ICU (Intensive care unit)

The ICU is located on the first floor, at the end of the Internal Neurology Department. It consists of 10 separate units, each fully equipped for specialized patient care.

Contact Information:
Direct Contact: 32122320-025 and 32122321-025

Management Team:
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

ICU Facilities & Equipment
Each ICU unit is equipped with:

1. A patient monitor displaying rhythm, heart rate, blood pressure (arterial and CVP-dependent), respiratory rate, temperature, SPO₂, etc.
2. A remote-controlled adjustable bed with three-part positioning.
3. A locker for personal belongings.
4. A ventilator, ambu bag, and oxygen flow meter.
5. Central suction, central oxygen, and a bedhead lamp above the patient’s head.
6. A specialized patient table.

Additional equipment available in the ICU:
– Emergency trolley, portable suction unit, electrocardiograph machine, and portable monitor.
– Portable radiology, bronchoscopy, and portable ventilator.
– The ICU doctor’s room is located at the end of the ICU section.

Admission Procedure

External Patients: Admission is coordinated with the section supervisor, and after determining the appropriate treatment plan, patients are admitted based on the ICU resident physician’s order.

Internal Patients:
Admission is conducted following: Supervisor approval , Specialist’s order , Confirmation from the resident anesthesiologist , Availability of an empty bed

Nursing staff assessment:

1. Upon admission, vital signs, consciousness level, and respiratory status are evaluated.
2. Routine tests and requested medical tests are performed.
3. If rapid intubation is required, the resident physician performs the procedure immediately.
4. Patient observations are recorded in the work shift form.
5. A detailed medical history is obtained from the patient’s companion.
6. Visitors are provided with visiting hours and section contact information.

Specialized Nursing Care in ICU:

1. Monitoring vital signs at least every 2 hours.
2. Oral care three times a day.
3. Position changes and massage every 3 hours (or as needed).
4. Lip protection with lubricant to prevent sores; securing the endotracheal tube with a band and placing gauze on both sides (PRN).
5. Endotracheal tube position checks and ensuring adequate tube pressure.
6. Oral, endotracheal, or tracheostomy suctioning (PRN).
7. Homogeneous blood transfusion with documentation in the blood monitoring form.
8. Tracheostomy care: Cleaning with normal saline (N/S) and replacing surrounding gauze.
9. Daily skin assessments and pressure ulcer monitoring (recording type and severity in the nursing report).
10. Foley catheter care: Washing the perineal area twice daily with Betadine, followed by normal saline rinse
11. Patient hygiene: Full-body bathing every three days (logged in the patient’s bathroom register).
12. Chest tube monitoring and secretion documentation (especially in patients with recent chest tube insertions).
13. Sterile dressing changes according to infection control protocols.
14. Respiratory and limb physiotherapy with daily spirometer use encouragement.
15. Strict monitoring of fluid intake and output.

Patient Admission Process:

• The section secretary must enter patient information in the hospital admission system.
• Upon admission, the nurse conducts a detailed examination, including:

• • Bed sore assessment.
  • Burns, amputations, and overall mental status evaluation.
  • History of medication use or substance addiction (all details must be recorded in the patient file and Kardex).