach Back Method
2.5.2. METHODSS Method
2.5.3. Family Bundle
3. Standard of Care
3.1. Crtical Care Nurse Characteristics
3.1.1. Scope of Critical Care Nurse
3.1.1.1. Care Provider
3.1.1.1.1. Direct
3.1.1.1.2. Indirect
3.1.1.2. Extended Roles
3.1.1.3. Educator
3.1.1.4. Patient Advocate
3.1.2. Management and Leadership Roles
3.1.3. Research Role
3.2. 11 Standards for Critical Care Nurse
3.2.1. Function accordance with the legislation
3.2.2. Provides need in a 24hr basis
3.2.3. Practices Current Crical Care Nursing Competently
3.2.4. Ethically Justifiable Nursing Care
3.2.5. Demonstrtates accountability
3.2.6. Maintain Enviroment which promotes safety and security
3.2.7. Can Use and assembles all essential equipment
3.2.8. Protect patient though infection
3.2.9. Utilize Nursing Process
3.2.10. Promote maintenance of health and health education
3.2.11. Enhance professional and others
3.3. Trainings of Nurses for Critical Care Unit
3.3.1. Orientation Program
3.3.2. In-Service training Program
3.3.3. Critical Care Nursing Program (Post Grad Specialty)
3.3.3.1. Cardiac Special Care Training
3.3.3.2. Advanced Critical Care Nursing Provider Course
4. Introduction
4.1. What is Critical Care Nurse & Unit ?
4.1.1. Characteristics of Critical Care Units
4.1.1.1. Ratio of 1/1
4.1.1.2. Patients with life threatening health problems
4.1.1.3. Patient wt mulptiple diagnosis
4.1.1.4. Specialized Equipments
4.1.1.5. Isolations Precautions
4.1.1.6. Restricted Visiting Houts
4.1.1.7. Bedside Computers for easy documentation
4.1.2. Condition that Require Critical Care
4.1.2.1. Multi Organ Failure
4.1.2.2. Heart Problems
4.1.2.3. Lung Problems
4.1.2.4. Brain Trauma
4.1.2.5. Blood Infections
4.1.2.6. Serious Injury
4.1.3. Types of Intensive Care Units
4.1.3.1. Coronary Care Unit
4.1.3.2. Cardiovascular Intensive Care Unit
4.1.3.3. Surgical Intesive Care Unit
4.1.3.4. Trauma Intensive Care Unit
4.1.3.5. Pediatric Intensive Care Unit
4.1.3.6. Neonatal Intensive Care Unit
4.1.3.7. Neurological Intesive Care Unit
4.1.3.8. Isolation Intensive Care Unit
4.1.3.9. High Dependency Unit
4.1.3.10. General Intensive Care Unit
4.2. Evolution of Critical Care
4.2.1. 1850s
4.2.1.1. Separate area during crimean War
4.2.2. 1927
4.2.2.1. - increased monitoring of Neuro post-op/ Dr. Walter Dandy
4.2.3. 1952
4.2.3.1. Used of mechanical ventilators for Polio epidemic/ Dr. Bjorn Ibsen
4.2.4. 1959
4.2.4.1. 1st modern CCU/ Univ. of Southern California & Univ. of Pittsburgh
4.2.5. 1960s
4.2.5.1. Mechanical Ventilator was for commercial use
4.3. Professional Organization
4.3.1. American Association of Critical Care Nurse (AACN)
4.3.2. Critical Care Nurse Association of the Philippines Inc. (CCNAPI)
4.3.2.1. Certifications for Critical Care Nurse in The Philippines
4.3.2.1.1. Registered Nurse
4.3.2.1.2. Intravenous Training (IVT)
4.3.2.1.3. BLS/ACLS Training
4.3.2.1.4. Critical Care Course Program
5. Quality and Safety
5.1. Nursing Process
5.1.1. Assesment
5.1.1.1. Collection of Data
5.1.2. Diagnosis
5.1.2.1. Determining Nrsg Diagnosis
5.1.3. Planning
5.1.3.1. Detailing of Interventions
5.1.4. Implementation
5.1.4.1. Performance of Interventions
5.1.5. Evaluation
5.1.5.1. Evaluation of Patient's Progress
5.2. Communication
5.2.1. Handsoff/Endorsment
5.2.1.1. Barriers to effective handoff communication
5.2.1.1.1. Physical setting
5.2.1.1.2. Social Setting
5.2.1.1.3. Language
5.2.1.1.4. Communication Medium
5.2.2. SBAR Approach
5.2.2.1. Situation
5.2.2.1.1. Consise statement of the problem
5.2.2.2. Background
5.2.2.2.1. Brief Information related to the situation
5.2.2.3. Assesment
5.2.2.3.1. Analysis and Considerations of Options
5.2.2.4. Recommendation
5.2.2.4.1. Actions requested
5.3. Documentation
5.3.1. Electrical Medical Record
5.3.2. Withdrawal Medical Treatment Forms
5.3.2.1. DNR (Do not resusitate)
5.3.2.2. DNI (Do Not Intubate)
5.3.2.3. Palliative Care
5.4. Collaboration
5.4.1. IPSG 1
5.4.1.1. Identify Patients Correctly
5.4.2. IPSG 2
5.4.2.1. Improve Effective Communication
5.4.3. IPSG 3
5.4.3.1. Improve Safety of High Alert Medications
5.4.4. IPSG 4
5.4.4.1. Ensure Correct Site, Procedure and Patient Surgery
5.4.5. IPSG 5
5.4.5.1. Reduce the risk of health care associated infection
5.4.6. IPSG 6
5.4.6.1. Reduce the risk of patint harm resulting from falls