Overview

The Critical Care Department at Nepal Mediciti is staffed by a highly skilled team of intensivists, doctors, nurses, and allied staff dedicated to providing state-of-the-art critical care services. Our vision is to lead the field of critical care medicine in Nepal by implementing innovative and high-quality approaches to patient care, benchmarking against international standards, and continuously monitoring and improving our performance.

We are prepared for disaster events with surge management planning and regular exercises. Our department is equipped with advanced technologies, including ECMO for cardiac and respiratory support and Sorin’s fifth-generation modular heart-lung machine.

Key Components:

-  24/7 Comprehensive Critical Care: Skilled doctors and teams provide round-the-clock services.
-  1:1 Patient-to-Nurse Ratio: Ensuring personalized care for ICU patients.
-  ADT Policies: Implementation of specific Admission, Discharge, and Triage policies.
-  Protocolized Care: Integration of Protocolized Care with Precision Medicine.
-  Multidisciplinary Approach: Management of severe infections, sepsis, trauma, brain injury, shock with multi-organ failure, and ARDS.
-  Advanced Support: Mechanical ventilator support, respiratory care, ECMO, IABP, RRT, advanced hemodynamic monitoring, and targeted temperature management.
-  Early Warning System (EWS) and Rapid Response Team (RRT): Available round the clock.
-  Infection Control and Antibiotic Stewardship: Dedicated programs for infection control.
-  Diagnostic and Therapeutic Facilities: Point of Care diagnostic and therapeutic facilities.
-  Dedicated Physiotherapy and Rehabilitation Care: Ensuring comprehensive recovery.
-  Seamless Continuum of Care: Collaboration with various departments for post-acute care.
-  Timely Patient Transfer: Efficient in-hospital and out-of-hospital transfer of critically ill patients.
-  Post-Critical Care Follow-Up Clinic: Ensuring continued care and recovery.
-  End-of-Life Care and Organ Donation: Compassionate care services.

Facilities

-  Training and Education Initiatives: Enhancing skills and capacity of critical care health professionals through CME/CPD programs and standardizing critical care nurse training.

-  Critical Care Information System: Supporting evidence-based decision-making and performance improvement initiatives.

-  Performance Improvement Initiatives: Implementing innovative approaches to achieve quality benchmarks through the Plan, Do, Study, Act (PDSA) approach.
 

Initiatives and Performance Management Tools:

-  Admission, Discharge, and Triage (ADT) Scores
-  Trauma Performance Improvement Tools
-  ICU Protocol Toolkit
-  Critical Care Scorecards
-  Sepsis Management Toolkit
-  Neurosurgery Performance Improvement Tools
-  Enhanced Recovery After Surgery (ERAS) Toolkit
-  Infection Control Toolkit
-  Ventilator-Associated Pneumonia and Central Line Infection Toolkit
-  Rapid Response Team Toolkit
-  Surge Capacity Management Toolkit
-  Antimicrobial Resistance (AMR) Toolkit
-  Critical Care Nurse Training Toolkit
-  ICU Quality Measures Toolkit
 

The Critical Care Department is committed to providing safe, timely, effective, efficient, equitable, and patient-centered services. Our ultimate goal is to improve care in the ICU and lead the way in critical care service delivery in Nepal.