ERA UNIVERSITY
ERA COLLEGE OF NURSING
LUCKNOW
OBSERVATION REPORT
ON
CCU
SUBMITTED TO-: SUBMITTED BY-:
Ms. SWASTIKA DAS ARCHANA DEVI
ASSISTANT PROFESSOR M.Sc. NURSING 2nd YR.
ECON ECON
LUCKNOW LUCKNOW
INTRODUCTION
As a part of 2ndyr. MSc. Nursing curriculum, we were posted to CCU of Era hospital, Lucknow
from 30/8/2021 to 04-09-2021 for our medical-surgical nursing (cardio-vascular nursing
department) requirement. There, I came across with many patients with different diagnosis, learned
about functioning of CCU, its management.
CARDIAC CARE UNIT:
CCU is located is located in the ground floor of the hospital building with the capacity of 12 beds
unit. It is a very specialized unit which provides effective and efficient protocol based care to the
patients. An appropriate service is provided which include ongoing treatment, assessment,
diagnosis and reassessment before discharging the patient. This unit caters to patients with severe
or life-threatening illnesses and injuries, which require constant care, close supervision from life
support equipment and medication in order to ensure normal bodily functions. They are staffed by
highly trained physicians, nurses and respiratory therapists who specialize in caring for critically ill
patients.
ADMISSION PROTOCOL:
In CCU patients are admitted either directly from emergency or are transferred from the other ward
(if they rapidly deteriorate, or immediately after surgery required critical care) and some cases are
referred from other hospital as well. Intensive care is appropriate for patients requiring or likely to
require advanced respiratory support, patients requiring support of two or more organ systems, and
patients with chronic impairment of one or more organ systems who also require support for an
acute reversible failure of another organ.
CASES SEEN IN CCU:
A. Cardiac System
Acute myocardial infarction with complications
Cardiogenic shock
Complex arrhythmias requiring close monitoring and intervention
Acute congestive heart failure with respiratory failure and/or requiring hemodynamic support
Hypertensive emergencies
Unstable angina, particularly with dysrhythmias, hemodynamic instability, or persistent chest
pain
S/P cardiac arrest
Cardiac tamponade or constriction with hemodynamic instability
Dissecting aortic aneurysms
Complete heart block.
STAFFING PATTERN: (DOCTORS)
Dr.IrshadWani
Dr.Ziel JR 3rd
Dr. Utkarsh JR 2nd
STAFFING PATTERN: (NURSING STAFFS)
Ms.Nadira Khan (incharge)
Nursing staffs:
(Ms.SmitaYadav, Arti Sharma, Priyanshi, Aftab, Sandhya, Faiz, Saumya Singh, Rattan, Bhavna,
Abdul, Aziz, Kanchan.)
Staffing pattern: (technicians)
Mr.SivamTripathi (Incharge)
(Mr.Sajar, Yaushuf, Saiyauddin, Ansar, Yasir, Jyoti, Sudha)
EMERGENCY DRUGS AVAILABLE IN CCU:
Name of the Drug Classification.
Inj. Atropine. Parasympatholytic.
Inj. Adrenaline Sympathomimetic agents.
Inj. Dopamine. Catecholamines
Inj. Adenosine Anti arrhythmics.
Inj. Amiodarone Anti arrhythmics
Inj. Calcium gluconate. Electrolytes.
Inj. Dobutamine. Beta agonist.
Inj. Furosemide Loop diuretics.
Inj. Hydrocortisone Corticosteroids.
Inj. Epinephrine Alpha- beta adrenergics.
Inj. Magnesium Sulfate Electrolytes.
Inj. Sodium Bicarbonate Concentrated electrolytes.
Inj. Vasopressin Vasopressor.
Inj. 25% dextrose Concentrated electrolyte.
Inj. Mennitol Osmotic diuretics.
Inj. Trenexa. Coagulants.
Inj. Terbutaline Beta adrenergic receptor agonist.
Inj. Midazolam. Sedatives
Inj. Vitamin K Coagulants.
Inj. Fentanyl. Opoid
Inj. Noradralline. Sympathomimetic amine.
Inj. Phenobarbitone. Anti convulsant
EQUIPEMENTS REQUIRED IN CCU
Intensive care unit (CCU) equipment includes patient monitoring, respiratory and cardiac support,
pain management, emergency resuscitation devices, other life support equipment’s.
They are designed to care for patients who are-:
Seriously injured
Have a critical or life threatening illness
Have undergone a major surgical procedure thereby requiring 24-hour care and monitoring.
TYPES OF DEVICES
Intensive care unit equipment includes
Patient monitoring devices
Life support and emergency resuscitation devices
Diagnostic devices
I. PATIENT MONITORING EQUIPEMENT
Arterial line
Bedside monitor
Blood pressure device (sphygmomanometer)
Blood pressure monitor
Electrocardiograph machine
Intracranial pressure monitor
Pulse oximeter
Glucometer
II. LIFE SUUPORT AND EMERGENCY RESUSCITATION DEVICES
Mechanical ventilator
Laryngoscope
Airway
Infusion pump
Crash cart (resuscitation cart)
Intra-aortic balloon pump
Continuous positive air pressure machine
Defibrillator
III. DIAGNOSTIC DEVICES
Mobile x-ray units
Portable clinical laboratory devices
Bronchoscope
IV. DISPOSABLE ICU EQUIPEMENTS
Urinary catheter
Urinary drainage collector
Suction catheter
Nasogastric tube
Intravenous catheter
Feeding tube
Breathing tube (endotracheal tube)
BIOMEDICAL WASTE MANAGEMENT IN ICU
Waste is generated during the diagnosis, testing, treatment, research or production of biological
products for humans.
The hospital waste like body parts, organs, tissues, blood and body fluids with soiled linen, cotton,
bandage and plaster casts from infected and contaminated area are very essential to be properly
collected, segregated, stored, transported, treated, and disposed of in safe manner to prevent
nosocomial or hospital acquired infection.
Waste collection
Segregation
Transportation and storage
Treatment and disposal
Transport to final disposal site
Final disposal
TYPES OF BIOMEDICAL WASTES
WASTE CATEGORY TYPE OF WASTE
CATEGORY NO. 1 Human anatomical waste
CATEGORY NO. 2 Animal waste
CATEGORY NO. 3 Microbiological & biotechnological waste
CATEGORY NO. 4 Sharp waste
CATEGORY NO. 5 Discarded medicine and cytotoxic
CATEGORY NO. 6 Soiled waste
CATEGORY NO. 7 Solid waste
CATEGORY NO. 8 Liquid waste
CATEGORY NO. 9 Incineration ash
CATEGORY NO. 10 Chemical waste
COLOUR CODING TYPE OF CONTAINER WASTE CATEGORY
Yellow Plastic bag 1,2,3,6
Red Plastic bag 3,6,7
Blue/white translucent Plastic bag / puncture 4,7
Proof container
Black Plastic bag 5,9,10
DISCHARGE PROTOCOL FOR THE PATIENTS
The status of patients admitted to an CCU is been revised continuously to identify patients who
may no longer needICU care.
When a patient's physiologic status has stabilized and the need for CCU monitoring and care is
no longer necessary
When a patient's physiological status has deteriorated and active interventions are no longer
planned, discharge to a lower level of care is appropriate.
SUMMARY:
CCU is a special department of a hospital or health care facility that provides intensive treatment
medicine. It is a very specialized unit which provides effective and efficient protocol based care to
the patients. An appropriate service is provided which include ongoing treatment, assessment,
diagnosis and reassessment before discharging the patient. This unit caters to patients with severe or
life-threatening illnesses and injuries, which require constant care, close supervision from life
support equipment and medication in order to ensure normal bodily functions.
CONCLUSION:
During our posting, I got to learn about the different diagnosis of the presents and care to be
provided accordingly. Common conditions that are treated within CCUs include acute (or adult)
respiratory distress syndrome, hypertension, metastases and other life-threatening conditions.
