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INTENSIVE CARE SERVICES

The hospital has extensive facilities for delivering intensive care to its patients. All the intensive care beds are co-located to minimize cross movement of patient, relatives, medical staff, equipments and medical consumables, thereby significantly reducing hospital acquired infection.

The ICUs are well equipped with well qualified nurses with specific training for the specific nature of the ICU. Most ICUs have a 2:3 nursing ratio with round the clock coverage by dedicated critical care specialists.

All ICU beds are continuously monitored through state of art monitoring equipments which in turn are integrated to a single nursing dashboard which is further accessible to the doctor on mobile.

The ICUs are unique in maintaining individual air changes and physical barriers to minimize air borne/ contact infection growth. The ICUs are regularly audited by the hospital infection committee.

MICU (MEDICAL INTENSIVE CARE UNIT)

OVERVIEW

MICU is the Intensive care for patients with complex and multi-system medical illnesses. MICU treats severely ill patients using a collaborative, multidisciplinary approach to care include cardiopulmonary arrest, hepatic failure, respiratory diseases, sepsis, renal failure, severe gastrointestinal bleeding, multi-system organ failure and drug overdose. Having a loved one in the Medical Intensive Care Unit (MICU) can be overwhelming.

Our goals are to provide expert patient care in a comfortable and family-centered environment. The MICU is an ICU that offers specialized care for patients who have various medical problems. Patients are monitored on a continuous basis. Many patients in the MICU require life-support therapy.

Bristlecone Hospitals Standards of care established by the Critical Care Center help ensure that patients receive optimum, coordinated care regardless of which ICU they are assigned to.The unit is staffed by physicians who are experienced in treating internal medicine, pulmonary medicine and critical care. They provide 24/7 coverag along with the experienced nursing team, including a clinical nurse specialist, work in the MICU. Nurses have received advanced training in critical care nursing, and many have received additional degrees and certifications including as nurse anesthetists and nurse practitioners.

DIAGNOSIS

Diseases diagnosed and managed on this service include respiratory failure due to ARDS, pneumonia, COPD, asthma, neuromuscular diseases, shock, major pulmonary embolism, congestive heart failure, acute and chronic renal failure, upper and lower gastrointestinal haemorrhage, severe pancreatitis, liver failure, life-threatening infections, acute cerebral infarction, intracranial haemorrhage, and status epileptics. The MICU also provides critical care services for the UPMC Toxicology Program.

Joining the pulmonary intensivists and nurses on the multidisciplinary team are:

  • Respiratory therapists
  • Clinical pharmacists
  • Clinical nutritionists
  • Physical, occupational and speech therapists
  • Case managers

What to Expect

The MICU is a Patient-Centred ICU and as such, families are always welcome at their loved one's bedside. In emergencies a MICU nurse stays with the family to provide information and reassurance.

Patients, to the extent they are able, and their families participate in all discussions and decisions about their care. Because of the variety of conditions and illnesses in the MICU, length of stay varies from hours to months.

Attention to Quality and Safety

Bristlecone Hospitals maintains strict standards for quality and safety. The MICU regularly scores at or near 100% compliance with established procedures that are measured on a daily basis. Critical care standards have significantly reduced the number of bloodstream infections caused by central venous catheters and reduced the incidence of ventilator-associated pneumonia.

SICU (SURGICAL INTENSIVE CARE UNIT)

WHAT IS INTENSIVE CARE?

Sometimes a patient is transferred to the intensive care unit (ICU) for further, close monitoring. Intensive care is most often needed for patients on mechanical ventilation, for patients recovering from heart attacks or major surgery, for patients in shock, and for patients with acute renal failure, among other reasons. In intensive care, clinical staff closely watch the patient minute-by-minute.

Intensive and intermediate care for critically ill patients following gastrointestinal, oncology/endocrine, gynecologic, thoracic, plastic, otolaryngology/head and neck, orthopedic and renal transplantation surgical procedures. Once surgery has been completed, you are brought to the SICU, which also may be called the post-anaesthesia care unit (PACU). In the SICU, clinical staff will closely monitor you as you recover from anaesthesia. The length of time spent in recovery depends on the type of surgery performed and the condition of the individual patient.

While a patient is in SICU, the clinical staff may do the following:

  • Monitor vital signs such as blood pressure, pulse, and breathing
  • Monitor for any signs of complications
  • Take the patient's temperature
  • Check for swallowing or gagging
  • Monitor the patient's level of consciousness
  • Check any lines, tubes, or drains
  • Check the wound
  • Check intravenous infusions
  • Monitor the patient's urine output
  • Maintain the patient's comfort with pain medication and body positioning
  • A patient can aid the speed of recovery by doing certain breathing and moving exercises in SICU. The clinical staff will instruct and assist you in trying the following:
  • Deep breaths. Lying flat for an extended period of time can cause fluids to accumulate in the lungs. Taking deep breaths utilizing the entire diaphragm and abdomen can prevent pneumonia from developing.
  • Coughing. Coughing helps remove chest secretions, which is another way to prevent pneumonia.
  • Turning. Changing positions while in the recovery bed helps stimulate circulation and deeper breathing and relieves pressure areas.
  • Foot and leg exercises. Moving the legs and feet stimulates circulation. Depending on the type of surgery, patients are encouraged to bend the knee and raise the foot several times, to "bicycle" and to draw circles with their great toes. You may be asked to wear special elastic stockings to stimulate circulation.

MOTHER-BABY UNIT

The Mother-Baby Unit in Bristlecone hospitals offers a unique environment for stable new-borns to "room-in" 24 hours per day with their mothers. A specialized nursing team provides post-partum care to mothers and regular newborn care to their infants.

Other services available include:

  • Breastfeeding counselling
  • Social work consultation
  • Educational materials (pamphlets, hand-outs, videos)
  • Interpreter services/TDY
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            Bristlecone Hospitals, A unit of Virinchi, Banjara Hills is now accredited with NABH.             Now Accredited with             Bristlecone Hospitals, A unit of Virinchi, Banjara Hills is now accredited with NABH.             Now Accredited with