POLICY AND PROCEDURE ON ADMISSION CRITERIA FOR ICU

 POLICY AND PROCEDURE ON ADMISSION CRITERIA FOR ICU

Policy: ICUs admission and / or discharge shall be decided by treating physician and as per documented admission and discharge criteria.

ICU shall try to keep 5-10% of its beds vacant at any given time for emergency cases. This shall be done by discharging stable cases as early as possible.

Guideline for admission and discharge

a) Criteria for admission to ICUs

·         Mechanical(additional) support of organ function

Ø  Respiratory – ventilation / CPAP

Ø  Renal–Haemodialysis associated with acid-base / electrolyte imbalance.

Ø  Cardiac –Acute coronary syndrome / LV dysfunction.

Ø  Hepatic –Hepatic encephalopathy & coagulation abnormality

Ø  Neurological – CV strokes associated with disoriented consciousness

·         Patient requiring support of 2 or more organ system even when this does not include the respiratory system (multi system involvement)

·         Potentially reversible serious patient condition

·         Circumstances in which emergency treatment already carried out (e.g. intubation and ventilation) even when there is no realistic prospect of survival

·         Patient requiring 1:1 nursing care

·         Patient requiring continues monitoring.

b) Criteria for discharge from ICU

·         Patient no longer requiring organ system support

·         Reversal of initial condition for which patient admitted to ICU

·         In case of bed shortage relatively stable patient shifted to HDU / wards