Abstract

INTRODUCTION

In order to regularly follow all of the vital parameters without overlooking any of them during the follow-up of patients in the Intensive Care Units, abbreviations formed by combining the initial letters were utilized. Our aim is to evaluate the control parameters, and by using "FAST HUGS WİTH ICU", to assess the potential deficiencies that can be identified as a whole during the daily follow-ups.

METHODS

This study was performed during the random daily follow up of 29 level 3 and 24 level 2 intensive care patients that were followed up outside the Anesthesia Intensive Care Units of University of Health Sciences İzmir Tepecik Research and Training Hospital and SuatSeren Research and Training Hospital. Each control parameter was evaluated together with the responsible doctor and the detected implementation deficiencies were recorded.

RESULTS

The mean age of the participating patients was 65.53±14.71, and their median weight was 75 kg. It was found that sufficient calorie intake could not be provided, there were treatment deficiencies in sedation, analgesia and thromboprophylaxis applications, daily research and treatment plans of 11 patients were not recorded, daily medical treatments of 16 patients were not reviewed, CAM-ICU scoring was not performed for any of the patients, and there were also deficiencies in follow ups as well as applications for all other parameters. It was found that hourly urine follow-up was not performed for 12 patients with foley catheter, NG was applied to 4 patients for longer than 4 weeks and not replaced with PEG. It was noted that there were defiencies in follow-up infection markers

DISCUSSION AND CONCLUSION

Concordant with the literature,we found that significant deficiencies can occur in daily follow up of patients. This mnemonic is a parameter where 15 parameters are simultaneously evaluated, and providing very fast and collective review in the hands of experienced users.