Intensive Care Unit (ICU) of Calamba Medical Center is seven bed specialized unit/cubicles that are custom designed to address the individual needs of our patients. Each cubicle is equipped with specialized state of the art equipments that allows us to provide care to a variety of critically ill clients. One cubicle is an isolation room designated for those patients who have communicable disease. Another cubicle is prepared for ICU patients with renal disease undergoing dialysis or candidate for dialysis. Our ICU nurses are specially trained to provide compassionate, individualized and professional care to the patient and to their families.
The ICU-CCU is an specialized area and equipped with monitoring, diagnostic, and therapeutic devices that cares for cardiac and non-cardiac medical patients and when necessary or called upon, on surgical patients requiring intensive, continuous, comprehensive and highly concentrated medical and nursing care, administered by a staff of skilled personnel especially trained in handling these cases in an atmosphere of compassion and understanding.

16 registered nurses and 1 8-5 RN


ADMISSION CRITERIA

  • High Risk Monitor
  • Intensive Pulmonary and or inhalation therapy w/ or w/o supplemental oxygen
  • Treatment of acute stable arrhythmia ( No recent MI )
  • Treatment of complicated acid-base balance or electrolyte disorder
  • Supplemental Ventilator support
  • Chronic ventilator support w/ or w/o active weaning
  • Acute weaning in patients without significant acute or chronic   pulmonary Disease
  • Invasive Vascular monitoring ( Arterial/CVP and PA Catheter )
  • Intracranial pressure monitoring without active treatment
  • Multiple serial lab studies ( CBC< Bleeding parameters, ABG q 4 days )
  • Anticipate large volume resuscitation ( Admission only )

High Intensity Intervention

  • Fluid resuscitation > 6 L/24H and or multiple transfusions > 5U   PRBC in 24 H with or without hemodynamic instability
  • Use of Multiple IV Vasoactive medications
  • Cardiopulmonary resuscitation after arrest in past 24 H
  • Baloon Tamponade of esophageal varices
  • Treatment of unstable arrhtymia ( cardioversion )
  • Mechanical ventilation
  • lntracranial pressure monitoring with active treatment
  • CNS deteriorating, neuromuscular disorders
  • Status elipticus
  • Brain dead
  • Vasospasm
  • Severe head injuries

Drug ingestion and Drug overdose

  • Hemodynamically unstable drug ingestion
  • Drug ingestion with altered mental state, w/ inadequate airway protection
  • Seizures following drugs

Gastrointestinal Disorders

  • Life threatening GI Bleeding including hypotension, angina, continuous bleeding or with co-morbid conditions
  • Fulminant hepatic failure
  • Severe pancreatitis
  • Esophageal perforation with or without medications

Endocrine

  • Diabetic Ketoacidosis complicated by hemodynamic instability, altered mental status, respiratory insufficiency, or severe acidosis
  • Thyroid storm or myxedema with hemodynamic instability
  • HONK with coma or hemodynamic instability
  • Adrenal Crises
  • Hypercalcemia with altered mental status requiring hemodynamic monitoring
  • Hyponatremia or hypernatremia with seizures
  • Hypo or hypermagnesemia with dysrhytmias or hemodynamic compromise
  • Hypo or Hyperkalemia with muscle weakness or dysrhytmias
  • Hypophosphatemia with muscular weakness

Surgical

  • Post – op patients requiring hemodynamic monitoring or ventilatory support or extensive nursing care

Miscellaneous

  • Septic shock
  • Hemodynamic Monitoring
  • Clinical conditions requiring ICU Level care nursing
  • Environmental injuries ( Lightning, near drowning, hypo/hyperthermia )
  • New experimental therapies with potential complications
  • Myocardial Infarction “Heart Attack”
    • Acute Coronary Syndrome
    • Unstable Angina
  • Cerebrovascular Accident “Stroke”
    • Infarction
    • Hemorrhagic
  • MPI secondary to VA
  • Sepsis
  • Chronic Renal Failure
  • Dengue Shock

Assessing Vital Signs

  • Upon admission.
  • Q1 & according to physician’s order.
  • Before and after any invasive procedure.
  • Before & after administration of any medication.
  • Change in patient’s condition.
  • When patient’s condition worsens.


CRITICAL CARE UNIT GUIDELINES

  • Giving complete bed bath
  • Assisting a patient in oral hygiene
  • Providing oral care for unconscious patient
  • Shampooing
  • Care for patient with tracheostomy
  • Turning
  • Providing Endotracheal tube care
  • Central Venous Pressure Monitoring
  • Site care for CVP
  • Indwelling catheter care
  • Applying non adhesive restraints
  • Vital Signs
  • Neuro vital signs
  • Post Mortem Care

 

 CRITICAL CARE UNIT PROCEDURES

  • Assisting in CVP insertion
  • Managing an IV infusion
    • Starting
    • Changing
    • Regulating
    • Monitoring
    • Discontinuing
  • Managing Nasogastric tube
    • Insertion
    • Irrigating
    • Feeding
    • Removing
  • Managing Indwelling Catheter
    • Insertion
    • Training
    • Removing
  • Injections
    • Drug sensitivity test
    • IV injection
    • IM injection
    • SC injection
  • Blood transfusion
    • FWB and PRBC
    • Platelet
    • FFP
    • Albumin
  • Oxygenation Support
    • Nasal cannula / oxygen mask
    • Endotracheal Intubation
    • Inserting oral airway
    • Suctioning (ET, Trache, Oral)
    • Bag-valve Mask device
  • Monitoring Intake and Output