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ICU/HDU Critical Care Department

The Intensive Care/ High Dependency Unit in the Royal Albert Edward Infirmary is part of the Surgical Division.

There are four level 2 (high dependency) beds and seven level 3 (intensive care) within the unit. A large proportion of our cases are medical admissions, although these vary from year to year. The unit provides highly specialised nursing and medical care to patients in the hospital. This care is in the form of close monitoring, support of vital organs, treatment of life threatening conditions, and care for some critically ill but terminal patients.

The level of nursing care is very high (one nurse to one patient in the level 3 beds, and one nurse to two patients in the level 2 beds). We are fully equipped for the levels of care and are fully supported by other specialised departments in the hospital.

Our Medical Staff:

Consultants
Dr Sayeed Ahmed
Dr Timothy Boyd
Dr Harry Chan
Dr Tarek Ibrahim
Dr Wael Khalaf
Dr Subash Nandalan (ICM Faculty Tutor)
Dr Rafat Saad (Lead Clinician in Intensive Care)
Dr Hoon Teo
Dr Andrew Twist (Clinical Director Anaesthesia)

Associate Specialist
Dr Edy Sulistio

Middle Grade Staff
Dr Aseem Akbar
Dr Saeed Anwar
Dr Arul Nallapillai
Dr Alicia Speakman

The above consultants share an on-call rota solely for the intensive care unit for nights and weekends . During the day the consultant with sessional commitment is responsible for the Intensive Care Unit.

Ward rounds are held daily in the morning.

Cross cover occurs during annual leave so that a Consultant is always present on the unit during the day in the week.

Trainees on the ICU
We have a regular intake of trainee doctors who undergo modular training in intensive care. These doctors are experienced Specialist Trainees in Anaesthesia. The Intercollegiate Board for Training in Intensive Care Medicine (IBTICM) recognizes our unit for Level 1 training in Intensive Care. We offer close supervision and support to our trainees. There is a published schedule of tutorials in the unit designed to cover important aspects of intensive care. All trainees are expected to complete these tutorials during their training module.

Equipment
We have a fully computerised record keeping system for patient records. Computer terminals at the bedside enable the professionals to monitor and record data at the bedside.
We use state of the art monitors and advanced monitoring technology. Our ventilators are capable of advanced modes of ventilation. There is facility for noninvasive ventilation when indicated. Advanced cardiac output monitoring such as esophageal Doppler, PICCO, and PA catheters, and haemofiltration facilities are available. Further, we constantly update the equipment as new technologies evolve.

Evidence Based Medicine
There is constant exchange of information between ICU professionals, by the way of networking and by regular meetings. Our staff members are encouraged to attend local, regional, national and international meetings. The ICU Service Improvement Team meets regularly and discusses new evidence as they emerge. There is an up-to-date library in the unit. Guidelines are regularly updated to reflect the ever-increasing knowledge base in intensive care.

Clinical Governance
Our Service Improvement Team (SIT) meets regularly to scrutinise and to ensure the quality of service. We actively participate in ICNARC data collection. We also participate in national multi-centre trails. These include the CESAR, PACMAN, and ICON trials. Clinical audit is actively promoted in our unit.                                

For the ICU/HDU visiting times, visit the Royal Albert Edward Infirmary Ward Visiting Times page.

Visiting may be restricted for brief periods when the patient is undergoing a procedure or routine care and hygiene. Exceptions may be made at the discretion of the nurse in charge.

We request all visitors to wash their hands and to use the alcohol disinfectant provided before and after visiting their relative.