ICU Section

Section Introduction: This section is located on the first floor, at the end of the internal neurology department.

Direct Contact for the Section: 32122320-025 and 32122321-025

Section Head: Dr. Alireza Yazdanpanah

Supervisor: Azra Zoqi

Resident Physicians:

• Dr. Abbasali Hossein Zadeh
• Dr. Alireza Masoudi
• Dr. Alireza Faez
• Dr. Farahnaz Riahi Pour
• Dr. Mohammadi Ali Shariat

The section consists of 10 separate units equipped for patient care.

Each Unit Includes:

1. A monitor above the patient’s head displaying rhythm, heart rate, blood pressure (arterial and CVP-dependent), respiratory rate, temperature, SPO₂, etc.
2. A bed equipped with a remote control that can be adjusted in three parts.
3. A locker for placing personal belongings.
4. A ventilator, an ambu bag, and an oxygen flow meter.
5. In the upper part of the patient’s head, there is a central suction, central oxygen, and a bedhead lamp.
6. A specialized patient table.
7. The ICU doctor’s room is located at the end of the ICU section.

The section is also equipped with an emergency trolley, a portable suction, an electrocardiograph machine, and a portable monitor. Portable radiology, bronchoscopy, and a portable ventilator are also available.

Admission Procedure

External Patients: After coordination with the supervisor and determining the treatment service, external patients are admitted upon the resident ICU physician’s order.

Internal Patients: After coordination with the supervisor, admission is carried out with the specialist’s order, confirmation from the resident anesthesiologist, and the availability of an empty bed. Nursing staff assess the patient’s vital signs, consciousness level, and respiratory status during admission. Routine tests and requested medical tests are performed, and in case of rapid intubation need, the resident physician performs the intubation. The patient’s observations are recorded in the WORK SHIFT form. A detailed medical history is obtained from the patient’s companion, and visiting hours and section contact number are provided.

Nursing Special Care in ICU:

1. Monitoring vital signs at least every 2 hours.
2. Oral care three times a day.
3. Position change and massage every 3 hours or as needed by the patient.
4. Lubricating the area around the mouth to prevent lip corner sores and fixing the endotracheal tube with a band and placing gauze on both sides (PRN).
5. Checking the endotracheal tube for its position and ensuring adequate tube pressure.
6. Suctioning oral and endotracheal secretions or tracheostomy PRN.
7. Homogeneous blood injection should be administered and recorded in the blood monitoring form.
8. Washing the tracheostomy area and its surroundings with N/S and changing the gauze around it.
9. Daily care of the patient’s skin, control, and recording of pressure ulcers, their type, and degree in the nursing report.
10. Washing the perineal area in patients with Foley catheter twice a day with Betadine and then washing with N/S.
11. Bathing patients according to the schedule (every 3 days) recorded in the patients’ bathroom register.
12. Controlling the functioning of chest tubes and charting secretions, especially in patients who have undergone chest tube insertion.
13. Changing patient dressings while adhering to sterilization principles.
14. Respiratory and limb physiotherapy and daily encouragement with a spirometer.
15. Accurate control of fluid intake and output.

Patient Admission to the Section:

• In this case, the patient’s information must be entered by the section secretary in the admission office.
• After patient admission, the nurse conducts a detailed examination, including:

• • Checking for bed sores, burns, limb amputation, mental status, history of specific drug use or substance addiction (all of which must be recorded in the patient’s file and cardex).