Intensive Care Unit (ICU)
We want the best experience for our patients when health emergencies occur. Led by Orange Regional Medical Group’s Mohammad Siddiqui, MD, MBA, FRCS, FACS, our Intensive Care Unit (ICU) is dedicated to treating our patients with the utmost compassion, providing specially-trained professionals to administer critical care.
Orange Regional encourages family members to meet with the ICU Team to better understand the care that is being provided to a loved one. We understand that you may have many questions, and we will do our best to address your questions and concerns, discuss treatment options and provide you the opportunity to meet our staff.
Frequently Asked Questions
Are The Staff Specially Trained for ICU?
Each of the members working in our ICU Department and on ICU cases are specially trained and experienced. By working with physicians, our ICU staff ensures that quality care is provided to each patient. The following professionals meet daily to discuss each patient’s progress:
A physician with special training in ICU medicine. Each patient has an Intensivist following his or her care, while in the ICU, at all times.
A physician who sees patients only in the hospital setting. This professional takes the place of a primary care physician while a patient is hospitalized.
Critical Care RN
A nurse specially trained for ICU cases. In addition to clinical care, your RN also has shared responsibility for communicating with you and your family. A nurse will gladly arrange a convenient time to call one designated family member to provide a daily progress report.
Registered Respiratory Therapists (RRT)
As needed, an RRT assists patients with breathing management while they are in the ICU.
There is a pharmacist on the unit daily to assist with medication administration.
A professional who monitors and assists with nutritional needs.
Case Manager/Social Worker
Staff members who assist families by providing support, discharge planning instructions and resources. These professionals also assist with family needs while their loved one recovers.
What Is Some of the Technology Used?
Orange Regional uses advanced technological resources while providing care in the ICU. The following equipment may be used during a patient’s stay:
A monitor is used to record heart rate, heart rhythm, blood pressure, oxygen saturation and respiratory rate.
Technology makes it possible for the patient’s bed to weigh, rotate, reposition and transport patients during their stay. This will help to alleviate and prevent bedsores for patients who are staying for an extended period of time.
The hospital uses bedside computers to document patient care.
These are used to keep optimal blood flow from the patient’s legs to their heart.
Continuous Positive Airway Pressure/Bi-level Positive Air Pressure (CPAP/BiPAP)
This machine includes a face mask and is used as a non-invasive support for breathing difficulties.
A life support machine used to help patients breathe.
Regulates the flow of medicine to the patient.
Questions To Ask Your ICU Team
We understand that you may not immediately remember all of your questions and concerns during this stressful time. The list below can serve as a guide during your meeting with the ICU Team:
- Why was your family member brought to the ICU?
- What has happened since they arrived?
- What are the main medical problems right now?
- What is the plan of treatment?
- What are other treatment choices?
- What do the physicians expect to happen?
- What medical decisions will the family have to make?
Important Decisions You May Have to Make
You may have to make some important decisions regarding the treatment of your loved one if he or she is unable to communicate. When considering your options, please think about:
- What the patient has said in the past about medical treatments.
- What the patient has said in the past when someone else was seriously ill.
- What you think the patient would say if he or she could join us in the discussions.
- Who will be making the healthcare decisions for the patient (Healthcare Proxy) if necessary.
Guidelines To Follow When in ICU
In order to provide a comfortable healing environment for your loved one, we kindly request your assistance with the following:
Allowing a patient to rest is one of the most important priorities after a health emergency. Please allow the patient time to rest. The body requires this ‘down time’ to recover appropriately. It is also suggested that family members receive enough rest in order to be a strong support for their recovering loved one.
It is recommended that you assist us by limiting visitors and calls to the patient while he or she is in the ICU, as it will help to foster a quicker recovery. Additionally, due to infection risks, children under the age of 14 are not permitted in the ICU. Please understand that this policy is to protect young visitors and the patient.
Please be respectful of the closed curtains in a patient’s room. We ask that you wait until the curtain is opened before entering to provide as much privacy as possible.
Flowers and latex balloons are not permitted in the ICU.
Please make and take cell phone calls in the ICU Family Waiting Area.
Life Sustaining Treatments
Some common procedures a patient may require while in the ICU, include:
This treatment controls a patient’s breathing by use of an Endotracheal Tube (ETT). An ETT is a narrow tube placed through the mouth and passed down through the throat to the lungs. The ETT can also be inserted into the neck - known as a Tracheostomy. The tubes, in both situations, are connected to a ventilator that assists and controls the patient’s breathing.
A surgical opening into the windpipe, or tracheo, which is made to create an airway for breathing. Once the opening is made, a small tube is inserted. Most often, the tube is then attached to a breathing machine, also known as a ventilator.
A machine used to "clean" the blood of toxins and remove fluid that a kidney cannot.
Nutrition can be administered through the IV or through a tube placed into the nose or mouth and passed down to the stomach.
A thin catheter placed in a large vein of the body to give multiple medications and draw blood quickly.
A thin catheter is placed in an artery to measure constant blood pressure and to draw blood.
Medications used to support heart function including increasing or decreasing blood pressure.
Support For Patients & Their Loved Ones
In addition to the life sustaining treatments, the following services may also be important to consider based on a particular diagnosis and/or are complementary support services available to patients and their families during this difficult time:
Prolonged or life-limiting conditions present unique challenges to patients and families. Our palliative care can help you navigate the choices of treatment.
Our Pastoral Care Program caters to all faiths. We offer locations for prayer, thought and reflection. Our Chapel is located near the Lobby on the first floor.
We believe in a holistic approach to improving our patients well-being. We provide a variety of complementary therapies, such as aromatherapy, reiki, and much more.
The Patient Advocate’s role is to listen to concerns, explore and implement solutions to help patients resolve issues that may emerge during their hospital stay.
Focuses on pain and symptom relief as well as meeting the emotional, spiritual and practical needs of the patient and family. Patients can receive palliative care while still being treated for their illnesses. Palliative care physicians are on staff and can be requested at any time.
MEET OUR TEAM
- Mohammad Siddiqui,
Medical Director / Trauma Surgeon
Mohammad Siddiqui, MD, MBA, FRCS, FACS is Orange Regional Medical Center's Trauma Program and Acute Care Surgery Medical Director and Director of Surgical Intensive Care Unit.
- Murali Krishna,
Dr. Krishna is member of the Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM) team at Orange Regional Medical Group and is a Board-certified pulmonary-critical care physician.
- Aamir Gilani,
Dr. Gilani holds Board certifications in critical care, internal and pulmonary medicine and is board eligible in preventive medicine.