Intensive care unit in Peking Union Medical College Hospital is divided into internal medicine ICU and surgical ICU. In addition, Surgical ICU consists of ward one, two and three. I will be continuing my clinical training at surgical ward two for the following four weeks.
Surgical ICU ward two consists of 18 patients’ beds, it is all small single rooms with glass window connected with each other. It is a closed ward, and the nursing station is placed in the middle of the ward like a rectangle. Two of the rooms are isolation room, and the air flow is reversed. Nurses and doctors are available 24 hours a day. One nurse and one doctor is assigned to be responsible for one patient to three patients depending on the situation of the patients. However, most of the time they help each other. In a way, it is good that they have good team work spirit, but sometimes it might be too confusing especially if you do not know the care system here. Aseptic techniques are highly required and strict in ICU.
Nurses share the work as two shifts, whether day shifts or night shifts. Day shift is from 7:30 AM to 8:00 PM, and night shift is from 8 PM to 8 AM. Nurses work about three to four days a week and 12 hours per working shift. So if you work three days a week this week (36 hours), then you work four days a week next week (48 hours). Enjoy my practice here in ICU.