This Article Full Text Full Text (PDF) Services E-mail this article to a friend Similar articles in this journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Jaimovich, D. G. Search for Related Content PubMed Articles by Jaimovich, D. G.

PEDIATRICS Vol. 113 No. 5 May 2004, pp. 1430-1433

CLINICAL REPORT

Admission and Discharge Guidelines for the Pediatric Patient Requiring Intermediate Care

During the past 3 decades, the specialty of pediatric critical care medicine has grown rapidly, leading to a number of pediatric intensive care units opening across the country. Many patients who are admitted to the hospital require a higher level of care than routine inpatient general pediatric care, yet not to the degree of intensity of pediatric critical care; therefore, an intermediate care level has been developed in institutions providing multidisciplinary subspecialty pediatric care. These patients may require frequent monitoring of vital signs and nursing interventions, but usually they do not require invasive monitoring. The admission of the pediatric intermediate care patient is guided by physiologic parameters depending on the respective organ system involved relative to an institution's resources and capacity to care for a patient in a general care environment. This report provides admission and discharge guidelines for intermediate pediatric care. Intermediate care promotes greater flexibility in patient triage and provides a cost-effective alternative to admission to a pediatric intensive care unit. This level of care may enhance the efficiency of care and make health care more affordable for patients receiving intermediate care.

Key Words: coordination of care • admission • discharge • multidisciplinary • intermediate care

This article has been cited by other articles:

				S. D. VandenBerg, J. S. Hutchison, C. S. Parshuram, and and the Paediatric Early Warning System Investigat A Cross-sectional Survey of Levels of Care and Response Mechanisms for Evolving Critical Illness in Hospitalized Children Pediatrics, April 1, 2007; 119(4): e940 - e946. [Abstract] [Full Text] [PDF]