A Family's Guide to the Surgical Care Unit (SICU)
A critical care unit can be a frightening experience for the family of the critically ill or seriously injured. We, in SICU, understand that you will need support during this time and we are here to help you. Please do not hesitate to ask for help. We're here for you and your family member.
There are many different members of the SICU Team with whom you will come in contact while in the SICU. Each person is vital and has a unique responsibility on the critical care team. The collaborative effort of this team assures the planning and delivery of quality patient care.
Nurse
One of the first people you will meet is the SICU Nurse. The SICU Nurse has been specially trained to care for trauma, liver transplants, and other surgical patients that are critically ill. They provide ongoing assessments and treatments required for the patient. The nurse is the primary caregiver and is with your family member 24 hours a day. Please feel free to ask any questions you may have. He/she will be available while you are visiting. Frequently, the nurse will have another patient to care for and may not be at the bedside. Please ask another staff member and they will assist you.
Physician
The SICU physician coverage is 24 hours a day. The
unit resident provides ongoing assessments and care
in collaboration with other members of the patient's
primary service and the attending physician.
Frequently, there are many consultants involved with your family member's care. There is always an attending physician on the consulting service who will be available to speak with you.
Respiratory Therapist
The Respiratory Therapist works with the
Nurse and Physician in caring for the patient's lungs
and breathing. He/she assists in managing the ventilator
and will do tests to determine how your family member
is breathing.
Dietitian
The Dietitians are actively involved
in the care of your loved one. His/her nutritional
needs are evaluated on the first day he/she is admitted
in SICU.
Social Service
The Social Worker will help you with
discharge planning or rehabilitation planning.
Rehabilitation Medicine
Patients in the SICU frequently have fractures,
or are unable to move. The Physical Therapist will
provide movement for the patient or assist in getting
the patient out of bed. When the patient is medically
able to move around, the therapist will work with
him/her to start moving and walking independently,
based on the patient's condition.
Bereavement Service
Should you or your family member need
emotional or moral support, SICU has a very active
team of specialists to be with you. They can make
arrangements to accommodate any special needs you
may have.
Family
Yes, the family is a member of our
Critical Care Team. It is very important for the patient
to know you are here. In addition to the medical members
of the team, there is an emotional component to getting
well. That's your role.
The nurse will guide you in what you can do for your family member. Each patient is different, so what is OK for one patient may not be for another. Please ask your nurse what you can do.
Equipment
There are many noises and alarms in the unit. The Nurse and other members of the team know these alarms. Each piece of equipment has its own alarm telling the nurse what is wrong. A brief description of the equipment is listed below.
Monitor
The monitor is used to look at different
measurements that are used to guide treatment of the
patient. The monitor has many different alarms.
IV Pumps
The Pumps and Feeding Pump deliver
fluid or nutrition to the patient.
Respirator or Ventilator
This is a breathing machine connected
to the patient's tube. Movement, coughing, or change
in patient's breathing pattern will set the alarm
off.
Some special beds and other equipment have their own alarms too.
Visiting
- We encourage only family members or significant others to visit.
- Friends and extended family members are asked to wait and visit when your loved one is transferred to the regular unit.
- We can only accommodate 2-3 visitors at the bedside.
- We ask that you visit in short intervals, leaving time for the patient to rest and for the nurse to render her care.
- We ask that there is no visiting during change of shift (6a-8a) and (6p-8p).
- The SICU Family Room is located outside the SICU double doors. Visitors and families are asked not to wait in the unit.
- Public telephones are available at the elevator area on the E-floor. If you need assistance, please let us know.
- Plants, flowers, or food are not allowed in SICU for infection control purposes.
- It is a hospital policy not to give information over the phone. This is to maintain patient confidentiality. We ask the family to designate a representative to obtain updates about the patient and be responsible for informing other family/friends.
- If you have any concerns, please ask for the Charge Nurse, Assistant Nurse Manager, or the Nurse Manager of the unit.
We appreciate your need to be with your loved one at this time, and we will make every effort to provide you with the time you need. Please remember that it is our responsibility to care for your family member. Feel free to speak with any staff member or the Nurse Manager if you should have any questions.
SICU Telephone Number: (973) 972-2648
Thank you,
The Caregivers in SICU