Leaving the hospital
When you are medically and physically well enough you will be moved from the ICU to a ward setting. Some patients will go to the medical acute dependency unit (MADU) or the surgical acute dependency unit (SADU) (both high dependency areas) before going to the ward.
It is normal to feel apprehensive about stepping down to a ward but it is a sign that you are getting better. The staff on the ward are used to looking after patients who have been seriously ill and are aware that it can be difficult being looked after by someone new.
You will notice that on the ward the nurses will be looking after more patients than on the ICU so it can take longer for nurses to respond to your needs. Even if you cannot see the nurses all the time, they are still nearby. You will have a call bell to use if you need any help, which the nurses will answer as quickly as they can. It is also likely that you will be in a bay with up to five other patients.
The critical care outreach team will visit you on the ward within the first 24 hours after your move from the ICU. They will work with the ward staff to monitor your physical recovery.
The CCRFT will aim to visit within the first three days to discuss your progress and any issues you or your relatives may have regarding your physical and psychological recovery.
If you feel concerned that the healthcare team has not recognised your loved one’s change in condition you can contact Call 4 Concern. This is a patient safety service for patients and families:
Frimley Park Hospital 07768 131445
Wexham Park Hospital 07887 292886
CCRFT on the ward
The CCRFT will come and visit you on the ward. We aim to see our patients 1-2 x per week and who you see will be based on your main problems. This service is in addition to everything you will receive on the ward, for example, the physiotherapists can provide additional physiotherapy and will not take the place of the ward physiotherapy. The CCRFT is aiming to support your entire recovery.
Examples of what the CCRFT will do with you include:
- Additional rehabilitation (including physical and cognitive)
- Outside visits
- Discussing your ICU ‘Roadmap’
- Providing you with your ICU patient diary
- Psychological support
- Supporting personal care
This is all to work towards your personal goals which the team will discuss with you.