PICU/TCU Survey Results

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

• A total of sixteen surveys were completed by
  various childrens 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

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PICU/TCU Survey Q2. Criteria Used to determine
transfer form PICU to step-down unit
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PICU/TCU Survey Q2. Criteria Used to determine
transfer form PICU to step-down unit
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PICU/TCU Survey Q4. What is the level of care on
your surgical units?
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PICU/TCU Survey Q4. What is the level of care on
your surgical units?
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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
N16
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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
N16
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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
N16
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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
N10
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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
N16
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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
N16
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PICU/TCU Survey Q5. Where would the following
patient be cared for?
Q5g. 4 month old with SVT, on telemetry
N16