tehohoitotiimin

Tehohoitotiimi, or intensive care team, refers to the multidisciplinary group responsible for the care of patients in intensive care units who require advanced life-support and close monitoring due to life-threatening conditions. The team coordinates the delivery of complex therapies, monitors rapid changes in patient status, and works to stabilize and rehabilitate patients.

Composition includes an intensivist (intensivisti) physician, critical care nurses (tehohoitajat) with specialized training, and a range of allied health professionals such as respiratory therapists, pharmacists, physiotherapists, dietitians, and social workers. The exact composition varies by hospital and country, but the core concept is a coordinated, cross-disciplinary approach.

Key responsibilities: initial assessment and ongoing monitoring, ventilation and circulatory support, sedation and pain management, infection control, renal replacement therapy, nutrition, mobility and rehabilitation, medication management, and ethical decision-making including goals of care. The team collaborates on care plans, safety protocols, and prognosis discussions with families.

Workflow: daily multidisciplinary rounds, standardized protocols, and close collaboration with other hospital services. Real-time communication and documentation are essential to adapt treatment to patient changes. Family engagement and transparent communication are emphasized.

In Finland and other systems, tehohoitotiimin practices are guided by national and institutional guidelines, with emphasis on evidence-based care, patient safety, and ongoing training. The composition and responsibilities may evolve with new therapies and organizational changes.