|Karolinska University Hospital|
|The University Hospital of Lund|
|Sahlgrenska University Hospital|
|Name hospital:||Karolinska University Hospital, Solna|
|Postal code / City||Stockholm|
|Language spoken on the unit|
|spoken by a few|
|Karolinska University Hospital is situated in Stockholm. Stockholm is the capital of Sweden, located at the east coast and with a beautiful archipelago.
The hospital is a large, modern academic hospital consisting of two hospital sites located at Solna and Huddinge. The hospital provides some 1800 patient care beds including thoracic, neuro, plastic surgery, transplantation, ecmo-treatment and trauma surgery. It has approximately 15000 employees. One part of the hospital is Astrid Lindgrens children hospital.
Karolinska includes a number of intensive care units, most of them located at the Solna campus. The Central Intensive Care Unit (CIVA) belongs to the Dept. of Anesthesiology and Intensive Care. There are four additional ICU’s located at Solna, including the Neurological ICU, Thoracic ICU, Pediatric ICU and Burn ICU. These units are all relatively small and bed shortages often require cooperation, including patient transfers among units. Cooperative efforts extend to other areas as well, eg. continuing education programs, etc.
CIVA has 13 beds, including 5 beds intended for intermediate care. The post-operative recovery unit consisting of 22 beds falls under CIVA as well. The ICU has a broad spectrum of patients and pathology, with a patient population involving the specialties of traumatology, complicated surgery, acute medicine and infectious diseases.
Karolinska University Hospital- Solna has over a 15-year period made a concerted effort to improve the care of the seriously injured. It is presently the only facility in the greater Stockholm region encompassing all the necessary specialties required of a modern multi-disciplinary trauma center to provide state-of-the-art care. CIVA lies in close proximity to the trauma unit, ensuring effective in-hospital transfer of all seriously injured multi-trauma patients from the entire Stockholm metropolitan area.
The medical care provided at CIVA is highly specialized and technology intensive, placing high demands on all personell categories involved in patient care. Unit members have been active in the development of methods of renal replacement therapy. We are also involved in developing advanced therapies for treatment of patients with severe acute respiratory failure, including considerable experience over many years in non-invasive ventilatory therapies.
The unit has employed a “primary nurse” system for many years. The goal is that every patient be assigned within 24 hours of admission to an individual nurse with responsibility for all nursing care. The goal is to provide highly competent nursing care at the bedside. We are staffed to provide every patient one intensive care nurse at the bedside during day shifts responsible for nursing care (1:1 ratio). The ratio is somewhat lower during night shifts, resulting in practical nurses having somewhat increased responsibilities.
As a university hospital clinic with a strong teaching commitment, active research and ongoing medical and technical development, continuing education needs are extensive. To meet these high standards and stimulate professional development, five “specialty nurse” positions have been created in the specialty fields of cardiology, nutrition, pain management, dialysis and infection. The goal is that the persons holding these positions have a competency level corresponding to a master’s degree.
The ICU has one nursing position devoted to research. A large number of both clinical and pre-clinical research projects are ongoing in the unit. Clinical research includes projects touching on outcome after intensive care, sedation, nosocomial infection and respiratory care. Pre-clinical projects deal with circulatory and respiratory effects of sepsis and the role of nitric oxide in various critical illness states.You are most welcome to visit us if you want to learn more about our work. The nurses are used to speak English and will take care of you. We can arrange your accommodation during your visit in Stockholm if required.
|Name hospital:||The University Hospital of Lund|
|Postal code / City||221 85 Lund|
|Language spoken on the unit|
|spoken by a few||Spanish, Norwegian, Danish, German|
Lund is an old university city in Skåne, the southernmost province in Sweden, conveniently situated near Malmö, Sturup Airport and also Copenhagen with its international airport. The communications in the area are excellent. Lund celebrated its first 1000 years in 1990, and the medieval streets, the cathedral and well-preserved old buildings link the past and the present. Lund is now famous for research and hi-tech, the Ideon Science Park and important companies like Tetra Pak, Alfa Laval, AstraZeneca, Sony Ericsson, Gambro and many others. Open fertile plains surround the city of Lund and you are never far away from the coast with its lovely beaches, and also forests and lakes.
The University Hospital in Lund is a teaching hospital with many different student categories in a learning situation.
The Intensive Care Unit at the University in Lund is a part of the Anesthetic department and we work closely together with the medical faculty at Lund University. Our aims are through research and in the development of new methods to improve medical and nursing care to be one of the leading departments not only nationally but also internationally.
The ICU has 9 intensive care beds and our patient selection is varied and includes all ages from 2 years. The unit is a multiple trauma injury center, which includes neuro, orthopedic, abdominal and thoracic injuries. If the patient has a localized head injury the the neurosurgery department will be the first choice. All other trauma patients are cared for in our unit. The intensive care nurse is a part of the trauma team in the emergency room and follows the patient through the x-ray department to the intensive care unit. Other patient categories are medical which include intoxications requiring intubation and ventilator treatment or dialyses. We are one of the leading units in Scandinavia with hypothermia treatment after cardiac arrest and have had a positive result of recovery after cardiac arrest. Research on hypothermia treatment continues on the unit.
Non-invasive ventilation treatment is used mostly on medical patients with asthma or chronical obstructive lung disease, recovery after an operation or post removal of the tracheal tube. Surgical patients that require intensive care are also a large group.
In 2003 a Mobile Intensive Care Group (MIG) was started and works after a British concept, Acute Life-threatening Events Recognition and Treatment (ALERT). The aim of ALERT is to give staff members working on wards knowledge about failing vital functions and when they should contact the ICU. Today intensive care nurses are mobile and treat patients before admission to the ICU.
A diary is kept during each working shift. The staff or the relatives each contribute to the diary, writing daily what has been happening around and to the patient. Digital photographs are taken, for example when the patient needs the most care and when the patient´s condition has improved. A follow up takes place when the patient has been discharged from the hospital and a nurse listens, guides and helps the patient if there are remaining problems. The digital photographs are given to the patient at this consultation.
Research is an important part of our unit and at the moment we are involved in several different research programs. One of them is a Scandinavian multicenter study involving the effect of giving glutamine to patients with sepsis. Another study is a mouthcare study and there is an international multicenter study of the effect of lipos to patients with sepsis.
|Name hospital:||Sahlgrenska University Hospital|
|Postal code / City||SE-413 45|
|Language spoken on the unit|
|spoken by a few|
|Sahlgrenska University Hospital (SU) provides emergency and basic care for the Göteborg region, and its 700,000 inhabitants, and highly specialised care for West Sweden, with 1.7 million inhabitants. SU is well known for its successful transplant activity, treatment of cardio-vascular diseases, immunology (research into rejection mechanisms) as well as research into vaccines. SU is one of six teaching hospitals with medical and nursing education in Sweden. The hospital provides an infrastructure necessary for teaching and research in cooperation with the Sahlgrenska Academy at Göteborg University. CIVA is a general intensive care unit for adults with 10 beds for intensive care, 14 beds for postoperative care and 20 beds for postoperative short time care. The unit have 180 employees and we work one specialist intensive care nurse together with an auxiliary nurse and care for two intensive patients. During 2003 the number of admission was: 1632 icu, 3254 postop and 4532 short time care, a total of 9418 patients. The multidisciplinary team around the patient and the family are essential for the high quality of the delivered care. CIVA is a unit with high competence in nursing, medicine and technique and patients are admitted from any area in the hospital except neonatal and thoracic patients. We are the centre of trauma and transplantation in the region and we provide care for many different specialities as for example craniofascial surgery on children.
We provide extraordinary care to extremely critical patients and through the highly skilled staff members, the ICU exceeds all expectations. There are ongoing research projects both in nursing and medicine in the unit e.g. postoperative pain, patient’s experiences of visitors, and patient’s memories from intensive care, weaning protocol, dying in intensive care environment. We are going to start an Outreach team after the summer 2005. As you can see there are a lot of things that happens in our unit and we can guarantee that you are going to have an interesting stay with us.