Demystifying critical care management. Part 2.

Management functions are the major responsibility of the CNE. Effective application of these functions to CCUs is a vital element in the total nursing management process because of the resources allocated to this area. Critical care units are geographically designated areas, the complexity of which is heightened by the critical condition of the patients, the advanced technology available, the expertise needed to function in this environment. This complexity is best understood when the unit is analyzed using a systems approach. Although CCUs are distinct geographic areas, they function as multiple systems within and in conjunction with the other hospital and health-care systems. This article has detailed specific aspects of these systems that impact on CCU management. The article has provided this specificity according to the management functions of assessment, planning, implementing, and controlling. Effective management of CCUs provides valuable evidence to administrative and corporate-level personnel that chief nursing executives are, in fact, professional administrators. This acceptance of the CNEs' expertise provides an additional power base that is essential in negotiations for budget allocations and strategic planning if nursing department goals and objectives are to be achieved.