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Prepare Me

Prepare for the ICU

For families walking into an intensive care unit.

It's okay to feel nervous. Nervous and prepared is a good place to be.

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Overview

The ICU is loud, bright, and full of equipment. Most of what you hear is routine. This guide is written mostly for the family member standing at the bedside trying to understand what is happening.

What to expect

  • Monitors and alarms that sound constantly — most are not emergencies
  • A high nurse-to-patient ratio and frequent checks
  • Daily rounds where the plan is discussed
  • Sedation, tubes, and lines that look frightening and are usually temporary

Questions to ask

  • What is the goal of care today?

  • What are we watching for, and what would count as improvement?

  • May I be present for rounds?

    Many ICUs welcome one family member at rounds — ask.

  • What decisions might we be asked to make, and when?

  • In plain language, what is happening and why is it recommended now?

    Plain language is your right. Ask again if the answer is technical.

  • What are my options, including waiting or doing nothing?

  • How will this change what I can do day to day, and for how long?

  • What should I do to prepare?

  • Who do I call with questions, and what number do I use after hours?

  • What would make you want to see me sooner?

    This turns vague worry into a clear trigger for calling.

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For caregivers and family

What caregivers can expect

  • Information arriving in fragments
  • Being asked to make decisions with incomplete answers
  • Exhaustion that sneaks up on you

How caregivers can help

  • Keep one notebook and one designated family spokesperson
  • Ask for a family meeting when the picture is unclear
  • Speak and touch — familiar voices matter, even under sedation
  • Go home and sleep; ask the nurse when it is safest to step away

Questions caregivers should ask

  • What is the best number and time to call for an update?
  • Who is the ICU attending this week?
  • Can we schedule a family meeting with the whole team?

Recovery and what happens next

  1. Before admission

    Paperwork, packing, and home coverage.

    • · Confirm authorization
    • · Pack a small bag
    • · Arrange pets, children, and mail
  2. During the stay

    Track the plan each day.

    • · Ask for the daily plan
    • · Note who is leading your care
    • · Ask what has to happen before going home
  3. Discharge day

    Leave with clarity, not a stack of paper.

    • · Medication reconciliation
    • · Written instructions read back aloud
    • · Follow-up appointment scheduled
  4. First week home

    The riskiest week. Watch and rest.

    • · Fill prescriptions
    • · Attend or confirm follow-up
    • · Track symptoms daily

    Watch for: Fever, chills, or a wound that becomes red, warm, swollen, or leaks fluid; Pain that keeps getting worse instead of slowly better; New confusion, dizziness, or fainting; Nausea or vomiting that stops you from keeping fluids down

Risks and warning signs

Possible risks to ask about

  • Every procedure and medicine carries some risk — ask for yours in numbers, not adjectives
  • Reactions to medicines, contrast, or anesthesia
  • Infection
  • Delays or the need for a repeat visit

Warning signs — call your clinician

  • · Fever, chills, or a wound that becomes red, warm, swollen, or leaks fluid
  • · Pain that keeps getting worse instead of slowly better
  • · New confusion, dizziness, or fainting
  • · Nausea or vomiting that stops you from keeping fluids down

Red flags — seek emergency care

  • · Trouble breathing or shortness of breath at rest
  • · Chest pain or pressure
  • · Heavy bleeding that will not stop
  • · Sudden weakness, facial droop, or trouble speaking
  • · Signs of sepsis — fever with fast heart rate, confusion, clammy skin, or a feeling that something is very wrong

In an emergency, call 911. Do not wait for a call back.

Follow-up care

  • Attend the follow-up within the window you were given
  • Reconcile every medicine against the discharge list
  • Ask for home health or therapy referrals to be confirmed

Frequently asked questions

Helpful resources

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Prepare Me is educational preparation support from Phoenix Health Compass. It does not diagnose, recommend treatment, or replace the guidance of your clinician. Checklists and notes stay on this device unless you save or share them yourself.