The Department of Anesthesiology and Intensive Care is one of the most important for any inpatient he althcare facility. This is due to the fact that it is in it that intensive medical care is provided to patients who are in an extremely serious and serious condition.
What is it?
The Department of Anesthesiology and Intensive Care is part of an inpatient he althcare facility that treats patients with a serious pathology that directly threatens their life. It consists of technical rooms, wards (their number can vary significantly depending on the size of the hospital), an intern's room, a manager's office, a senior nurse, and paramedical personnel. Often, an operating block is associated with the department of anesthesiology and resuscitation. This is due to the fact that during almost any surgical intervention, the patient is placed under anesthesia, and after the operation is completed, he is under observation for some time.resuscitators.
Head of Department
Usually he is the most experienced anesthesiologist-resuscitator. At the same time, in most departments of this type, the head also treats a certain number of patients. In addition, he is responsible for the training of physicians undergoing internship training. The head of the department of anesthesiology and resuscitation is responsible for checking the quality of medical care provided by the specialists under his supervision.
Head Nurse
She deals with the organization of work of middle and junior medical workers, drug supply of the department. In addition, she controls the sanitary condition of the wards and all other premises.
The senior nurse of the department of anesthesiology and resuscitation evaluates the quality of work of her subordinates. She, along with the head, is among the administrative workers.
Basic Branch Functions
Here medical assistance is provided to patients in serious and extremely serious condition. If possible, patients can also be hospitalized here, whose condition may worsen in the near future. Most often here are people with the following diagnoses:
- myocardial infarction;
- acute cerebrovascular accident;
- pulmonary embolism;
- pulmonary edema;
- burn disease;
- combined and combined injuries;
- severe poisoning;
- comas of various etiologies;
- soporous condition;
- bilateral pneumonia.
All of these conditions require intensive care. All patients are hospitalized in the anesthesiology and resuscitation department after surgical interventions, during which a person was put under anesthesia.
Equipment
These departments usually have the most modern and high-quality equipment. Here, the following devices are mandatory:
- Monitors for continuous monitoring of electrocardiogram, heart rate, respiration and blood saturation.
- Ventilators.
- Pulse oximeter.
- Vacuum sucks.
- Portable x-ray machine.
- Equipment for broncho-, colono- and esophagogastroduodenoscopy.
In addition, this department has many simpler diagnostic and treatment devices.
Medicine provision
The Department of Anesthesiology, Intensive Care and Intensive Care is provided with medical drugs as a matter of priority. There are the following groups of funds that are not typical for other departments:
- antibiotics of the reserve group (these drugs are used in exceptional cases, since most bacteria do not have anysustainability);
- drugs for thrombolysis therapy (these drugs, in addition to the department of anesthesiology and resuscitation, should be at the disposal of the ambulance teams);
- high-quality neuroprotective drugs (such drugs are used in case of stroke and TIA in order to reduce the affected area);
- narcotic drugs.
Due to the availability of modern effective medicines, anesthesiologists-resuscitators have every opportunity to conduct intensive care.
Where provided?
The department of anesthesiology and resuscitation is mandatory in all inpatient he alth care institutions, with the exception of district hospitals and nursing care hospitals. If necessary, patients from them are transported to larger clinics, where there is an opportunity to provide intensive care.
Today, each central district hospital has a department where resuscitation and anesthesia assistance can be provided.
Difficulty of work
Working activity here is considered to be perhaps the most difficult for employees. The work of the Department of Anesthesiology, Resuscitation and Intensive Care involves constant monitoring of all patients under treatment. Their condition is unstable and can deteriorate sharply, which requires nurses and doctors to be in constanttension and readiness to provide highly qualified assistance.
Working here is also very difficult because many patients cannot be saved. This leads to serious psychological problems for both doctors and nurses of the anesthesiology and resuscitation department. It is especially hard work here for young professionals who are just starting their career and have not yet got used to the idea that not in all cases a person can be saved.
The complexity of the work leads to a fairly high turnover of staff, despite the relatively high wages in this department.
Relationship with other speci alties
Anesthesiologists-resuscitators are involved in helping the most problematic patients. It is not surprising that in the process of treatment they involve doctors of other speci alties for consultation. Most often they interact with the following doctors:
- therapists;
- surgeons;
- neurologists;
- endocrinologists;
- cardiologists;
- gynecologists;
- nephrologists.
Thanks to the advisory assistance of these specialists, resuscitators have the opportunity to prescribe the most effective treatment regimen. In the most severe cases, a so-called medical consultation is assembled to develop tactics for helping the patient. Most often, it consists of heads of departments or the most experienced medical specialists. As part of the consultation, the patient's treatment plan is carefully thought out.
Howbecome an anesthesiologist-resuscitator?
Theoretically, almost any graduate of a higher medical institution of education can get such a speci alty. To do this, you will have to have a fairly high average score, since the selection of anesthesiologists-resuscitators for groups of doctors takes place on a competitive basis. Students with almost the highest score on the course get here.
In the future, a specialist who has already received a diploma will have to undergo an internship in one of the clinics that has a resuscitation and anesthesiology department. After graduation, he will be able to engage in independent medical activities in any inpatient he althcare facility.
Need for specialists
Such doctors are traditionally one of the most sought-after specialists. If desired, a young doctor who has completed an internship can easily get a job even in large cities. In small he althcare institutions, you can often see open vacancies for the head of the department of anesthesiology, resuscitation and intensive care. Moreover, such specialists are offered one of the highest salaries in the institution.
Such specialists are not enough not only in the domestic he alth care system, but also abroad. With knowledge of the language, anesthesiologists-resuscitators from the post-Soviet countries can easily find highly paid jobs in European countries.
