Preparation of the patient includes the preoperative assessment, review of preoperative tests, optimisation of medical conditions, adequate preoperative fasting, appropriate premedication, and the explanation of anaesthetic risk to patients.

2. INTRODUCTION
• Intensive Care Units (ICUs) Are Specialist Hospital Unit
That Provide Treatment And Monitoring For People Who
Are Very Ill. Its composed with Staffs are Specially Trained
Healthcare Professionals And Contain Sophisticated
Monitoring Equipment handling .
• The Critical Care Unit Of A Hospital Is Responsible For
Providing Emergency Support and life saving support with
help of equipment/devices/instruments to the patients .
• The Patients Who Need Immediate Care For Their Sudden
And Critical Health Problems comes to ICU.

3. WHAT IS PATIENT ?
• Patient Comes From The Latin words“Patiens,” From “Patior,” Mean “To Suffer Or Bear”
• The Patient, In This Language, Is Truly Passive—bearing Whatever Suffering Is Necessary And
Tolerating Patiently The Interventions Of The Outside Expert.
• Patient Is Very Important Person (VIP)In Health Care Services

4. MEANING OF ICU
• The Intensive Care Unit (ICU)
• Its A Separate, Self-contained Area Within A Medical Facility, Equipped With High-tech
Specialized Facilities Designed For Close Monitoring, Rapid Intervention And Often Extended
Treatment Of Patients With Acute Organ Dysfunction and Chronic illness etc

5. TYPE OF ICU
• Intensive Care Units Can Be Organised Based
On The Pathologies/Conditions Treated (E.G.
Neurological, Trauma, Burns, Medical Or
Surgical ICUs) Or By The Age Group Of The
Patient Admitted (Adult Or Paediatric).
• Specialized Intensive Care Units Include
Medical, Surgical, Pediatric And Neonatal
Intensive Care Units.

6. WHAT ARE THE CONDITION CONSIDERED AS CRITICAL?
• Any Person With Life Threatening Condition. Sever Shock, Heart Block, acute Renal Failure
,Poly Trauma ( Multiple Organ Failure ),Sever Burnany ,Critical Abnormalities

7. PREPARATION OF PATIENT IN TWO WAY
OUTSIDE OF THE ICU
• Assess The Area Were Patients Comes To ICU
• Assess The Condition Of The Patients Stable?/Unstable?
• Type And Way Of Transportation Required For Patients?
• Type Of Equipment/Devices/Instruments Need For Transportation ?
• Informed /Written Consent With Patient/Family Members?
• Preparation Of Patient With Hospital Policy ?
• Checklist For Patient Belongings ?`
• Change The Hospital Gown And Maintain The Patient Personal Hygiene
• Use High Level Disinfection Solution With Devices Before To Transportation To Icu
• HEALTH TEAM TO BE ACCOMPANIED While TRANSPORTATION OF PATIENT
• Keep Essential Drugs Loaded With Patient Emergency Crash Cart Trolley

8. CONTINUED
• INSIDE OF ICU
• Prepare The Patient Unit/Cubic/Bed With Accessories
• Bed Distance -1 Meter, 240 Sq.Ft, One Foot Step Of Four Direction Of Bed , Cross Ventilation
Etc.
• Patient Unit Must Clean Followed By Disinfect Unit (Example.Previous Patient was HIV/HbsAg
mean Need Deep Cleaning Followed By Fumigation process )
• Ensuring The Function Of All Life Saving Equipment /Devices/instruments are working or not ?
• All Equipment To Be Disinfect Before Patient Arrival
• Placement Of Patient As Per Red/Yellow /Green Categories

9. OUTSIDE OF ICU ARRANGEMET -CHANGING THE HOSPITAL
GOWN

11. ARRIVAL OF PATIENT FROM WHERE?
• FROM OPD DEPARTMET
• FROM EMERGENCY
• FROM GENERAL WARD OF VARIOUS DEPT
• FROM OPERATION TEATRE
• FROM DIRECT ADMISSION (REFERAL CASE OF OTHER HOSPITAL,HEALTH
CENTRE ,CLINIC, NURSING HOME ) ETC
• FROM DIAGNOSTIC AREA ETC

12. FROM EMERGENCY/OPD/OTHER AREA

13. FROM SURGICAL DEPARTMENT

14. ADMISSION POLICY /ASSESS THE PATIENT CONDITION

15. ESSENTIAL OF DRUG/EQUIPMENT/PERSONNEL NEED WHILE TRANSPORTATION OF PATIENT

16. MAKING DECISION BY INTENSIVIST/CONSULTANTS
• COUNSELLING THE PATIENT /RELATIVES WITH
PROGNOSIS/ECONOMIC AFFORABLE/NEED OF
PATIENT WILLINGNESS
• ASESS THE CONDITION NEED FOR ICU
• INFORM CONSENT /WRITTEN CONSENT
• ICU CONSENT /DIL CONSENT
• ALLOCATION O F BED FACILITIES

17. PREPARATION OF PATIENT BEFORE ARRIVAL TO ICU

18. TRANSPORTATION OF PATIENT WITH ELP OF WHEEL CHAIR

19. SAFE TRANSPORTATION OF INTRAOSPITAL

20. FROM FULLY EQUIPPED STRETCHER WITH AUTOMATED DEVICES

21. TRANPORTATION WITH FULLY EQUIPED ALPHA BED WITH ACCESSORIES

22. FIVE MOMENTS OF HAND HYGIENE IN ICU

23. ACCESS /LAYOUT OF ICU FOR EASY TRANSPORTATION

24. STEP FOR SAFE AND EFFECTIVE USE OF DISINFECTANT IN ICU

25. DISINFECTION OF DEVICES WITH HLD

26. PREPARATION OF EQUIPMENT FOR TRANSPORTATION

27. CLEANING, DISINFECTION OF PATIENT SURROUNDING AREA

28. PREPARATION OF PATIENT CUBIC/UNIT

29. PREPARATION OF PATIENT
• PREPARE THE CLIENT ROOM
• WELCOME THE PATIENT TO ICU
• ENSURE THE PLACEMENT OF THE PATIENT
• ENSURE THE PATIENT RIGHT AND VALUES OF
PRESENCES
• MAKE THE SAFETY OF PATIENT IN ALL
ASPECT
• COMPILING THE PATIENT DATA
• INITIATE THE TREATMENT OF ICU
GUIDELINESS
ICUs with individual patient modules should
allow at least 240 square feet per
room (assuming one patient per room), and
provide a minimum width of 15 feet, excluding
ancillary spaces (anteroom, toilet, storage).
Isolation rooms should each contain at least 240
square feet of floor space plus an anteroom.

30. PLACEMENT OF PATIENT IN ICU

31. MODERN ICU SETTING

32. CONTINUATION OF ICU CARE

34. THANK YOU SO MUCH FOR YOUR PATIENCE
LISTENING .,,,,,