Critical-Care Nurse – Helping the Patient With Life-Threatening Problems

The critical-care nurse has the role to help the patients who need the difficult assessment, the high intensity therapies, and continuous care. This nurse will need special knowledge, skills, and experience to give the patient and the family’s member the right treatment. It is also important that a critical care nurse can create the right environment to help the patient so the patient can be healed. To make it simple, the critical care nurse is the patient’s supporter.

The Critical care nurses can fill various roles from the bedside clinicians, nurse educators, nurse managers, until nurse practitioners. The job of the nurses now is not only to treat the sick patients.

If you become this nurse, you will work in the various fields like the adult, pediatric, and even the neonatal nursing practice. You will find the nurses in the area with critically ill patients such as in the intensive care units (ICU), pediatric ICUs, the cardiac catheter, telemetry units, progressive care units, emergency departments, etc.

There will be a critical-care training course that you must take before you become a critical care nurse. The training course will provide you the information and the knowledge you need to treat the critical patients. It is even better if you take the certification since some employers prefer to hire the certified nurses. The certification refers to the higher level of knowledge and has more specialty practice experience.

Related to the job, the nurses are educated with the knowledge beyond their basic education as the RN or the Registered Nurse. The advanced knowledge is a must since they face the critically ill patient and the family’s member which have more needs than ordinary patients.

As it stated above, before you can be critical care nurse, you must be a RN or Registered Nurse. However, the requirement is different from country to country. You can see the student’s exposure in many nursing schools. Becoming a RN, it means you will need to get BSN or Bachelor Degree in Nursing and pass the exam for the national license.

Critical Care Nursing Career Tips

Critical care nursing is the specialty within the nursing profession that ensures the delivery of optimal care to acutely and critically ill patients. Critically ill patients are patients who are at high risk for actual or potential life threatening health problems. These patients are highly vulnerable, unstable, and have complex healthcare needs that require vigilant and intense nursing care.

These types of nurses and nurse practitioners are essential in intensive care units (ICUs), including medical, surgical, pediatric and neonatal ICUs, cardiac care units, cardiac catheter labs, telemetry units, progressive care units, emergency departments, and recovery rooms. Critical care nurses are also part of medical evacuation and transport teams.

In the United States, most critical care nurses are registered nurses; because of the unpredictable nature of the patient population, licensed practical nurses (LPNs) and licensed vocational nurses (LVNs) rarely assume the primary care role in caring for critically ill patients.

Registered nurses can obtain certification in critical care nursing through the American Association of Critical Care Nurses (AACCN), an advisory board that sets and maintains standards for critical care nurses. This certification, known as the CCRN, describes the holder as a certified critical care nurse for adult, pediatric and neonatal patient populations.

Several subspecialties of this type of nursing can be found in units composed of similarly aged patients. These subspecialties are in the following areas:

• Neonatal Intensive Care Unit, also called Nursery ICU or NICU. The NICU’s patients are primarily newborn and premature infants who are cared for until they reach the gestational age of one month. After this period, their care will be assumed by the Pediatric Intensive Care unit.
• Pediatric Intensive Care Unit, or PICU. Here, the patients are about one month to eighteen years of age.
• Adult Intensive Care, or ICU, takes care of patients who are beyond eighteen.

There may, however, be deviations from the above setup, such as sending newborns who get admitted in the Emergency Department to the PICU, rather than the NICU. There may be rare cases where an adult patient with congenital heart disease will be admitted to the PICU, as their current treatment is a continuation of treatment they had been receiving from their physicians since they were children.

Care subspecialties may also be based on the type of disorder, disease or primary injury of the patient population. For example, the Adult Intensive Care Unit may have a specialized unit for trauma patients called the Adult Trauma Intensive Care Unit.

There is a variety of equipment used in the critical setting with which intensive care nurses need to be thoroughly familiar. These include hemodynamic and cardiac monitoring systems, mechanical ventilator therapy, intro-aortic balloon pumps, ventricular assist devices, continuous renal replacement equipment, and other advanced life support devices. All of these are at the critical care nurse’s disposal when providing medical intervention to the critically ill.

With advances in healthcare and technology, medical conditions previously described as critical can now be treated outside the critical units. Nonetheless. critical care nurses continue to keep abreast with new treatment methods and technologies in this growing profession.