1. The VSDT Concept

2. Introduction
How to use the VSDT Protocol
New SOP

4. Principles of the protocol
A new way of working for all patients
Continual observations of vital signs as before
Defined actions if vital signs are very abnormal = danger signs

5. Principles of the protocol
Nurses can do some actions without a physician’s presence
4 Anaesthesiologists at Muhimbili
Critically ill patients change condition fast
Need modification of therapy continually
Critical care requires certain decisions to be made by those working bedside = nurses

6. Principles of the protocol
Therapy is modified continually
Actions are standardised to avoid stress
The protocol is formalised in an SOP

19. The VSDT Protocol is to be used for all patients >16 years
Summary
The VSDT Protocol standardises the care of the critically ill
Nurses can carry out some actions themselves
There is a new SOP for the ICU
The VSDT Protocol is to be used for all patients >16 years