Before a patient is admitted to an ICU, it is important for the healthcare team to assess the patient’s medical condition and determine the level of care that should be provided. This includes gathering and reviewing medical history, conducting physical exams, and determining if special monitoring or treatments are necessary. The team should also determine what the patient’s pre-admission goals and expectations should be.
2. Admission assessment.
When a patient is admitted to an ICU, the healthcare team must assess the patient’s condition and determine the best plan of care. This includes conducting physical exams, reviewing lab results, completing assessments for risk factors such as falls or delirium, and discussing any treatments that may need to be implemented. It is important for the team to communicate with one another in order to ensure that all necessary steps are taken before admitting a patient into an ICU.
3. Patient safety checks.
Patient safety is always a top priority in an ICU setting, so it is important to use a checklist to ensure that all safety precautions are taken. This includes checking the patient’s vital signs, making sure they are in an appropriate environment, and monitoring them for any potential risks or complications. The team should also be aware of any changes in the patient’s condition and take any necessary action to prevent harm or injury.
4. Medication administration.
Medication administration is another important part of an ICU checklist. Patients in an ICU will often require multiple medications and treatments, so it is important for the healthcare team to ensure that all prescribed medications are given at the correct dose and time intervals. They should also monitor for any side effects or reactions that could potentially occur and document all medication-related information.
In order to ensure that all necessary treatments are provided and that any potential risks or complications are addressed, the healthcare team must document and communicate all patient-care activities. This includes recording vital signs, documenting medications administered, noting any changes in the patient’s condition, completing safety checks, and discussing any treatment plans with other members of the healthcare team.
Depending on a patient’s condition, certain procedures may need to be performed during an ICU stay. These could include invasive or noninvasive procedures such as intubation, pain management techniques, chest tube insertion, hemodialysis, or central line placement. It is important that the healthcare team uses a checklist to ensure that all necessary steps are taken before and during any procedure.
7. Discharge preparation/transition to care.
When a patient is ready to be discharged from an ICU, it is important for the healthcare team to prepare the patient and their family or caregivers for the transition back home. This includes providing information about medications, follow-up visits, and potential complications that could arise after discharge. The team should also provide education about proper self-care techniques and discuss any continuing support needs the patient may have in order to prevent any readmission to an ICU setting.