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Intensive Care Unit (ICU)

Information concerning the Bronovo Intensive Care Unit

Introduction
This information is intended for the patients who have been admitted to the Intensive Care Unit (ICU) at Bronovo Hospital as well as their family and close relatives.

Intensive Care
The Intensive Care Unit is for patients who need extra care, special monitoring and, if necessary, support of essential bodily functions.
The medical care is in the hands of intensivists. These are the medical specialists of the ICU. They are supported by trainee specialists  and other specialists.
The nursing care is done by specialized Intensive Care nurses and nurses in training for the specialization. The nurse caring for the patient will be able to answer many of your questions. If necessary, the nurse can organise a meeting with the doctor.

Admittance to the Intensive Care Unit
The admittance of a patient requires a good deal of time. The doctor examines the patient and the equipment must be connected. While this is being done, the family members who have come along will be asked to wait in the family room or in the hall outside the department until they are fetched by the nurse.

The equipment in the Intensive Care Unit
In order to be able to monitor and treat the patient, certain equipment is used. All patients are closely watched via a monitor which measures, among other things, heart rhythm, blood pressure, respiration and temperature. Regularly, the equipment will sound an ‘alarm.’ The nursing staff sees the alarms and knows the cause and meaning of them. They then know exactly what to do. Moreover, from the central desk, they monitor all the patients via the equipment. Each patient has one or more IV lines which supply fluids and medication. Many of the patients are also connected to other equipment for respiration, kidney function replacement, etc.

Protective measures
On a regular basis in the Intensive Care Unit, it is necessary to restrain patients using wrist bands. In this way, we try to prevent the patients from inadvertently removing equipment that is essential for their treatment. This could influence the treatment. The decision to restrain is not taken lightly and is discontinued as soon as it is no longer considered necessary.

Contact persons
We ask the patient, if he is able, or close family members to indicate two contact persons. These contact persons may obtain information on the condition of the patient. We only provide information to the patient and these two contact persons. This is in connection with the privacy of the patient. It is important that the contact persons can be reached day and night.

Telephone numbers Intensive Care Unit
(070) 3124019
(070) 3124020

We request that you do not call during the nursing shift changes and information transfer. These times are:
07.30 - 08.00 hours
15.15 - 15.45 hours
23.00 - 23.30 hours

Files
In the ICU, we work with files which contain all the patient’s medical and nursing data. Only the patient and his/her contact persons have the perusal rights to this file. Upon request, the nurse can make an appointment with the consulting physician to discuss this file.

Scientific research
The ICU is taking part in a number of (national) medical research projects. To this end, data is collected from the patients who have been admitted to the ICU and used for research. This is done completely anonymously. There are also research projects for which permission must be asked beforehand. If this is the case, the testing will not be started until written permission has been obtained from the patient or his/her contact person.

Transfer
It is possible that a patient must be transferred immediately, for example to an ICU of another hospital or another ward. In this case, the ICU physician on duty will inform the patient and/or the contact person as quickly as possible.

Introduction to the ICU
It is possible for patients to make an introductory visit to the ICU beforehand. This applies to patients who will be in the ICU for some time after surgery. Appointments for such introductory visits can be made via the ward nursing staff.

Clothing/toilet articles/hygiene
Because patients in the ICU are  connected to all kinds of equipment, it is not possible to wear one’s own night clothes. The nursing staff will provide suitable clothing. In caring for the patients, we would like to use their own toilet articles, such as deodorant, toothbrush, toothpaste, comb and, if necessary, shaving gear. For hygienic and practical reasons, all jewellery is removed and given to the family to take home. Flowers and plants are not allowed in the ICU.

Visiting hours 
From Monday to Friday 11.00 - 12.00 hours (excluding holidays) and
daily  from 16.30 - 19.30 hours.
No more than two visitors per patient are allowed. In exceptional situations, and after consultation with the nurse, the visiting times may be adjusted. We advise you to place the patient’s interests first. Sometimes, a short visit is sufficient. Our vision on children visiting the ICU can be found in the relevant folder.

Entry to the ICU
When visiting the ICU, you are requested to ring the bell at the entrance. A nurse will come to fetch you and bring you to the patient.

Warning
Patients’ valuables should not be left in the ICU. It is also unwise to leave your own possessions unattended in the family room while visiting a patient. The hospital cannot be held accountable for the loss of theft or any items.

Use of mobile phones
It is not permitted to use mobile phones in the ICU. The telephones could interfere with the medical equipment. It is permitted to use them in the family room.

Smoking
Smoking is forbidden throughout the entire hospital, thus also in the ICU. This also applies to the family rooms.

Interpreter
If desired, the nursing staff can supply a (telephone) interpreter.

Spiritual care
There is the possibility to talk to one of the spiritual caregivers at the hospital. Spiritual care is available for all patients, regardless of their faith or religious convictions. The nursing staff can make an appointment for you.

Suggestions
Comments and/or suggestions concerning the ICU are always welcome. You can let us know via the folder ‘Let us know.’

Family room
If the patient is doing very badly, you may, in consultation with the nursing staff, spend the night in the family room. If no room is available, you may then receive information from the Information and Documentation Office about other possibilities outside the hospital.

Bronovo shop
For a small snack, you can go to the Bronovo shop in the Central Hall. Opening times: Mondays - Friday from 08.00  - 20.00 hours.Weekends:11.00 - 20.00 hours.

For further information, you may go to the Information and Documentation Office in the Main Hall.

Edition: September 2009/2