Goran Susan F
Crit Care Nurse. 2012 Feb;32(1):e20-9. doi: 10.4037/ccn2012191.
The tele-intensive care unit (tele-ICU) uses sophisticated telemedicine technology and a remote team of critical care experts, including nurses, to provide continuous monitoring, assessment, and interventional services to a large number of patients across multiple ICUs. This new practice environment offers experienced critical care nurses an opportunity for career and knowledge expansion while reducing some of the physical and emotional risks encountered at the bedside. The role of the tele-ICU is still evolving but focuses on 4 areas of responsibility: performing virtual rounds, managing patient alerts, providing ICU support, and coaching or providing teaching moments. The transition from the bedside into the tele-ICU role can be complex as tele-ICU nurses encounter ICU acceptance barriers and a lack of or a change in professional identity. A formal orientation program focused on competency is necessary for the successful transition from bedside nurse to tele-ICU nurse.
远程重症监护病房（tele-ICU）利用先进的远程医疗技术以及包括护士在内的远程重症护理专家团队，为多个重症监护病房的大量患者提供持续监测、评估和干预服务。这种新的执业环境为经验丰富的重症护理护士提供了职业发展和知识拓展的机会，同时降低了一些在床边工作时面临的身体和情感风险。远程重症监护病房的作用仍在不断演变，但主要集中在四个责任领域：进行虚拟查房、管理患者警报、提供重症监护病房支持以及指导或提供教学时刻。从床边护理角色转变为远程重症监护病房角色可能会很复杂，因为远程重症监护病房护士会遇到重症监护病房的接纳障碍以及职业认同感的缺失或变化。一个专注于能力培养的正式入职培训项目对于从床边护士成功转型为远程重症监护病房护士来说是必要的。
