Listening Class
Leave up: An intensive care unit (ICU), also known as an Intensive Therapy Unit or Intensive Treatment Unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive treatment medicine.
https://en.wikipedia.org/wiki/Intensive care unit
As part of the motivation, the teacher will ask students some questions related to the topic and write on the blackboard the word ICU so that students brainstorm about it. From the responses or from the cloud of words derived from ICU, the questions could be:
1. What is ICU?
2. How different is ICU from a general ward?
3. What is the criteria for admission into the ICYU?
4. What common conditions require admission into the ICU?
5. What kind of equipment is used in the ICU?
6. Any specific organ support at the ICU?
7. What criteria is followed to discharge from the ICU?
The responses may vary from very brief to full responses, so the teacher should be aware of the right ones and have them before hand, it est.
EQUIPMENT AT THE ICU
E 
DISCHARGE FROM ICU
TRIGGERING CAUSES OF ADMISSION INTO ICU
Activity #1. Before watching the video (Your visit to the Intensive Care Unit – 03.07 min), the teacher will ask some exploratory questions to anticipate the content of the video.
What are the expected conditions you assume an ICU should have? (Hygiene, space distribution, intercommunications (pager, loudspeakers, pcs, mobiles, room for meeting relatives(visitors waiting area), overnight accommodations for nurses, books)
Is there any required (or standardized) distribution of equipment in the bed-spaces of the ICU?
Which equipment should be included in an ICU? (Cardiac monitor, ventilator, monitor, arterial lines, infusion pumps, , monitors)
Who should be part of the ICU staff? (Doctors, nurses in charge, nurses at the bedside, pharmacists and microbiologists.)
What is the role of nurses in the ICU?
Activity #2 – The students are then to listen (view of the video recording) and concentrate on these points:
1. Is the ICU easily accessed by the public and nurses? (No, there are 3 doors to pass into the ICU)
2. Is the bed space equipped with all the electronic resources needed to assess the patients vital signs and else? (Yes, cardiac monitor, infusion pumps, ventilator, monitors)
3. Who belong to the staff in the ICU? (Doctors, nurses in charge, nurses at the bedside, pharmacists and microbiologists.)
Activity #3. For the third listening (view of the video recording), the students are to organize the following information:
Number of door | What to see after you pass the door | |
1 – Enter the unit | Cardiac monitor, infusion pumps, ventilator, monitors | |
2 – Main Unit of the ICU | Intercom (say who you are and who to visit) and an electronic entry door, corridor, wash hands with alcohol gel | |
3 – Access to the bed space | Change coats and wash hands with alcohol gel, put and apron | |
Activity #4
There is a morning meeting at the ICU when doctors and nurses meet to assess the evolution of patients during the night shift.
What is the role of the nurses at the bedside during this meeting? How many times they have another ward round?
Discuss the patients diagnosis and plan of care of the day
Speak to the relatives after the round.
Activity #5. Before watching the video (An Introduction to ICU Training – Michelle Treacy. Royal Berkshire. NHS Foundation Trust. NHS 00.09.14 m), the teacher will concentrate the students on the equipment they nurse uses to support the patients organs:
1. The Infusion Pumps
2. Central Monitor
3. Oxygen Supply, Air Supply and Suction
4. Hemofiltration Device
5. Other equipment
Activity #6. For the second listening of the video, the students are to fill out this form with the correct information about the equipment.
I. Fill out this form with the purpose and role of each device at the ICU
Device | Purpose | Measures |
Infusion pumps | Record and monitor vital signs | – |
Central monitor | Provide Oxygen and helps breathing (artificially) | |
Oxygen supply, Air Supply and Suction | Support life | – |
Hemofiltration device | Ensure adequate supplies of drugs to patients | HR, OS, BP, CVP, T and RR |
Endotracheal tubes | Dialysis for chronic kidney patients | – |
Correct answers
Device | Purpose | Measures |
Infusion pumps | Ensure adequate supplies of drugs to patients | – |
Central monitor | Record and monitor vital signs | HR, OS, BP, CVP, T and RR |
Oxygen supply, Air Supply and Suction | Provide Oxygen and helps breathing (artificially) | – |
Hemofiltration device | Dialysis for chronic kidney patients | – |
Endotracheal tubes | Support life | – |
B – For using the Hemofiltration device, some events should takes place first. Organize the following events so that the whole process is properly completed.
I. Remove blood from the patient
II. Remove the toxins
III. Filter the blood
IV. Return the filtered blood back to the patient
Correct response
I. Remove …
II. Filter …
III. Remove … toxins
IV. Return … blood back…
Activity # 7. As a final listening activity, the students are to fill in the blanks with info from the video.
1- The role of the nurse is to develop _________ competencies and skills about assessment, ___________ and how to _________ to changes in the patients __________ (core, monitoring, conditions)
2- She must also attend ________________ team ____________ each morning.(multidisciplinary, meetings)
3- For each patient, they have a _______________ meeting to discuss the patients________ for the day. (coordinating, plan)
4- The nurse attends those meetings along with the ________, consultants, _______ doctors, physiotherapists, pharmacists and members of the __________ team (mentor, junior, research).
5- The nurse staff represent the ________ in the morning _________ (findings, assessment) and all together work to _______ the best kind of _____ for the patient (develop, care).
To sum up, the students will recreate some distinctive features of the ICU in their hospitals and how the biohazard measures are observed in those units.
References:
1- Wikipedia Online https://en.wikipedia.org/wiki/Intensive care unit
2- Digital Library at UCCM
Introduction to Mechanical Ventilation.mp4
Introduction to ICU Training Video.mp4
Basics of the Intensive Care Unit.mp4
Mechanical Ventilation Explained Clearly by MedCram.com – 4 of 5.mp4
Your visit to the Intensive Care Unit (ICU).mp4
Chest X-Ray Interpretation Explained Clearly by MedCram.com.mp4
Mechanical Ventilation Explained Clearly by MedCram.com – 2 of 5.mp4
Mechanical Ventilation Explained Clearly by MedCram.com – 3 of 5.mp4
Mechanical Ventilation Explained Clearly of MedCram.com – 5 of 5.mp4
3- Intensive Care Medicine. https://en.wikipedia.org/wiki/Intensive_care_medicine
4- Intensive Care Medicine (journal)
https://en.wikipedia.org/wiki/Intensive_Care_Medicine_%28journal%29
Critical Care Medicine https://en.wikipedia.org/wiki/Critical_Care_Medicine_%28journal%29
AACN Advanced Critical Care https://en.wikipedia.org/wiki/AACN_Advanced_Critical_Care
Appendix 1 Intensive care medicine |
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Autor:
Profesor: Lic. Julio Cesar Salazar Ramírez
Unidad Central de Colaboración Médica -Ciudad de la Habana