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Southern DHB Te Puna Wai Ora, Southern Critical Care - Dunedin Hospital

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Description


Te Puna Wai Ora - Southern Critical Care has the capability and resources to deliver long term life support to critically ill patients. It acts as a tertiary (specialised) referral service for other health care providers in Otago and Southland.
 
What is Critical Care?
Critical care is the specialist care given to patients with acute (sudden), potentially reversible, life-threatening diseases. This may include patients who have life-threatening conditions such as a major accident, a severe infection or those recovering from a major operation. Critical care units may be  divided into two areas; the Critical Care Unit where the sickest patients are cared for, and the High Dependency Unit (HDU) where patients who are not well enough to return to general wards are treated. In some hospitals coronary care patients and other high care areas may be combined within a critical care area.
 
Critical Care is staffed by a team of highly experienced and professional doctors and nurses who are supported by other allied healthcare professionals. Specialist doctors trained to look after very ill patients staff the ICU. Most patients requiring critical care treatment have a nurse allocated to look after them individually.  High Dependency Unit patients may be cared for by a nurse who is also looking after other patients in the HDU. The Critical Care Unit and HDU also have physiotherapists, dietitians, pharmacists and many other healthcare professionals to help care for these very ill people.
 
What to expect
Much of the value of the Critical Care Unit comes the careful monitoring of the progress of a disease and the body’s response to complex treatments. This allows timely adjustment of such treatments. In order to achieve this, many investigations and monitoring processes will occur. It may be necessary at times to perform complex procedures in the Critical Care Unit, which may be time-consuming and require the Unit to be closed to visitors. 
 
Besides blood tests (see below), monitoring of other body functions is also commonplace. Heart rate, arterial blood pressure, central venous pressure, oxygen saturation and urine output monitoring are routine. Specific conditions may require other investigations. The changes are monitored and therapy adjusted as a result of the monitoring.

Consultants

Referral Expectations

Patients are rarely admitted directly to the Critical Care Unit. Patients presenting to hospital are usually admitted via the Emergency Department or other area where they are first stabilised.  Patients whose condition gets worse on the ward, in the operating theatre or presenting from another hospital may be transferred to Critical Care.

Procedures / Treatments

  • Blood Tests

    In the Critical Care Unit blood tests are usually done at least once a day.… More

  • Cardiovascular Problems

    Patients with critical illness commonly develop problems with their hearts and circulation.… More

  • Respiratory Problems

    Respiratory failure occurs when the respiratory system is no longer able to provide enough oxygen requirements or remove enough carbon dioxide from the body.… More

  • Nasogastric Tube

    A nasogastric tube is often inserted at the same time as the endotracheal tube.… More

  • Kidney Problems

    Kidney (or renal) failure is when a patient’s kidneys are unable to remove wastes and excess fluid from the blood.… More

Contact Details

Dunedin Hospital

Dunedin - South Otago

Emergency Department: Open 24 hours / 7 days, Phone (03) 474 0999

201 Great King St
Dunedin

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Street Address

201 Great King St
Dunedin

Postal Address

Private Bag 1921
Dunedin 9054

This page was last updated at 11:12AM on June 14, 2019. This information is reviewed and edited by Southern DHB Te Puna Wai Ora, Southern Critical Care - Dunedin Hospital.