ICU - What to Expect

Overview of ICU Admission

  • ICU care is for patients with serious illness or injury requiring around-the-clock specialized care.
  • Common reasons for ICU admission include:
    • Respiratory failure
    • Extensive recovery surgery (e.g., heart surgery)
    • Trauma (e.g., car accident)
    • Stroke
    • Organ transplant surgery
    • Overwhelming infections

The ICU Care Team

  • Patients in the ICU receive 24/7 care from a team of doctors and nurses.
  • The number and type of doctors depend on the patient’s illness or injury.
  • The care team works with other professionals to deliver the best treatment.
  • Other care professionals who may be involved:
    • Physical therapist: helps improve or restore movement
    • Occupational therapist: helps improve or restore daily living activities
    • Respiratory therapist: evaluates and assists with breathing
    • Dietitian: nutrition expert
    • Pharmacist: prepares medicines for treatment

Teaching and Learners

  • IU Health operates teaching facilities where medical students, residents, and fellows may be part of the team.

Day-to-Day in the ICU

  • An average day includes multiple visits from care-team members; the ICU is busy with lights, machine noises, and many care team members present.
  • Your loved one may be connected to various monitors:
    • Heart rate
    • Respiratory rate
    • Blood pressure
    • Pulse oximetry (oxygen level in the blood)
  • The patient may have various tubes and devices to aid treatment and delivery of medicines.

Monitors and Medical Devices

  • Central line: a long, thin flexible tube used to deliver medicines, fluids, nutrients, or blood products over a long period through a large vein in the chest or arm.
  • Arterial line: a thin catheter inserted into an artery.
  • Foley catheter: a sterile tube inserted into the bladder to drain urine.
  • Breathing tube connected to a ventilator: helps with breathing when the patient cannot breathe on their own.
  • OG tube: a flexible tube used to provide nutrition when the patient cannot eat.

Medications and Sedation

  • Patients in the ICU receive a lot of medicines, including sedatives to keep them comfortable during treatment.

What to Bring if a Family Member is in the ICU

  • Bring a list of current medicines the patient is taking.
  • Take care of yourself and get some rest during this stressful time.

Visiting, Privacy, and Communication

  • There are no overnight visiting hours; you cannot sleep in the ICU.
  • Physicians round one or two times each day.
  • If you have questions or concerns, communicate them to the nurses.
  • Nurses will relay questions/concerns to the care team.

Transition and Discharge from the ICU

  • Most patients are ready to leave the ICU in about 33 days; some stay longer.
  • When ready to leave the ICU, patients are transferred to a step-down unit or a regular hospital room.
  • A new set of doctors may be involved during the transition, but treatment remains coordinated through the original ICU team.

Post-ICU Care Coordination

  • Even after transition out of the ICU, the original care team continues to coordinate treatment.

Additional Information and Support

  • If you have questions about the ICU, you can ask any member of the team of specialists.
  • For more information, please visit IUHealth.orgIUHealth.org.
  • The message conveyed: Thank you for choosing IU Health for your healthcare needs.

Summary Takeaways

  • ICU care is for serious conditions requiring constant monitoring and support.
  • A diverse care team collaborates to provide comprehensive care, including possible involvement of medical students and trainees.
  • Expect a busy environment with continuous monitoring, tubes, and medicines.
  • Communication with the care team is essential; use nurses as the access point for questions.
  • Transition out of the ICU is common after stabilization, with continued care coordination.
  • Bring the patient’s medication list and prioritize your own rest and well-being during this time.

Practical Considerations

  • Be prepared for potential multiple rounds of doctors and changes in the care team during transitions.
  • Understand the role of each device listed above and how it supports recovery.
  • Use the provided resources (IUHealth.org) for additional information and updates about patient care.