The document discusses emergency department organization, equipment, drugs, communication, and documentation. It describes the major functional areas of an emergency department including triage, resuscitation, treatment areas, and staff areas. Standard equipment for resuscitation like suction, oxygen, monitors, and crash carts are outlined. Common emergency drugs are listed. Effective communication includes both verbal and nonverbal aspects, and guidelines are provided for communicating with special patient populations. Documentation of patient care is also discussed.
Emergency is the gateway to the hospital, patients with pain and agony, relative emotionally charged enter the emergency department at any hour of the day or night, expecting immediate treatment and solace.
The document discusses the key aspects of inpatient wards and operating theatres in a hospital. It describes the functions of inpatient wards as providing medical care under supervision for patients admitted either short-term or long-term. It outlines various components of inpatient wards and operating theatres including nursing stations, ICUs, pharmacies, and more. The document also discusses factors to consider in planning and designing inpatient wards and operating theatres such as zoning, environmental criteria, workflow, and more.
PLANNING AND ORGANISING HOSPITAL SERVICES - LAB AND.pptxThangamjayarani
A hospital provides both short and long-term medical care through diagnostic, therapeutic, and rehabilitative services. It serves as a center for training health workers and conducting biomedical research. The document discusses planning laboratory and emergency department services in hospitals. It outlines factors to consider like space requirements, equipment needs, staffing, and quality assurance. The goal is to efficiently provide accurate lab tests and urgent medical care to best serve patients.
The document provides information about designing a library for a hospital. It discusses the various departments in a hospital like emergency, outpatient, inpatient, intensive care units. It describes the space requirements, areas, and factors to consider for the different departments. Specific guidelines are provided for emergency department, trauma center, outpatient department, inpatient wards, ICU. Fire safety, lifts, and other special building features for hospitals are also covered.
Emergency departments are crucial for providing urgent medical care and reducing mortality from time-sensitive conditions. An effective emergency department has several key elements: appropriate staffing by doctors, nurses, and technicians 24/7; essential emergency equipment like ventilators, defibrillators, and monitoring devices; and standardized processes for triaging patients, providing initial treatment, and transferring patients to inpatient care as needed. The objective of an emergency department is to manage accidents and medical emergencies, provide first aid and diagnostic services, treat or stabilize minor injuries and refer more serious cases to specialists, and maintain thorough records for documentation and training purposes.
- An intensive care unit (ICU), such as a cardiac ICU, provides specialized monitoring and care for critically ill patients. It is staffed by a multidisciplinary team including physicians, nurses, and technicians.
- The ICU design includes factors like its location in the hospital, minimum bed size of 6-12 beds, equipment for monitoring and life support, and connections to other hospital departments.
- Patients are classified into three levels of care based on the number of failing organs and support needed. Staffing ratios vary according to the level of care.
- Quality control, equipment management, floor plan, and staffing models are important considerations in ICU design to optimize patient care and outcomes.
The document outlines guidelines for planning and organizing intensive care services in a hospital. It discusses determining critical care needs, staffing requirements, physical space planning including bed layout and facilities, and policies for admission, treatment, and discharge. The optimal ICU size is 10-14 beds and should be centrally located with restricted access. Staffing should include nurses, physicians, technicians and ancillary staff. Admission criteria and treatment protocols should be clearly defined.
Emergency is the gateway to the hospital, patients with pain and agony, relative emotionally charged enter the emergency department at any hour of the day or night, expecting immediate treatment and solace.
The document discusses the key aspects of inpatient wards and operating theatres in a hospital. It describes the functions of inpatient wards as providing medical care under supervision for patients admitted either short-term or long-term. It outlines various components of inpatient wards and operating theatres including nursing stations, ICUs, pharmacies, and more. The document also discusses factors to consider in planning and designing inpatient wards and operating theatres such as zoning, environmental criteria, workflow, and more.
PLANNING AND ORGANISING HOSPITAL SERVICES - LAB AND.pptxThangamjayarani
A hospital provides both short and long-term medical care through diagnostic, therapeutic, and rehabilitative services. It serves as a center for training health workers and conducting biomedical research. The document discusses planning laboratory and emergency department services in hospitals. It outlines factors to consider like space requirements, equipment needs, staffing, and quality assurance. The goal is to efficiently provide accurate lab tests and urgent medical care to best serve patients.
The document provides information about designing a library for a hospital. It discusses the various departments in a hospital like emergency, outpatient, inpatient, intensive care units. It describes the space requirements, areas, and factors to consider for the different departments. Specific guidelines are provided for emergency department, trauma center, outpatient department, inpatient wards, ICU. Fire safety, lifts, and other special building features for hospitals are also covered.
Emergency departments are crucial for providing urgent medical care and reducing mortality from time-sensitive conditions. An effective emergency department has several key elements: appropriate staffing by doctors, nurses, and technicians 24/7; essential emergency equipment like ventilators, defibrillators, and monitoring devices; and standardized processes for triaging patients, providing initial treatment, and transferring patients to inpatient care as needed. The objective of an emergency department is to manage accidents and medical emergencies, provide first aid and diagnostic services, treat or stabilize minor injuries and refer more serious cases to specialists, and maintain thorough records for documentation and training purposes.
- An intensive care unit (ICU), such as a cardiac ICU, provides specialized monitoring and care for critically ill patients. It is staffed by a multidisciplinary team including physicians, nurses, and technicians.
- The ICU design includes factors like its location in the hospital, minimum bed size of 6-12 beds, equipment for monitoring and life support, and connections to other hospital departments.
- Patients are classified into three levels of care based on the number of failing organs and support needed. Staffing ratios vary according to the level of care.
- Quality control, equipment management, floor plan, and staffing models are important considerations in ICU design to optimize patient care and outcomes.
The document outlines guidelines for planning and organizing intensive care services in a hospital. It discusses determining critical care needs, staffing requirements, physical space planning including bed layout and facilities, and policies for admission, treatment, and discharge. The optimal ICU size is 10-14 beds and should be centrally located with restricted access. Staffing should include nurses, physicians, technicians and ancillary staff. Admission criteria and treatment protocols should be clearly defined.
This document provides information about planning and setting up a neuro intensive care unit (ICU) in a hospital. It discusses the key components of a neuro ICU including its purpose of caring for patients with life-threatening neurological conditions. It outlines considerations for the physical layout, location, size, staffing needs, equipment requirements, policies, training needs and more factors in establishing a neuro ICU unit. The document emphasizes the importance of carefully planning the design and facilities of the unit to best meet patient needs while allowing for close monitoring and treatment.
FORTIS HOSPITAL AMRITSAR CASE STUDY WITH LIBRARY STUDY Prince Pathania
Hospitals are complex buildings with a wide range of services and functional units including diagnostic, treatment, hospitality, and inpatient care functions. Hospital design must consider efficiency, flexibility, interior design, aesthetics, accessibility, and cleanliness. The document discusses the layout and design considerations for key areas within a hospital including the emergency department, surgical department, intensive care unit, and patient care areas. Design should focus on optimal relationships and flow between departments to serve patients' needs.
The document discusses the importance and functions of accident and emergency departments in hospitals. It provides definitions of medical emergencies and outlines different types of emergency departments. It also covers key aspects of emergency department planning and design such as location, layout, entrance areas, examination and treatment rooms, and necessary support and administrative areas. Engineering services and communication systems for emergency departments are also addressed.
1) A hospital provides specialized health care through staff and equipment divided into operational areas.
2) Functional planning norms divide hospitals into categories based on bed count, with guidelines for treatment rooms, wards, and other spaces.
3) Key areas include outpatient departments, inpatient wards, emergency, radiology, operating theaters, and intensive care, each with their own space and connectivity needs to support patient care.
Unit ii opd services for mha ii semesteranjalatchi
This document outlines the key aspects of an outpatient department (OPD) in a hospital. It defines an OPD as the area of a hospital designed to treat outpatients without requiring overnight admission. The document describes the various services an OPD provides, including clinical examinations, diagnostic tests, minor procedures, and counseling. It also discusses OPD design considerations, such as patient flow, space requirements for examination rooms and ancillary facilities, and the roles and responsibilities of OPD administrators in ensuring quality of care.
Hospital pharmacists play an important role in ensuring safe and effective medication use. They are responsible for procuring, storing, and dispensing medications. Pharmacists also provide clinical services like reviewing medications for safety and efficacy, providing drug information to patients and staff, and optimizing medication therapy. Some pharmacists specialize in areas like nuclear pharmacy, oncology pharmacy, and intensive care pharmacy to support patients with complex medication needs. Overall, hospital pharmacists are drug experts who work to improve patient outcomes through optimal medication use.
If you are looking for durable medical equipment suppliers, you have come to the right place. Al Khaleej provides quality hospital furniture, and medical equipment to the healthcare industry. For more information: https://www.alkhaleejkitchenequip.com/product-category/hospital-equipments/
OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.
Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.
The document provides an overview of the emergency department (ED) in a hospital. It discusses that the ED acts as the front door and portal of entry for critical patients. The ED aims to provide immediate life-saving treatment and manage medical emergencies to prevent loss of life. It must be properly equipped and located for efficient patient care. Staff have defined roles to ensure the smooth functioning of the ED.
The document outlines the history and development of Advanced Trauma Life Support (ATLS). It describes the initial assessment process for trauma patients, including the primary and secondary surveys, with a focus on identifying and treating life-threatening injuries immediately. Specific types of injuries are discussed such as head trauma, thoracic trauma, abdominal/pelvic trauma. The goal of ATLS is to provide a standardized approach to trauma care through systematic assessment and simultaneous resuscitation to reduce mortality from traumatic injuries.
The document provides an overview of the Advanced Trauma Life Support (ATLS) program. It describes how ATLS was developed in the 1970s by Dr. James Styner after a plane crash left him realizing the need for standardized trauma care. The summary describes the goals of ATLS to provide a systematic approach to trauma resuscitation and management. It also summarizes the primary and secondary survey process in ATLS which focuses on rapid assessment and stabilization of airway, breathing, circulation, disability and exposure followed by a full head-to-toe examination.
The document provides an overview of the Advanced Trauma Life Support (ATLS) program. It describes how ATLS was developed in the 1970s by Dr. James Styner after a plane crash left him realizing the need for standardized trauma care. The summary describes the goals of ATLS to provide a systematic approach to trauma resuscitation and management. It also summarizes the primary and secondary survey process in ATLS which focuses on rapid assessment and stabilization of airway, breathing, circulation, disability and exposure followed by a full head-to-toe examination.
Intensive care Unit 4.4.23 for ICU training.pptxanjalatchi
The document discusses the ideal setup and design of an intensive care unit (ICU). It notes that an ICU is meant for critically ill patients whose conditions are unstable or potentially unstable. An ideal ICU design has only one entry and exit, beds spaced at least 8 feet apart, adequate medical equipment and monitoring systems, and follows strict guidelines for staffing, maintenance, and patient classification. The document emphasizes the importance of a multidisciplinary team approach to ICU care.
Setting up gynecological endoscopy servicesPriya Bhave.
This presentation is about setting up Gynecological endoscopy services: the components, the challenges and finally achieving and sustaining excellence.
ICU : 14 bedded Intensive Care Unit with trained nurses experienced physiotherapist are available round the clock on their duty. The ICU is equipped with:
Multi panel overhead monitors for each bed & one central monitor
Bedside color Doppler
Echocardiography system
Continuous Oxygen supply
Infusion pumps
Defibrillator
Ventilators
Invasive as well as non-invasive pressure monitoring systems
Temporary Pace maker (transdermal as well as transvenous)
Intra aortic balloon pump
ABG (Blood Gas Machine)
3 dedicated cardiac theatres, (computerized monitoring systems, centrifugal pumps, etc.)
NICU: Specialized care of the sick new born including premature and tiny babies with artificial life-support techniques, infection control mechanisms and advanced equipment including high frequency ventilators caters to premature babies with special needs and those born after high-risk pregnancies .We provide one of the most advanced neonatal units in neonatal medicine. The unit provides pre and postoperative management of neonatal emergencies.
The staff consists of 4 Consultant Neonatologists, 2 Registrars, 2 Fellows and specially trained Neonatal Nursing and Para-medical staff. These advances
backed by conventional neonate management technology (incubators, computerized monitoring including blood pressure, oxygen levels in the blood, blood gas analysis etc.)
Parents of babies admitted to the unit are allowed unlimited access to visit the baby. They are encouraged to actively participate in the day-to-day care of their baby.
Intensive care Unit 4.4.23 for ICU training.pptxanjalatchi
Medical Equipment: An ICU setup at home requires technologically advanced medical equipment such as IV stand, para monitor, oxygen cylinder, suction machine, alpha mattress, nebulizer, DVT pump etc.
This document defines a hospital and describes its functions and classifications. It provides details about:
- A hospital is a medical institution that provides complex care for ill or injured patients. Its functions include medical care, prevention, health promotion, rehabilitation, and research.
- Hospitals are classified based on size, bed capacity, ownership (public, private, voluntary), objectives (teaching, general, specialized), and management approach (long-term, short-term care).
- Key hospital departments mentioned include outpatient, inpatient, emergency, diagnostic services like radiology and laboratories. Location and facilities of the outpatient department are outlined.
Emergency Medical Services (EMS) evolved from early battlefield medical care during wars to today's organized community response systems. EMS aims to provide immediate care to patients with sudden illness or injury. Over time, advances like motorized ambulances, helicopter evacuations, paramedic training programs, and emphasis on pre-hospital trauma care improved patient outcomes. The 1966 White Paper and Highway Safety Act prompted the development of standardized EMS education, systems, and oversight through agencies like the National Highway Safety Administration.
This document provides information about planning and setting up a neuro intensive care unit (ICU) in a hospital. It discusses the key components of a neuro ICU including its purpose of caring for patients with life-threatening neurological conditions. It outlines considerations for the physical layout, location, size, staffing needs, equipment requirements, policies, training needs and more factors in establishing a neuro ICU unit. The document emphasizes the importance of carefully planning the design and facilities of the unit to best meet patient needs while allowing for close monitoring and treatment.
FORTIS HOSPITAL AMRITSAR CASE STUDY WITH LIBRARY STUDY Prince Pathania
Hospitals are complex buildings with a wide range of services and functional units including diagnostic, treatment, hospitality, and inpatient care functions. Hospital design must consider efficiency, flexibility, interior design, aesthetics, accessibility, and cleanliness. The document discusses the layout and design considerations for key areas within a hospital including the emergency department, surgical department, intensive care unit, and patient care areas. Design should focus on optimal relationships and flow between departments to serve patients' needs.
The document discusses the importance and functions of accident and emergency departments in hospitals. It provides definitions of medical emergencies and outlines different types of emergency departments. It also covers key aspects of emergency department planning and design such as location, layout, entrance areas, examination and treatment rooms, and necessary support and administrative areas. Engineering services and communication systems for emergency departments are also addressed.
1) A hospital provides specialized health care through staff and equipment divided into operational areas.
2) Functional planning norms divide hospitals into categories based on bed count, with guidelines for treatment rooms, wards, and other spaces.
3) Key areas include outpatient departments, inpatient wards, emergency, radiology, operating theaters, and intensive care, each with their own space and connectivity needs to support patient care.
Unit ii opd services for mha ii semesteranjalatchi
This document outlines the key aspects of an outpatient department (OPD) in a hospital. It defines an OPD as the area of a hospital designed to treat outpatients without requiring overnight admission. The document describes the various services an OPD provides, including clinical examinations, diagnostic tests, minor procedures, and counseling. It also discusses OPD design considerations, such as patient flow, space requirements for examination rooms and ancillary facilities, and the roles and responsibilities of OPD administrators in ensuring quality of care.
Hospital pharmacists play an important role in ensuring safe and effective medication use. They are responsible for procuring, storing, and dispensing medications. Pharmacists also provide clinical services like reviewing medications for safety and efficacy, providing drug information to patients and staff, and optimizing medication therapy. Some pharmacists specialize in areas like nuclear pharmacy, oncology pharmacy, and intensive care pharmacy to support patients with complex medication needs. Overall, hospital pharmacists are drug experts who work to improve patient outcomes through optimal medication use.
If you are looking for durable medical equipment suppliers, you have come to the right place. Al Khaleej provides quality hospital furniture, and medical equipment to the healthcare industry. For more information: https://www.alkhaleejkitchenequip.com/product-category/hospital-equipments/
OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.
Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.
The document provides an overview of the emergency department (ED) in a hospital. It discusses that the ED acts as the front door and portal of entry for critical patients. The ED aims to provide immediate life-saving treatment and manage medical emergencies to prevent loss of life. It must be properly equipped and located for efficient patient care. Staff have defined roles to ensure the smooth functioning of the ED.
The document outlines the history and development of Advanced Trauma Life Support (ATLS). It describes the initial assessment process for trauma patients, including the primary and secondary surveys, with a focus on identifying and treating life-threatening injuries immediately. Specific types of injuries are discussed such as head trauma, thoracic trauma, abdominal/pelvic trauma. The goal of ATLS is to provide a standardized approach to trauma care through systematic assessment and simultaneous resuscitation to reduce mortality from traumatic injuries.
The document provides an overview of the Advanced Trauma Life Support (ATLS) program. It describes how ATLS was developed in the 1970s by Dr. James Styner after a plane crash left him realizing the need for standardized trauma care. The summary describes the goals of ATLS to provide a systematic approach to trauma resuscitation and management. It also summarizes the primary and secondary survey process in ATLS which focuses on rapid assessment and stabilization of airway, breathing, circulation, disability and exposure followed by a full head-to-toe examination.
The document provides an overview of the Advanced Trauma Life Support (ATLS) program. It describes how ATLS was developed in the 1970s by Dr. James Styner after a plane crash left him realizing the need for standardized trauma care. The summary describes the goals of ATLS to provide a systematic approach to trauma resuscitation and management. It also summarizes the primary and secondary survey process in ATLS which focuses on rapid assessment and stabilization of airway, breathing, circulation, disability and exposure followed by a full head-to-toe examination.
Intensive care Unit 4.4.23 for ICU training.pptxanjalatchi
The document discusses the ideal setup and design of an intensive care unit (ICU). It notes that an ICU is meant for critically ill patients whose conditions are unstable or potentially unstable. An ideal ICU design has only one entry and exit, beds spaced at least 8 feet apart, adequate medical equipment and monitoring systems, and follows strict guidelines for staffing, maintenance, and patient classification. The document emphasizes the importance of a multidisciplinary team approach to ICU care.
Setting up gynecological endoscopy servicesPriya Bhave.
This presentation is about setting up Gynecological endoscopy services: the components, the challenges and finally achieving and sustaining excellence.
ICU : 14 bedded Intensive Care Unit with trained nurses experienced physiotherapist are available round the clock on their duty. The ICU is equipped with:
Multi panel overhead monitors for each bed & one central monitor
Bedside color Doppler
Echocardiography system
Continuous Oxygen supply
Infusion pumps
Defibrillator
Ventilators
Invasive as well as non-invasive pressure monitoring systems
Temporary Pace maker (transdermal as well as transvenous)
Intra aortic balloon pump
ABG (Blood Gas Machine)
3 dedicated cardiac theatres, (computerized monitoring systems, centrifugal pumps, etc.)
NICU: Specialized care of the sick new born including premature and tiny babies with artificial life-support techniques, infection control mechanisms and advanced equipment including high frequency ventilators caters to premature babies with special needs and those born after high-risk pregnancies .We provide one of the most advanced neonatal units in neonatal medicine. The unit provides pre and postoperative management of neonatal emergencies.
The staff consists of 4 Consultant Neonatologists, 2 Registrars, 2 Fellows and specially trained Neonatal Nursing and Para-medical staff. These advances
backed by conventional neonate management technology (incubators, computerized monitoring including blood pressure, oxygen levels in the blood, blood gas analysis etc.)
Parents of babies admitted to the unit are allowed unlimited access to visit the baby. They are encouraged to actively participate in the day-to-day care of their baby.
Intensive care Unit 4.4.23 for ICU training.pptxanjalatchi
Medical Equipment: An ICU setup at home requires technologically advanced medical equipment such as IV stand, para monitor, oxygen cylinder, suction machine, alpha mattress, nebulizer, DVT pump etc.
This document defines a hospital and describes its functions and classifications. It provides details about:
- A hospital is a medical institution that provides complex care for ill or injured patients. Its functions include medical care, prevention, health promotion, rehabilitation, and research.
- Hospitals are classified based on size, bed capacity, ownership (public, private, voluntary), objectives (teaching, general, specialized), and management approach (long-term, short-term care).
- Key hospital departments mentioned include outpatient, inpatient, emergency, diagnostic services like radiology and laboratories. Location and facilities of the outpatient department are outlined.
Emergency Medical Services (EMS) evolved from early battlefield medical care during wars to today's organized community response systems. EMS aims to provide immediate care to patients with sudden illness or injury. Over time, advances like motorized ambulances, helicopter evacuations, paramedic training programs, and emphasis on pre-hospital trauma care improved patient outcomes. The 1966 White Paper and Highway Safety Act prompted the development of standardized EMS education, systems, and oversight through agencies like the National Highway Safety Administration.
Assessment and management of Airway for BSc Nuursing StudentsAme Mehadi
The document discusses airway assessment. It defines the upper and lower airways and describes components of each. It then defines a difficult airway and lists factors that can make mask ventilation and intubation difficult. The document outlines tools for assessing airway difficulty, including individual indices, group indices with or without scoring, laryngoscopy grading, tests of mandibular space, and advanced radiographic assessments. It emphasizes that a thorough airway assessment is critical for airway management and difficult intubations cannot always be predicted.
Principles of Anesthesia for Nursing StudentsAme Mehadi
This document provides an overview of anesthesia, including definitions, types, stages of general anesthesia, and mechanisms of action. It discusses local anesthesia, general anesthesia, and the routes of administering each. The stages of general anesthesia are induction, excitement, relaxation, and danger. Inhalational agents like nitrous oxide, halothane, and isoflurane as well as intravenous agents like thiopental sodium and ketamine are reviewed. The document aims to educate about the basics of anesthesia.
First Aid for management of Specific Injuries.pptxAme Mehadi
This document provides information on first aid for specific injuries written by Ame Mehadi. It covers injuries to the eyes, head, face, jaw, nose, neck, chest, abdomen and skin burns. For eye injuries, it describes treating foreign objects and blows to the eye. For head injuries, it discusses scalp wounds and signs of brain injury, advising to call for medical help. Face and jaw injuries can obstruct breathing, so the first aid is to maintain an open airway. Nosebleeds are also addressed. The document aims to inform first responders on appropriate first aid for different types of injuries.
Nursing Ethics for nurses in clinical settingAme Mehadi
The document outlines an agenda for a national training on nursing ethics conducted by the Federal Ministry of Health. The 7-session training covers topics such as the introduction to nursing ethics, ethical principles, nursing values, ethical dilemmas, ethical decision-making, legal aspects of nursing practice, and the nursing code of ethics. Session 1 defines nursing ethics and describes theories of ethics. Session 2 identifies ethical principles like beneficence, non-maleficence, respect for autonomy, and others. Session 3 explains ideal nursing competencies such as moral integrity, communication skills, and concern for patients. Session 4 discusses ethical dilemmas and moral distress in nursing.
pneumothorax for Emergency and critical care nursing studentsAme Mehadi
A tension pneumothorax occurs when air enters the chest cavity during breathing but cannot escape, causing the lung to collapse with each inhalation. This puts pressure on the heart and pushes the trachea away from the affected side, compressing the heart and potentially stopping breathing if not treated by releasing the trapped air.
WOUND CARE for Public health professionals .pptAme Mehadi
This document provides guidance on wound care, including differentiating between types of wounds and describing various wound healing processes. It outlines the objectives and equipment needed for cleaning and dressing clean wounds, septic wounds, and wounds with drainage tubes. Procedures are provided for dressing changes, wound irrigation, and ensuring aseptic technique is followed to prevent infection. The goal of wound care is to keep wounds clean and promote healing.
The document provides information about operating room organization and design. It discusses the objective of describing specific OR areas, equipment, environmental layout, personnel, and aseptic technique principles. It defines key terms like operating department, operating suite, and operating theater. It describes the major considerations for OR design which include doors, lighting, ventilation, humidity, and heating. The basic design principles are outlined, including having a simple cleanable design, separate clean and soiled instrument rooms, and sufficient space. Specific organizational areas in the OR are also detailed.
The document provides an outline for a lecture on communicable disease control nursing. It covers several topics including the definition and features of communicable diseases, classification methods, and the chain of disease transmission. The chain of transmission involves an infectious agent, reservoir, portal of exit, mode of transmission, mode of entry, and successive host. Reservoirs can be humans, animals, vectors, or the environment. Five factors that play a role in fecal-oral disease transmission are also defined.
Surgical Conscience and Informed ConsentAme Mehadi
This document discusses informed consent and surgical conscience. It defines informed consent as permission obtained from a patient to perform a specific medical test or procedure. Surgical conscience is defined as surgical ethics, principles, or a sense of right and wrong. The document outlines the purposes of informed consent, circumstances requiring consent, essential elements of informed consent, and requisites for validity of informed consent such as obtaining written permission and signature without pressure or duress.
CASH Clean and Safe Health facilities Initiative_Ethiopia.pptAme Mehadi
The Clean and Safe Health Facilities Initiative (CASH) aims to make healthcare facilities clean, safe, and comfortable for patients, visitors, staff, and the community. It focuses on cleaning, safety, and infection prevention. The objectives are to increase awareness of cleaning and safety, engage all staff in cleaning activities, and create accountability. The scope includes clinical areas, utilities, buildings, and waste management. Principles emphasize that clean care is safer care and cleanliness is a shared responsibility. Strategies include governance structures, advocacy, collaboration, and recognition of best practices. Action points involve assessments, infrastructure improvements, campaigns, and monitoring/evaluation. Measures center on attitudes, standards implementation, satisfaction, and infection rates. Responsibilities
This document discusses proper hand hygiene techniques for healthcare workers. It covers the importance of hand hygiene in reducing infection spread, different hand hygiene methods like hand washing, hand antisepsis, antiseptic hand rubs and surgical hand scrubs. The techniques for each method are described in detail. Barriers to hand hygiene compliance and strategies to improve practices are also reviewed.
This document discusses personal protective equipment (PPE) used in healthcare settings. It covers various types of PPE like gloves, masks, gowns and drapes. It describes when each type should be used and how to correctly put on and remove PPE like gloves and masks. The key learning objectives are to list different PPE, describe their uses and limitations, and demonstrate proper donning and doffing of equipment.
This document discusses iron poisoning, including its stages, signs and symptoms, diagnostic tests, differential diagnosis, management, follow up, complications, and prognosis. Iron poisoning can cause gastrointestinal toxicity within 6 hours, then apparent improvement before systemic injury sets in from 12-48 hours with potential hepatic injury, hypoglycemia, bleeding, and other effects. Management involves supportive care, gastric emptying, whole bowel irrigation, and chelation therapy with deferoxamine. Complications can include hypotension, metabolic acidosis, hemorrhage, and organ failure. Prognosis depends on serum iron levels with higher levels carrying more risk.
This document discusses various types of bone injuries including fractures, sprains, strains, and muscle cramps. It provides details on closed and open fractures, as well as green stick and complicated fractures. Signs and symptoms of fractures are outlined. First aid principles for fractures include immobilization, splinting, controlling bleeding if open, and seeking immediate medical help. Specific fractures of the skull, face, shoulder blade, collarbone, upper arm, elbow, and forearm are also described with appropriate first aid treatments.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
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তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
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How to Add Chatter in the odoo 17 ERP ModuleCeline George
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How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
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How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
4. Objectives
Discussing about the overview of ED organizatioin including:-
EM human resources,
Emergency drugs
Equipments
Discuss about the types of communication, barriers and
strategies to improve communication.
Discuss about documentation, characteristics of good recording
and advantages of clinical documentation.
5. Outlines
ED organization
Major determinant spaces in ED
Classification of treatment areas
EM equipments & drugs
Communication
Clinical documentation
9. Emergency Department Organization
‘The emergency department(ED):
is the dedicated area in a hospital that is organized and administered to
provide a high standard of emergency care to those in the community who
perceive the need for or are in need of acute or urgent care including
hospital admission’ (ACEM, 2001:2).
is a core unit of a hospital and the experience of patients attending the ED
significantly influences the patient journey and the public image of the
hospital (ACEM, 2007).
Therefore, it is important for all emergency staff to leave a positive first
impression with the patient and their family and friends.
Emergency care is a recognized nursing specialty.
10. Design and Function of the ED
The major functions of the ED is to:
Receive
Triage
Resuscitate
Stabilize
Diagnose and initially treat, and
Promptly transfer patients.
11. Design and Function of the ED
The major functional areas of the department may be divided
broadly into:
Entrance/reception/triage/waiting.
Resuscitation area.
Acute treatment area.
Consultation area.
Staff/amenities area.
Administration area.
12. ED Organ…
In addition to clinical areas, emergency
departments require facilities for the following
essential functions:-
Teaching
Research
Administration
Staff amenities
13. ED Human resources
Emergency physicians
Emergency Residents
Medical and Surgical Residents
Emergency Nurse practitioners
BSc nurses
Security guards
Cleaners
Porters/patient assistants
Oxygen technician
14. ED Organ….
MAJOR SPACE DETERMINANTS
Space determinants revolve around the major
functional areas of the department.
Ambulance and ambulatory entrances
Reception/Triage/Waiting area
Resuscitation area
Acute Treatment Area (of non-ambulant patients)
Consultation Area
15. ED Organ….
MAJOR SPACE DETERMINANTS
Staff Workstations –staff working area which
may contain desk top computers.
Administrative Area
Procedure Room(s)
Pharmacy/Drug Preparation/Store
Isolation Room(s)
Decontamination Areas
16. ED Organ…
MAJOR SPACE DETERMINANTS
Tutorial Room/Teaching Areas
Storage of Different Machine
Clean and Dirty Utility
Shower/Bathroom/Toilets
Staff Rooms – staff resting room.
Cleaner's Room
Emergency Services Lounge
Diagnostic Areas Medical Imaging Unit/Laboratory Area
ED Short Stay/Observation Area – Ward A, B, C.
Circulation Space
17. ED Organ…
Majority of EDs are comprised of the
following functional areas:-
Entrance/Reception/Triage Area
Resuscitation Area
Acute Treatment Area
Consultation Area
Staff/Amenities
Administration Area
18. Physiological Monitors
Each Acute Treatment area bed should have access to a
physiological monitor.
Physiological monitoring equipment ideally should be
central in resuscitation and acute areas.
Monitors should have printing and monitoring
functions:-
Cardiac monitor – to diagnosis and monitor vital functions
ECG machine
Defibrillator
NIBP/BP Apparatus
Pulse oxymetery
Thermometer
19. 1. Reception
The Entrance/Reception/Triage area is the
focus of initial presentation of the patient in
the hospital.
The Administration area should be accessible
to the clinical areas but should not impair the
clinical function of the department.
21. 2.Triage
Patients may present self-referred or via emergency
services (ambulance, police etc.).
All patients should be triaged through a single
point/entry point.
The aim of triage is to "sort" patients in order to;
provide optimum care consistent with their medical need
and
ensure the efficient utilization of the available resources
There is a close operational relationship between Triage
and reception.
Patient to the triage – for Stable patients
Triage to the patient –if the patient is Unstable
22.
23. 3. Treatment Area
Patients may be directed to:-
Resuscitation Area
Acute Treatment Area
Procedure room
Consultation area
Medical Imaging
Waiting Area
24. a) Resuscitation Room
If the early severity index is greater than 5,
dispose the patient into resuscitation room by
leveling orange or red.
The Resuscitation area should be easily
accessible from the ambulance entrance and
separate from patient circulation areas and must
be easily accessible from the staff station:-
25. Resuscitation …
The Resuscitation area should have a full range of
physiological monitoring and resuscitation equipment.
Transcutaneous pacemaker
Infusion pumps
Fluid warming devices including infusers and warming
cupboards
Portable ventilator with invasive & non-invasive functions
White boards
Defibrillators
Cardiac monitors
ECG machine
Suction machine with suction catheter
28. b) Tutorial Room
This room provides facilities for formal undergraduate &
postgraduate education & meetings.
It should be in a quiet non-clinical area, near the Staff
room & offices.
Provision should be made to have the following available:
DVD
Television
Slide projector
Overhead projector
Projection screen
Whiteboard
29. b) Tutorial room …
Digital projector
X-Ray viewing facilities/digital imaging
system
Telephone
Examination couch
Storage cupboard, large enough to store
simulation mannequins (dolls) and training
materials.
38. Standard Equipment
The following standard equipment are necessary for
emergency resuscitation room/area:
Suction machine
Oxygen cylinders and oxygen flow meters (at least 4)
Sphygmomanometer, stethoscope
Ambu bag with face mask (at least 4)
Patient face mask, nasal prongs and catheter
Urine bags, urine catheters, NG tubes, gloves
Thermometer, mobile pulse oximeter
Drip stand
Suction tray
39. Standard Equipment …
Safety boxes for sharp objects
Cardiac monitoring with cables and electrodes(mobile)
Perfusers
ECG machines
Torches, batteries
Glucometer, dextrostix and ketosticks
Ophthalmoscope
Ottoscope
Battery charger and rechargeable batteries
Intubation trolley
40. Standard Equipment …
Intercostal drains, bottles, connections and clamps
Tracheotomy set, central catheters (if necessary)
Burr hole tray (if necessary)
Chest aspiration set
Cut down set
Lumbar puncture set
Defibrillator
Mobile X-ray machine
FAST machine(bed side U/S)
ABG analyzer(may not be available)
BIPAP and CPAP machines
41. Suction Tray
Suction tray should have the following components:
1. Suction catheters (mouth, endotracheal)
2. Bowel of sterile water or normal saline
3. Gauze swabs
4. Guedel air ways (different size)
42. Intubation Set with Trolley
Intubation Set Trolley have the following
necessary equipment:
Laryngoscopes with proper handle, blade and
functional light bulb (miller and mackintosh)
Stylet for introducing ETT
ETT (different size)
Syringes
Magill forceps
Guider air ways (different size)
Ambu bag, face mask (different size) and ambu
valve connected to oxygen catheter at one end.
43. Intubation Set with Trolley
Intubation Set Trolley have the following
necessary equipment:
Scissors
Bandages and tape to secure ETT, syringes
Drugs (ketamine, propofol, thiopental, etomidate,
atropine. suxamethonium, vecuronium, lidocaine,
hydrocortisone, albuterol, diazepam etc.)
ETCO2 detector
Surgical & clean gloves
44. Some of The Common Emergency Drugs
Adenosine
Adrenaline/Epinephrine
Amiodarone
Anticoagulant- heparin
ASA - for unstable Angina
Atropine
Charcoal
Dopamine
Dobutamine
Furosemide
Hydrocortisone
Insulin
IV fluids
KCL
Lidocaine
Metoprolol
Morphine/Pethidine
Noradrenalin
Quinine
Salbutamol/Aminophylline
45. Some Of The Common Emergency Drugs
Calcium gluconate
Dextrose 40%, 50%
Diazepam/midazolam
Digoxin
Hydralazine
Ketamine
Labetalol/Sotalolol
Mannitol
Naloxone
Nitroglycerine
Oxygen
Propofol
Sodium bicarbonate
Thiopental
Thiamine
Verapamil
Water for injections
47. COMMUNICATION
Communication is a dynamic, continuous,
and multidimensional process for sharing
information.
Reporting and recording are the major
communication techniques used by health care
providers.
49. Communication …
Should be accurate, timely and effective
Includes reports, records and orders
Could be oral or written
Effective communication is known to improve
patient safety, teamwork and operational
efficiency.
50. 1. Verbal Communications
Good communication means that the person
receiving the message understands exactly what
the person who sent the message meant.
Effective communication requires feedback.
The receiver needs to communicate to the sender that
the message has been received and understood.
51. 2. Nonverbal Communication
All behaviors that express messages without
the use of words
Body movement
Physical appearance
Touch
Body language
Should be consistent with spoken word
Cultural considerations
52. Communication con…
External and internal distractions can hinder
effective communications.
try to keep noise to a minimum
don’t allow yourself to think about personal matters.
Verbal communications are an essential part
of high quality emergency care.
53. Guidelines for Effective
Communication with Patients
Identify yourself by name and profession
Ask the pt’s name and use it
Make and keep eye contact
Use language the patient can understand
Speak slowly, clearly, and distinctly
Tell the truth
Allow time for the pt to respond
Limit the number of people talking with the pt.
Be aware of your body language
Act and speak in a calm, confident manner
Treat all pts as if they were a member of your family.
54. Communicating to patients with
Special Needs
A. Hearing Impaired Patients
Identify yourself by showing your badge
Touch the patient
Face the patient when you speak so he/she can see your
lips and facial expressions.
Speak slowly and distinctly; do not shout.
Watch the pt’s face for expressions of understanding or
uncertainty.
Repeat or rephrase comments in clear, simple language.
Write down your questions
offer paper and pencil for the patient to respond
55. Communicating to patients with Special
Needs ...
B. Visually Impaired Patients
Observe for the general appearance of the patient
that may show a clue for visual impairment such
as manner of gaze, use of eye glass and walking
with assistant.
Tell the patient what is happening.
56. Communicating to patients with
Special Needs …
C. Non Afan Oromo, Amharic/English
Speaking Patients
Determine how much the patient could able to speak
Afan Oromo, Amharic, English or others according
to the area, if not, try to find an interpreter.
Try to ask your questions using;
hand gestures,
finger pointing, and
facial expressions.
57. Communicating to patients with Special Needs ...
D. Geriatrics
Do not assume that all older patients have physical or mental
impairments.
Assess all patients carefully and give them time to respond to your
questions.
58. Communicating to patients with
Special Needs …
E. Pediatric Patients
Familiar objects and faces can help reduce fear for
children.
Talk to parents and child as much as possible and tell
them what is happening.
Ask a parent to hold the child if illness or injury permits.
Tell the child your first name and explain what you are
doing.
Squat, kneel, or sit down to the child’s level
Establish eye contact
Be honest
60. Communicating to patients with Special
Needs ...
F. Developmentally Disabled Patients
Ask the family about patient’s level of
communication.
Speak slowly, using short sentences and simple words
May need to repeat or rephrase statements several
times until the patient understand what you want.
61. Communicating to patients with Special
Needs ...
G. Persons Displaying Disruptive Behavior
Assess the situation, try to determine the causes of
patient’s disruptive behavior
Protect the patient and yourself
Do not take your eyes off the patient or turn your back.
If patient has a weapon, call law enforcement and stay
clear until scene is safe.
As soon as your personal safety is assured, carry out the
appropriate emergency medical care.
You cannot take a disruptive patient to the hospital
against his or her wishes.
63. Skills for the Therapeutic Relationship
Listen actively – Active Listening
Help identify the client’s feelings
Be empathetic, honest, genuine, and credible
Use ingenuity - the ability to solve difficult
problems, often in original and creative ways.
Be aware of cultural differences
Maintain confidentiality
Know your role and your limitations
64. Why communication in hospital
is so important?
Because hospitalized people die as a result of
medical errors due to poor communication.
E.g. Patients with class iV CHF….Vs fluid
management.
65. Barriers to Communication
1. Failure to listen. -Listening failure
2. Improperly decoding intended message
3. Placing the nurse’s needs above client’s
4. Giving advice
5. Expressing approval or disapproval ??
6. Defending with out reasoning
7. Changing the subject
8. Lack of structure and standards
66. Strategies to improve
Communication
In an effort to improve communication in the
health care field, in US, standardized approach
was adopted.
The approached field used by US was called
“SBAR”.
SBAR model provides effective and efficient
way to communicate, mirror for a scientific
process, and creates a common language.
67. Strategies to improve
Communication
SBAR
S=Situation: what is the immediate problem?
Introduction about patient
Patient chief complaint
Stated concerns
B=Back ground: What is the relevant
background to the situation?
Medication
Lab test results
Response to interventions
68. Strategies ….
SBAR ….
A= Assessment: What are your conclusions
about the present situation?
I think the problem is ----
R=Recommendation: What are we doing to
correct the problem?
I suggest/request that you: Transfer the patient,
come to see the patient, talk to the patient etc.
69. Documentation
is any written or electronically generated information
about a patient that describes the care or service
provided to that patient.
may be paper documents or electronic (computer
based).
is defined as written evidence of:
The interactions between and among health
professionals, clients, their families, and health care
organizations.
The administration of tests, procedures, treatments,
and client education.
The results or client’s response to these diagnostic
tests and interventions.
70. Documentation
Importance
Verifies your actions with written record
Provides a record for others
Legal record of the actions you took
Provides basis to evaluate quality of care
71. Proper documentation includes
1. Age and sex of the patient
2. History of incident
3. Condition of patient when found
4. Patient’s description of injury or illness
5. Patient’s chief complaint
6. Patient’s level of responsiveness
7. Initial and subsequent vital signs status
8. Results of physical examination
72. Purposes of Health Care Documentation
1. Professional Responsibility and
Accountability
2. Communication
3. Education
4. Research
5. Legal and Practice Standards
6. Recording provides written evidence of what
was done for the client, the client’s response,
and any revisions made in the care plan.
73. Elements of Effective
Documentation
1. Use of Common Vocabulary
2. Legibility
3. Abbreviations and Symbols
4. Accuracy
5. Documenting a Medication Error
6. Confidentiality
74. Forms for Recording Data
1. Kardex
2. Flow Sheets
3. Nurses’ Progress Notes
4. Discharge Summary
75. Characteristics of Good
Recording
1. Brevity – concise, start with a capital letter and
end with a period. (Brief).
2. Use black ink pen. (Can stay long time w/o fading
and clearly copied).
3. Accuracy – must be objective
4. Appropriateness
5. Completeness and chronology/timing
6. Use of standard terminology
7. Confidentiality
76. What are the things to be documented?
Basic components of the patient’s Care
Record/Chart are:
1. Nursing admission ass’t form
2. Physician’s order sheet
3. Medical hx and P/E sheet
4. Physician’s progress notes
5. Nurse’s notes: care plan, progress notes, discharge
planning, etc
6. Special records/reports: referrals, x-ray and
laboratory results, medication and vital sign sheets, I
& O, IV fluid administration, etc
7. Discharge Summary
77. Reporting
Verbal communication of data regarding the client’s
health status, needs, treatments, outcomes, and
responses.
Summary of current critical information to facilitate
clinical decision making and continuity of client care.
2 or more people share information about patient
care:-
Can be:
face to face,
telephone
78. Types of reporting
1. Telephone orders
Nurses/other health professionals may receive
telephone orders
If the receiver is a nurse, it needs to be verified by a
2nd nurse and repeating it clearly and precisely.
2. Face to face reporting's
Nurses’ interventions
Transfer reports - transferring a patient from one
unit to another.
79. Reporting con…
Telephone reports
Clear, accurate, concise information
When the call was made
Who made the call/report
To whom and what information was given
What information was received
80. Nurse-to-Nurse shift
report/handover
Follow the format below for performing nurse-to
nurse shift report
1. Patient name, age, chief complaint
2. Patient Dx: present all current Dx
3. Current V/S , Tests completed or pending
4. Abnormal lab findings: do not report normal
findings.
5. Patient progress
6. Equipments available and drugs to be refilled etc.
81. Nurse-to-Physician reporting
Reporting to Physicians
1. Whenever a patient’s status changes, the physician should
be informed.
2. The status should be reported in an objective manner,
allowing for the physician’s recommendation(s).
3. Any physician’s order should then be documented in the
medical record by the nurse as a verbal order.
4. Verbal orders from a physician to a nurse must be told to 2
nurses to ensure instructions are clearly understood and
verified.
5. The physician should sign beneath the order within 24
hours.
82. Physician Order
Should have the following components:
Date and time
Full name of the medication
Dosage
Concentration – amount and type of diluents
Duration
Time and frequency
Route
Physician signature
84. Assignment
1. What is Nursing Practice?
2. What is Clinical Nursing?
3. Elaborate Scope and Practice of Emergency
Nursing
4. Elaborate differences and similarities between
EU/ED and ICU
5. What does an ER nurse do?
6. What does an ICU nurse do?