Quick Patient Placement Grid:
| Vital Signs, monitoring, nursing interventions | Respiratory Support | Medications, infusions | Special Criteria | |
| Pediatric Floor | Q4 hour vital signs, neuro checks, labs, monitoring. Continuous VEEG. Continuous EKG for HR monitoring only. Continuous O2 sat monitoring. |
Room air, nasal cannula, blow by oxygen. Respiratory toilet or other management Q 4 hours or less frequently. Trach to collar or valve. Continous albuterol at 20 mg/hr or less. |
Routine infusions requiring adjustments less freqently than Q4 hours. Heparin infusions per BCH policy/order set. SQ Insulin |
Chest tubes. COWS/CIWA: C5 MSP, C5 TCUP, ACRT Bili lights: C5 MSP |
| TCUP | Q2-3 hour vital signs, neuro checks, labs, monitoring. Continuous EKG for HR and rhythm monitoring. Continuous O2 sat monitoring. |
HFNC: 2 – 8 L for infants less than 1 year 2 – 10 L for children 1 - 4 years 2 – 20 L for children greater than 4 years CPAP or BiPap on home settings (increased O2 requirement okay) |
Routine infusions requiring adjustments less freqently than Q3 hours. | Spinal fusion post-op Renal transplant post-op |
| CTCU | Q2-3 hour vital signs, neuro checks, labs, monitoring. Continuous EKG for rhythm monitoring. Continuous O2 sat monitoring. Arterial lines. |
HFNC: case by case CPAP or BiPap on home settings, overnight only |
Routine infusions requiring adjustments less freqently than Q3 hours. Milrinone infusions. |
Floor-appropriate patient managed on cardiology service. Cardiac cath post procedure. |
| PICU/CICU | Hourly (or more frequent) vital signs, labs, neuro checks, labs. Continuous EKG for rhythm monitoring. Arterial lines. Central line used for pressure monitoring. |
HFNC that exceeds TCUP criteria. Transport patient on HFNC at OSH. Trached patient on CPAP/BiPAP/Vent. Intubated/ventilated patient. Pt requiring pulmonary toilet Q1-2 hours or more frequently. |
Insulin infusions Sedation infusions Any infusion requiring monitoring, labs, adjustments more frequently than Q2 hours. Specific inhaled medications (ex iloprost) Vasoactive medications, pressors. |
ICP monitoring. |
| ICN | Hourly (or more frequent) vital signs, labs, neuro checks, labs. Continuous EKG for rhythm monitoring. Arterial lines. Central line used for pressure monitoring. |
Any patient under 36 weeks gestation. Floor-appropriate infant requiring external heat source. Phototherapy. Neonatal cardiac cath post-procedure. |
Scope of Service for all BCH Units can be found here.
A more detailed guideline can be found here.
Admitting OB-Gyn patients to pediatric floors: guidelines here.