Pediatric Intensive Care Unit

Medical Specialist
Staff
Unit Information
Useful Information
Additional Information

 Medical Specialist

Yuri Viner, MD
Director

  Staff

Mordecai Zeev Eini, MD, Senior Physician
Svetlana Tatrenko, MD
Inbal Vakart, Head Nurse

Nurses:
Shani Gur
Rivka Nagar
Maria Attia
Fanny Levy
Nirit Margolin
Haled Zangria
Oleg Bogomolani
Olga Bonchokov

Mordecai Zeev Eini, MD, Senior Physician
Svetlana Tatrenko, MD
Inbal Vakart, Head Nurse

Nurses:
Shani Gur
Rivka Nagar
Maria Attia
Fanny Levy
Nirit Margolin
Haled Zangria
Oleg Bogomolani
Olga Bonchokov

 Unit Information

  

We realize that the parents of our patients are dealing with a particularly difficult situation. We are therefore committed to providing quality professional care to both the child and his/her parents. We will do our best to meet everyone’s needs in order to make the hospital stay as easy as possible.

The Unit staff would like to ease the child’s integration process and adjustment into the Unit. First hospitalizations can be accompanied with feelings of stress, anxiety, anger, guilt, helplessness etc. which are all legitimate responses. One parent’s reaction may differ from the other or from other family members and we accept this with understanding and respect the feelings of all involved.

It is difficult seeing a child connected to machinery and lying for hours on end without movement. However, it is important for the child’s recovery for the parent to remain by his/her side and we need the parent’s help as part of the recovery process. Since it is difficult for one person to keep watch over the child, we strongly recommend that friends or relatives whom the child knows, are recruited to share shifts. Remember that the child needs strong and healthy parents too.

In addition to the physicians and nurses in the Unit, there is also a social worker who can support, advise and help the parent to cope with the situation. Our social worker specializes in stressful situations, supporting the child and family through all aspects of their special needs during hospitalization.

The children hospitalized in the pediatric intensive care unit have their good days and off days. We are doing our best to watch over him/her and give him/her the best care. We remain at your service for any questions you may have and wish your child a full and speedy recovery.  

 

Admission into the Unit

In the pediatric ICU, children are hospitalized in different situations, following complicated surgeries, accidents, illnesses, burns etc. The ICU can be a noisy place due the monitors and various machinery that may buzz and give warnings frequently.

When the child is admitted to the Unit, a nurse will be assigned to your child. During admission, the parent will be asked to remain outside while the child is examined and connected to necessary machinery. Following reception into the Unit, you will be allowed to enter and you will then receive an explanation by the doctor or nurse on the child’s condition.

The children in the ICU need continuous monitoring for heart rate, blood pressure, respiratory rate and other measurements. For this reason they are connected to electronic instrumentation and often are also connected to a respirator. All these will be disconnected when they are no longer needed.

Because of the all these instruments and for other reasons, it is not always possible to dress the child. We make sure that their body heat is maintained and monitor it continuously.

Types of instruments to which your child may be connected:

  • Monitor for heart rate: Sticky pads are placed on the child’s chest that sends cardiac activity to the monitor. 
  • Finger pulse oximeter: A little device clipped on the finger and monitors the blood oxygen level and pulse rate. 
  • Peripheral infusion: Medications and liquids administered through a thin plastic tube that is inserted into a vein. 
  • Central infusion: A long thin plastic tube inserted into a central blood vessel in the neck, chest or groin. It allows injection of drugs and helps the body monitor fluid status. 
  • Sphygmomanometer: A cuff is placed around the arm, inflating and deflating periodically. This measures the child’s blood pressure. 
  • Arterial line: A thin plastic tube (similar to the I.V. tube) inserted into the artery and monitors the blood pressure real-time. It also allows the taking of blood samples without the need for repeated punctures. 
  • Urinary catheter: A thin tube inserted into the bladder. It empties the urine into a bag and allows measurement of amount. 
  • Tracheostomy tube: A tube is inserted into the windpipe through the mouth or nose and leads to the respirator. 
  • Nasogastric catheter: A thin tube inserted into the stomach, usually through the nose. It is used to used to place nutrients directly into the stomach or to drain stomach secretions. 
  • Depending on the situation of the child, there may additional tubes. In any case, you may get further explanations from the doctor or nurse.

 

Doctor’s rounds

The doctors are in the Unit from 08:00-16:00. The physician on call is there from 16:00 until 08:00 the next morning.

From 08:00, the staff is updated on the child’s condition as reported by the night physician. At that time the parents are requested to wait outside the Unit in order to respect the privacy of all families.

Starting at 09:00, your child will be examined by the Unit’s physician. Doctor’s rounds with a senior physician will take place from 11:00. Detailed information on your child’s condition will be given to the parents following this visit. Consultation with the physician is possible every day. If there are critical changes in the child’s condition, the physician may be consulted more frequently. During the nighttime hours, information may be obtained from the physician on call.

Visiting is not possible during the morning physician’s session (08:00-10:00) and when shifts change.

The nursing staff changes shifts between 07:00-7:30, 14:30-15:00, 23:00-23:30. Additionally, we may ask the parents to temporarily leave the Unit under certain circumstances.

 

Visiting hours:

We firmly believe that the presence of someone beside the child during his hospitalization contributes greatly to his recovery. We therefore ask that one parent or close family member stays by the child’s side during this time. However, it is important to remember that too many visitors can disturb the sick child and in some cases may even endanger his health.

Several visitors at a time may hinder the work of the staff.

 

Family visits:

We try to allow both parents to stay by the child’s side most of the time. However, due to the unique character and complexity of treatment of the Unit, we cannot allow this at all times.

 

Some rules to prevent infections that endanger the child: 

  • Hands must be washed before entering and upon exiting the Unit. 
  • There should be no more than two people at one time at the child’s bedside.  No personal items may be brought into the unit including pocketbooks, newspapers or coats. A key for the parent’s closet may be obtained at the nurse’s station. 
  • No small children are allowed to enter the Unit. Siblings may be allowed to visit in coordination with staff. 
  • No circulating around other hospitalized children is allowed. Visitors may stay only by the bedside of their child. 
  • It is absolutely forbidden to use mobile phones within the Unit.

Please make these rules clear to all members of your family regarding behavior in the Unit.

 

Parents FAQ

Can I speak to the sick child?
Usually you can and should speak with him/her, read stories and play music for him/her. Your child needs your words of encouragement, love and reassurance. However, in some cases, you may be told not to disturb him/her because he/she needs complete rest.

Does the child hear?
Absolutely. Even though he/she is mostly respirated and sedated, he/she can hear but cannot react or speak. Therefore, it is important that the child hears the soothing voice of someone he/she knows or his/her favorite music.

Is it possible to touch the child?

Absolutely. Your child needs you now more than ever, for your touch and hugs and the feeling that you are present. Your touch may calm the child and give him/her a sense of security. In some cases you may be requested not to do so as the child need complete rest.

Getting information on your child’s condition

The Unit director will give you information on your child’s condition during the morning hours and between 13:00-14:00. You may make an appointment with the doctor through the secretaries, Hana and Miri. The attending nurse will also be present at the meeting.

Information will only be given to the parents or the family’s permanent representative, in coordination with the parents. Any requests for a meeting with the physician, nurse or the multidisciplinary staff will gladly be made in coordination with attending nurse.

Is it possible to bring the child equipment from home?

As a rule, you should consult with the staff regarding bringing things from home. Generally you may bring him/her a favorite blanket, a bottle that he/she is used to or one of his/her favorite toys. 

When you say “we are doing the best we can”, what do you mean?

We mean that the entire staff is doing all it can to help your child to a speedy recovery. To do this, the child is given drug therapy and the staff uses the most advanced equipment and methods available. 

Discharge from the Unit

When your child’s condition improves and stabilizes and he/she no longer needs constant monitoring, he/she will go for further treatment or monitoring in the Pediatric Department. The therapeutic environment in this department is different: there is less noise and the child is generally not connected to machinery as he/she was in the ICU. Additionally, the parents are the ones caring for the child, therefore it is important for one of them to be there at all times.

Prior to discharge from the Unit, the nursing staff will provide you with information about further treatment in the Pediatric Department and on how you can be an active partner in your child’s care.

  

 Useful Information

 Location:
On the ground floor of the Children’s Hospital.
Telephone:
04-6828907
Fax: 04-6828647

 

 

  Additional Information

Additional services for the parent:

There is a synagogue located on the main floor.
Hours: Mornings; Afternoon prayers 13:00 and Evening prayers according to sunset.

Cafeteria and food services:

1. The cafeteria is kosher and located on the main floor. It is open from 07:00 to 21:00 and on Fridays from 07:00 to 13:00.

2. In the lunchroom, which is located on the ground floor, a meal may be purchased at a discount rate for those parents who live far from the hospital. Please coordinate it with Hana and Miri, the department secretaries.

ATM

Located on the main floor near the cafeteria.

Yad Sarah

A branch of the Yad Sarah organization is located on the ground floor. You may rent medical equipment there.

Hours: Monday-Thursday from 10:00 to 12:00 On Fridays and holiday eves the branch is closed.