CRITICAL CARE NURSING

QUALITY & SAFETY

• Competencies for Critical Care Nurses

in order to provide safe and quality care
• Conducting nursing assessment
• Formulating care plans
• Implementing planned care
• Maintaining effective communication
• Acting in emergency situations such
as rapid deterioration, life-
threatening , unstable, and critical
events.
• Demonstrating specific knowledge
and skills in the critical care setting
1. Conducting Nursing Assessment

The critical care (ICU) nurse performs patient The critical care nurse prioritizes the health
health assessment accurately, continuously, needs of the patient from a holistic perspective.
comprehensively and systematically.
2. Formulating care plans

• The critical care nurse

develops individualized,
holistic and patient-
centered care plans that
document nursing
diagnoses / identifies
patient’s problems in
relation to patient’s
needs
3. Implementing planned care
• The critical care nurse implements planned care to
achieve optimal health status of dignified death of the
patient.
4. Evaluating patient’s
health progress and
outcome

• The critical care

nurse evaluates
the outcomes of
nursing care in
an explicit,
systematic and
ongoing manner.
5. Maintaining effective
communication

• The critical care

communicates relevant,
accurate and
comprehensive information,
both verbal and
written, about the patient’s
health status to related
health care team members
and family members.
6. Acting in emergency
situations such as rapid • The critical care nurse responds swiftly in a calm
deterioration, life- and proficient manner when faced with an
threatening , unstable, unexpected or rapidly changing situation related to
the patient or environment.
and critical events
 The critical care nurse provides quality and effective
care to patient in the following aspects:
• Pulmonary
• Cardiovascular
• Neurological
• Renal
7. Demonstrating • Gastrointestinal
specific knowledge • Endocrine
• Peri-operative
and skills in the • Trauma
critical care setting • Burn
• Organ Transplantation
• Control of Infection
• Psychosocial and Spiritual Care
ETHICO-LEGAL CONSIDERATIONS IN
LEGAL
RESPONSIBILITIES
• Fulfilling legal responsibilities
and acting as patients
advocate

❖The critical care nurse

functions in accordance
with common law,
ordinance and regulations
influencing nursing
practice.
Legal Responsibilities
a. Demonstrates awareness of the relevant ordinances and organizational
regulations that have legal regulations such as Code of Professional Conduct for
Nurses and the Philippines Nursing Law of 2002 (RA 9173).
b. Acts on the all ethical principles and ensures that no action or omission is detrimental to
the safety of patients.
c. Familiarizes with the legal procedures for organ transplantation and be sensitive to
organ preservation management and family support.
d. Ensures that informed consent has been obtained prior to carrying out invasive and
noninvasive procedures and medical treatment, particularly when patient or/and family
does not have complete information to make an informed decision.
R.A. 9173
• An act providing for a more responsive nursing profession,
repealing for the purpose republic Act No. 7164, otherwise
knows as "the Philippine Nursing Act of 1991" and for other
purposes
Legal Responsibilities
e. Facilitates delivery of comprehensive explanation to patient/family if indicated to
empower them to make responsible choice.
f. Maintains legible, dated signed and accurate nursing records to fulfill legal
responsibilities.
g. Is aware of self- limitation and seeks advice and supervision from senior if a
delegated task or responsibility is felt to be beyond current training or ability,
(e.g., informs seniors that he/she has no experience and training in caring patient
undergoing continuous renal replacement therapy).
h. Reports any unfavorable environment which may have a negative impact on the
patient’s physical, psychological and social well being as well as the process of
rehabilitation.
 • Practicing ethico-moral standards of the nursing
profession.
• The critical care nurse demonstrates the
Ethico- appropriate application of knowledge in
nursing practice, which complies with the code
Moral of professional conduct, principles of
autonomy, beneficence and justice. She / He

Practice also accepts personal responsibility for one’s

own professional judgments and actions as
well as consequence of one’s behavior
Ethico-Moral Practice

a. Has respect for patient / family rights including confidentiality

b. Conducts intensive care nursing practice and makes sound independent
clinical judgment in a way that can be ethically justified
c. Aware of the importance of open discussion with others about his/her
own views on ethical dilemmas
d. Reports all perceived unethical incidents to responsible person such as
but not limited to, responsible use of technology (clinical or
administrative); use of communication devices not related to clinical
practice
e. Maintains professional decorum in dealings with patient, family and co-
workers
CLINICAL
LEADERSHIP
The process of influencing
point-of-care innovation
and improvement in both
organizational processes
and individual care
practices to achieve
quality and safety of care
outcomes.
 • Managing within the
organization

CLINICAL ❖The critical care nurse

understands the mission
LEADERSHIP and core values of the
organization and facilitates
the achievement of the
organizational goals.
 • Empowering subordinates

CLINICAL ❖The critical care nurse achieves targets

LEADERSHIP through subordinates using the processes
and techniques associated with motivating,
coaching, delegating and supervising.
 • Assisting in maintaining a safe and healthy
working environment

CLINICAL ❖The critical care nurse carries out activities to

assist in maintaining a favorable working
LEADERSHIP environment
COLLABORATION
AND TEAMWORK
 COLLABORATION
AND TEAMWORK

• Maintaining collaborative relationships in the

multi-disciplinary team

❖The critical care nurse maintains

collaborative relationships within the ICU
team. This relationship contributes towards
the achievement of smooth and effective
team performance in accomplishing
common goals.
• Maintaining a cohesive nursing
team

❖The critical care nurse COLLABORATION

establishes and maintains AND TEAMWORK
harmonious working
relationships with nursing
colleagues
PERSONAL & PROFESSIONAL DEVELOPMENT
PERSONAL &
PROFESSIONAL
DEVELOPMENT
• Facilitating the development of
nursing knowledge in clinical
setting

❖The critical care nurse

takes initiative to support
or conduct activities, which
promote the advancement
of nursing
PERSONAL &
PROFESSIONAL
DEVELOPMENT
• Promoting the professional image
of ICU nurse

❖The critical care nurse acts in

manner that maintains active
ongoing involvement in
activities related to the nursing
profession such as ICU
conference, workshop and
course; and promotes the
professional image of nursing.
 PERSONAL &
PROFESSIONAL
DEVELOPMENT
• Evaluating own nursing practice and
knowledge to enhance personal skills

❖ The critical care nurse assesses self-

awareness of his/her own professional
competence continuously and
independently; maintains up-to date
nursing knowledge to keep abreast of
nursing trends and nursing standards
in specialty practice.
 #rciconnects

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