I spent the day with a critical care nurse which was a good opportunity to expand my knowledge in ITU.

During the outreach, we reviewed a patient who had recently been stepped down from ITU. I was able to observe the thorough assessments carried out by the critical care nurse, which included chest auscultation, pulse oximetry, and a series of holistic questions which aimed at evaluating the patient’s overall condition and led to interventions.

I also had the opportunity to observe a peri-arrest situation. Although the environment was intense and fast-paced, it was managed effectively by the multidisciplinary team. Watching their coordinated efforts, clear communication, and rapid assessments was a valuable learning experience, and it showed the team’s commitment to providing the best possible care for the patient.

I learnt the difference between type 1 respiratory failure and type 2. These results are shown on a ABG. Type 1 is a low paO2 of 11.0KPA and a normal PcO2 of between 4.5-6. Type 2 is a low/normal paO2 and a high pco2. Patients with type 1 respiratory are required optiflow or cpap on the other hand, patients with type 2 require bipap.

I also learnt the normal range for PH is between 7.35-7.45 and a patient below 7.35 is acidotic and a patient above 7.45 is alkalotic.

Overall, I really enjoyed this experience. It helped me learn more about critical care and the role of a critical care nurse and how different team members work together to support patients. I found it interesting and it made me want to keep learning more in this area.