PICU/TCU Survey Results January 2001 Prepared by Strategic & Business Planning

PICU/TCU Survey A total of sixteen surveys were completed by various children’s hospitals The majority of hospitals surveyed (56%) indicated that they had some type of step-down unit associated with the PICU All of the hospitals surveyed (100%) stated that the PICU was used for both intubated and unintubated patients

PICU/TCU Survey Q2. Criteria Used to determine transfer form PICU to step-down unit

PICU/TCU Survey Q2. Criteria Used to determine transfer form PICU to step-down unit

PICU/TCU Survey Q4. What is the level of care on your surgical units?

PICU/TCU Survey Q4. What is the level of care on your surgical units?

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5a.16 yr old with multiple trauma, fractured pelvis, head injury not requiring intervention, fractured liver, q4h amylase levels, PCA pump for pain control N=16

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5b.12 yr old newly diagnosed diabetic, requiring q1h VS, q1h glucose levels, change of IVF rate q1-2h N=16

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5c. 1 yr old with viral pneumonia, with history of 32 wk birth, consequent chronic lung disease, cerebral palsy, trach, g-tube, requiring complete care of ADL, q3h g-tube feeds, numerous g-tube meds, q2h albuterol treatments, trach suctioning q30min-q1h N=16

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5d. 14 yr old with previous history of cervical spine injury, leaving him with little movement of one arm and hand, requiring complete ADL care, has now had GI surgery, and has developed electrolyte and clotting problems. He has an NGT to LWS, a foley catheter, a central line through which he requires triple antibiotics, TPN and IL, is receiving vitamin K, requires lab draws q2h with subsequent electrolyte adjustments. The surgeon wants him out of bed at least 3 times daily and q2h, incentive inspirometry to prevent surgical complications of pneumonia N=10

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5e. Toddler with 40% TBSA scald burns, requiring BID dressing changes, qd tubbing, PCA pump, NJ feeds, calorie count N=16

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5f. 15 yr old post-op spinal surgery with chest tube, foley catheter, epidural pain control, requires q2h turning, q2h vital signs, urine and CT output, q2h incentive inspirometry N=16

PICU/TCU Survey Q5. Where would the following patient be cared for? Q5g. 4 month old with SVT, on telemetry N=16