DISCHARGE CRITERIA
The status of patients admitted to an ICU should be reviewed continuously to
identify patients who may no longer need ICU care. This includes:
A. When a patient's physiologic status has stabilised and the need for ICU
monitoring and care is no longer necessary
B. When a patient's physiological status has deteriorated and / or become
irreversible and active interventions are no longer beneficial, withdrawal
of therapy should be carried out in the intensive care unit. Patient should
only be discharged to the ward if bed is required.
Discharge will be based on the following criteria:
1. Stable haemodynamic parameters
2. Stable respiratory status (patient extubated with stable arterial blood
gases) and airway patency
3. Oxygen requirements not more than 60%
4. Intravenous inotropic/ vasopressor support and vasodilators are no
longer necessary. Patients on low dose inotropic support may be
discharged earlier if ICU bed is required.
5. Cardiac dysrhythmias are controlled
6. Neurologic stability with control of seizures
7. Patients who require chronic mechanical ventilation (eg motor neuron
disease, cervical spine injuries) with any of the acute critical problems
reversed or resolved
8. Patients with tracheostomies who no longer require frequent suctioning
The status of patients admitted to an ICU should be reviewed continuously to
identify patients who may no longer need ICU care. This includes:
A. When a patient's physiologic status has stabilised and the need for ICU
monitoring and care is no longer necessary
B. When a patient's physiological status has deteriorated and / or become
irreversible and active interventions are no longer beneficial, withdrawal
of therapy should be carried out in the intensive care unit. Patient should
only be discharged to the ward if bed is required.
Discharge will be based on the following criteria:
1. Stable haemodynamic parameters
2. Stable respiratory status (patient extubated with stable arterial blood
gases) and airway patency
3. Oxygen requirements not more than 60%
4. Intravenous inotropic/ vasopressor support and vasodilators are no
longer necessary. Patients on low dose inotropic support may be
discharged earlier if ICU bed is required.
5. Cardiac dysrhythmias are controlled
6. Neurologic stability with control of seizures
7. Patients who require chronic mechanical ventilation (eg motor neuron
disease, cervical spine injuries) with any of the acute critical problems
reversed or resolved
8. Patients with tracheostomies who no longer require frequent suctioning
Thu Nov 21, 2024 11:26 pm by yagocom
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