8.11 Introduction To Critical Care
8.11 Introduction To Critical Care
8.11 Introduction To Critical Care
Critical Care Unit / Intensive Care Unit Acutely and Critically Ill Patients
• A team of specially-trained health care providers • Patients who are at high risk for
are involved in rendering specialized treatments mortality due to present health problems
with the use of machines to constantly monitor (AACN, 2015)
vital signs • At high risk of actual or life-threatening
• With dedicated medical, nursing, & allied health health problems (Aitken, Chaboyer,
staff that operates with defined policies & Elliot, 2019)
procedures, with its own quality improvement,
continuing education, & research programs
4. CCU Nursing Discipling
Acute and Critical Care Nursing
• The specialty within nursing that
specifically deals with human responses
to actual or potential life-threatening
Development of Critical Care Units (CCU)
health symptoms and diagnosis (AACN,
2015)
• Assisting, supporting, and restoring the
patient toward health, or to ease the
patient’s pain, or to prepare them for
dignified death (World Federation of
Critical Nurses)
• “Critical care nursing is the specialty
within nursing that deals specifically
History of Critical Care • Provided by a multidisciplinary
(multiprofessionals) team of health care
• 1800 - Florence Nightingale :
professionals equipped with an extensive
advantages of separating recovering education & expertise in the specialty field of
surgical patients critical care
needs of acute, life-threatening illness
or injury could be better met if the physicians intensivist / specialty
patients were organized in distinct areas physicians
of the hospital nurses (advanced practice nurses –
• WW2 – shock wards were set to care for APNs)
critically injured patients pharmacists
• 1900 – John Hopkins Hospital respiratory therapists / other specialized
• 3-bed post-op neurosurgical CC therapists
(Baltimore) social workers
• premature infants unit (Chicago) clergy / other religious sect
• 1950s – mechanical ventilation was introduced – Critical care is provided in specialized units,
establishing the first ICU (respiratory) with emphasis on the continuum of care, with an
• 1970s – the Society of Critical Care Medicine efficient & seamless transition of care from one
(SCCM) was established and became the driving setting to another
force behind: Settings:
• critical care guidelines adult / pediatric / neonatal
• education step-down / telemetry / progressive or
• interdisciplinary collaborative transitional care units
initiatives intentional radiology departments
• WW2 : post-op recovery units