Intensive Care Unit (ICU)
The Intensive Care Unit (ICU) specializes in the management of adult and geriatric medical and surgical patients who have or are at high risk for a variety of life-threatening conditions. All ICU patients require intensive, multidisciplinary assessment and management to stabilize and/or prevent complications, thereby achieving optimal outcomes and decreasing the length of inpatient stay.
The unit is comprised of 14 full-service intensive care beds under the guidance of an Intensivist and a multidisciplinary critical care team composed of nurses, respiratory therapists, occupational therapists, speech therapists, pharmacists and case coordinators.
Intensivist-physician model: Progressive Practice
Patients in the Intensive Care Unit (ICU) at Sibley Hospital are cared for 24 hours a day by a team of health professionals led by Intensivists. Intensivists are physicians who have received additional training in the care of critically ill patients. All Intensivists at Sibley have board certification in critical care in addition to their primary field of medicine, such as Internal Medicine, Pulmonology, Surgery and Anesthesia.
Other members of our ICU team include critical care nurses, pharmacists, respiratory therapists, nutritionists, physical therapists and case coordinators. The entire team makes daily rounds on every patient and develops a plan of care for the day which is communicated to the patient, patient family members, primary care doctors, as well as other physicians involved in the patients care. This type of coordinated care improves the quality of care and better overall outcomes.
Critical Care Nurses: Expertise at the Bedside
Our registered nurses are specialized in critical care training based on the American Association of Critical-care Nurses practice guidelines and they are certified in Advanced Life Support. Under the leadership of a Nurse Manager, the professional staff in the unit incorporate into practice the latest evidenced based health care protocols to provide care and ensure recovery and promotion of health maintenance for the complex and critically ill medical and surgical patients at Sibley Hospital. They advocate for patients and their families by using the nursing process to assess, plan, implement, and evaluate nursing care of the sick and provide an individualized plan of expected treatment outcomes for each patient. They are experts in a wide variety of treatments and technologies in the critical care setting such as hemodynamic and cardiac monitoring systems, mechanical ventilation therapy, vasopressors and antiarrthymics therapies as well as many other advanced life support devices.
Jane Lewis, RN III charge nurse states that, "Our nurses are committed to quality and excellence at all levels of patient care and strive to provide an optimal and compassionate experience for all patients and families during their stay in the ICU."
Daily Rounds: Customized Care
A collaborative approach with the health care disciplines is utilized in daily rounds for each patient to plan short and long term patient care outcomes. In our daily patient rounds the interdisplinary team draws on the latest research, technology and patient response to current treatments to designate and revise care for our patients. At Sibley a strong inter- disciplinary approach is an important element in patient care.
Mary Cardarelli RN reports, "In daily rounds we discuss the plan of care with our physicians, pharmacists, dieticians, respiratory therapists, case coordinators and physical therapists to formulate the best possible interventions for the wellness of our patients."
Keeping You Safe at Sibley: No central line infections for more than 400 days in our ICU.
A central line is a catheter placed in a vein to administer medication and fluids or to take blood for tests. Sibley participates in a program designed to virtually eliminate blood stream infections associated with central lines by:
- Following a checklist including hand washing and other crucial hygiene steps
- Pre-assembling bundles of all necessary supplies and sterile materials so items are readily available
- Providing ongoing safety training and measurement
As a result, there have been no central line infections in our ICU for well over 400 days—and counting!
(As of July 15, 2011, there have been no central line infections in our ICU for 481 days)
Hasan Zia, M.D., Director of critical care and emergency surgery, and Diana Diane, R.N.