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Leaving Intensive care
Non-stressfully and Collaboratively
Philosophy
To offer a continuum of care
and high standard of service from Intensive Care to the Wards by working as an
efficient team with a planned discharge program, coordinating a variety of
health and social care managers to:
- Maintain a cooperative
working relationship with all departments by communication and a method of
reviewing issues.
- Encourage learning and
sharing knowledge between departments with an emphasis on supporting each
other.
- Making the process of
discharge as efficient as possible to improve the patient's recovery and
prevent unplanned readmissions.
- Focus on the individual
needs of the patient/carer through a planned program including a conference
of health/paramedical workers.
- Maintaining a continuum of
care by a follow-up program by ICU in the wards offering support to patients
and staff.
- Periodically reviewing the
LINC program.
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Aims
This project aims to help
patients, relatives and staff in the process of discharge from ICU to the ward
by developing a program which will give the information and support to all the
people concerned. The project aims to evaluate the problems that already exist
and introduce a new program called Transitional Family Care (TFC). There will be
a further evaluation of this program to see if it improves the discharge process
from ICU.
Method
To highlight the problems that
exists with the discharge process from ICU a questionnaire to patients and staff
will be used. This questionnaire will rate the patient and staff satisfaction
levels.
The TFC program will include a
letter to the patient or relative and a subsequent conference to explain a range
of issues in the care of the patient. The conference will deal with any problems
that may develop and gives the opportunity for queries to be answered and
information to be exchanged. The conference will include a doctor, nurse,
physiotherapist, relative/s, ward staff and social worker if required. The
patient will have been in the unit 4 days or more and hopefully the early
planning for discharge will reduces the stress and uncertainty often felt.
The follow-up to the ward by
the ICU nurse will help reduce the stress for the patient and staff and improve
the support and communication between departments.
It is also hoped to produce a
booklet that will give important information to the patient and relative
reinforcing the information given by the staff and reducing the fears of the
patient by improving his/her knowledge.


To evaluate the success of the
program the questionnaire will be used again to help assess the changes the
program has made and the possible improvement to patient and staff satisfaction.
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