Intensive Care Unit (ICU) adalah suatu bagian dari rumah sakit yang terpisah, dengan staf khusus yang ditujukan untuk observasi, perawatan dan terapi pasien yang menderita penyakit, cedera atau penyulit – penyulit yang mengancam jiwa atau potensial mengancam jiwa. ICU menyediakan kemampuan, sarana dan prasarana serta peralatan khusus untuk menunjang fungsi – fungsi vital dengan menggunakan ketrampilan staf medis, perawat dan staf lain yang berpengalaman dalam pengelolaan keadaan – keadaan tersebut.
Keadaan yang sedemikian akan tercapai bila pelaksanaan keperawatan di ICU dilakukan dengan baik dan dilaksanakan oleh tenaga – tenaga ICU yang terampil dan profesional dan bermutu. Ruang lingkup pelayanan meliputi pemberian dukungan fungsi organ – organ vital seperti pernapasan, kardiosirkulasi, susunan syaraf pusat, renal dan lain-lainnya.
Mengingat diperlukannya tenaga – tanaga khusus dan terbatasnya sarana serta mahalnya peralatan, maka unit ICU perlu dikonsentrasikan pada suatu lokasi di Rumah Sakit.
PENGERTIAN
Pelayanan Intensive Care adalah pelayanan berbasis rumah sakit diperuntukkan dan ditentukan oleh kebutuhan pasien yang sangat kritis. Tujuan dari pelayanan intensive care adalah memberikan pelayanan medik, tertitrasi dan berkelanjutan.
Pelayanan ICU harus dilakukan oleh intensivist yang terlatih secara formal dan mampu memberikan pelayanan yang optimal dan terbebas dari tugas – tugas lain yang membebani seperti kamar operasi, praktek dan tugas – tugas kantor. Intensivist yang bekerja harus berpartisipasi dalam sistem yang menjamin kelangsungan pelayanan intensive care 24 jam.
Hubungan pelayanan ICU yang terorganisir dengan bagian – bagian pelayanan lain di Rumah Sakit harus ada dalam organisasi Rumah Sakit.
VISI, MISI, TUJUAN, FILOSOFI ICU RSK.BUDI RAHAYU BLITAR
VISI : Mewartakan Kasih Allah melalui pelayanan ICU yang prima dan berkualitas.
MISI :
TUJUAN : Meningkatkan derajat kesehatan masyarakat
FILOSOFI : Dengan dilandasi secara mutlak oleh semangat cinta kasih kristiani, karya pelayanan kesehatan Rumah Sakit Katolik Budi Rahayu memandang, menerima, dan berusaha melayani penderita dan keluarganya sebagai manusia seutuhnya, baik jasmani dan rohani, individu dan sosial.
FASILITAS DAN PERALATAN
A. FASILITAS
Ruangan ICU merupakan suatu unit di RS yang dibandingkan dengan ruagan lain, banyak perbedaan ,tingkat pelayanannya. Tingkat pelayanan ini ditentukan oleh jumlah staf,fasilitas,pelayanan penunjang,jumlah dan macam pasien yang dirawat, untuk itu harus ditunjang oleh tenaga yang memenuhi kualifikasi standart ICU.
Pelayanan ICU harus memiliki kemampuan minimal sebagai berikut:
B. SARANA DAN PRASARANA
a. Lokasi
Dianjurkan satu komplek dengan kamar bedah dan kamar pulih sadar dan berdekatan atau mempunyai akses yang mudah ke unit gawat darurat,laboratorium dan radiologi.
b. Desain
Standart ICU yang memadai ditentukan desain yang baik dan pengaturan ruang yang adekuat.
Bangunan ICU :
c. Area pasien
d. Area Kerja meliputi :
e. Lingkungan
f. Ruang Isolasi
g. Ruang Penyimpanan Peralatan dan Barang Bersih.
h. Ruang Tempat Pembuangan Alat atau Bahan Kotor.
i. Ruang Perawat.
j. Ruang Staf Dokter.
k. Ruang Tunggu Keluarga Pasien.
l. Laboratorium yang terpusat.
C. PERALATAN
1. Jumlah dan macam peralatan yang ada, sesuai dengan tipe ICU sekunder.
2. Terdapat prosedur pemeriksaan berkala untuk keamanan alat yaitu:
3. Untuk di ICU sendiri sekarang terdapat peralatan dasar, yang meliputi :
4. Monitoring Peralatan.
Hal-hal yang sangat vital sangat ditekankan pada pemantauannya termasuk peralatan yang digunakan untuk transportasi pasien.
Intensive Care Unit
Intensive Care Unit (ICU) is a part of a separate hospital, with specific staff devoted to the observation, care and treatment of patients suffering from diseases, injury or complications – complications that life-threatening or potentially life-threatening. ICU provides the capability, facilities, infrastructure and specialized equipment to support the function – a vital function by using the skills of medical staff, nurses and other staff who are experienced in managing the situation.
In such circumstances will be achieved if the implementation of nursing in the ICU is well done and executed by skilled personnel and professional and qualified. The scope of services include providing support organ function – a vital organ such as breathing, kardiosirkulasi, central nervous system, renal and others. Given the need for power – tanaga special and limited facilities and expensive equipment, then the intensive care unit should be concentrated on a location in the Hospital.
DEFINITIONS
Intensive Care Services is a hospital-based service dedicated and determined by the needs of patients who are very critical. The purpose of the intensive care service is to provide medical services and sustainable.
ICU service must be performed by the intensivist who are formally trained and capable of providing optimum service and free of duty – other burdensome tasks such as operating rooms, practice and task of the office. Intensivist works must participate in a system that ensures continuity of service 24-hour intensive care.
ICU care is organized relationship with the – part of other services at the Hospital must exist in the organization’s Hospital.
VISION, MISSION, OBJECTIVES, PHILOSOPHY INTENSIVE CARE UNIT BUDI RAHAYU CATHOLIC HOSPITAL BLITAR.
VISION : To bring the love of God through the ICU excellent service and quality.
MISSION:
1. Providing intensive care with love and sincerity.
2. Providing nursing care in the intensive and continuous.
3. Increase the professionalism of competent human resources
PURPOSE : Improving public health
PHILOSOPHY : By implicitly based on the spirit of Christian love, work of health care Budi Rahayu Catholic Hospital looked at, accept, and seek to serve the patient and his family as a whole person, both physical and spiritual, individual and social.
FACILITIES AND EQUIPMENT
A. FACILITIES
ICU is a unit in RS compared to the other room, many differences, the level of service. This service level is determined by the number of staff, facilities, support services, the number and kinds of patients treated, for it must be supported by staff who meet the qualification standard ICU.
ICU service must have a minimum capacity as follows:
1. Resuscitation
2. Airway management including tracheal intubation and the use of simple ventilators
3. oxygenation therapy
4. ECG monitoring, continuous pulse oximetri
5. Enteral nutrition and panenteral
6. Implementation of the titration of therapy
7. Ability to execute particular techniques according to the conditions of patients
8. Providing vital support functions to mobile devices for emergency patient transport
9. The ability to do chest physiotherapy
B. FACILITIES AND INFRASTRUCTURE
a. LOCATION
Recommended a complex with the operating room and recovery room awake and adjacent or have easy access to the emergency room, laboratory and radiology.
b. DESIGN
ICU adequate standard set of good design and adequate space setting.
Building ICU:
– Isolated
– Has a certain standard of:
Fire danger
ventilation
air conditioning
water pipe
communication
Bakteorologis
fan exhausts
monitor cable
– Floors easy to clean, hard and flat.
c. Area patients
d. Work areas include:
e. environment
Having cooling / air conditioning that can control temperature and humidity in accordance with an area of ??the room.
f. Isolation Room
Equipped with a sink and a place to change clothes themselves.
g. Storage Space Equipment and Supply of Goods.
For storage monitors, ventilators, infusion pumps and syringe pumps, dialisi equipment, suction equipment, linen and storage of goods and equipment clean.
h. Space Disposal Equipment or Materials Kotor.
Space for cleaning tools, urine, emptying and cleaning bedpans and urine bottles.
Design to ensure no contamination
i. Room nurse.
There is a separate space that can be used by duty nurse and head room.
j. Staff room doctor.
k. Patient Family Waiting Room.
l. Centralized laboratory.
C. EQUIPMENT
1. The number and variety of existing equipment, according to the type of secondary ICU.
2. There are procedures for periodic checks of security equipment that is:
4. Monitoring Equipment.
Things are very vital is emphasized on monitoring including the equipment used to transport patients.