Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU

1.4 - Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU

from Section 1 - Resuscitation and Management of the Acutely Ill Patient

Published online by Cambridge University Press: 27 July 2023

Edited by

Debashish Dutta and

Ned Gilbert-Kawai: Affiliation:
The Royal Liverpool Hospital
Debashish Dutta: Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann: Affiliation:
Royal Berkshire Hospital, Reading

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Summary

Key Learning Points

1. Prioritise patient admission based on acute clinical needs and potential for deterioration.
2. Ensure daily ICU patient review to allow for appropriate admission and discharge planning.
3. Utilise local hospital policies for admission and discharge planning.
4. There must be a clear plan for escalation of treatment at all levels of care.
5. Patients should not be transferred to another ICU on non-clinical grounds where at all possible.

Keywords

critical care triage admission criteria critical care levels of critical care

Type: Chapter
Information: Intensive Care Medicine
The Essential Guide
, pp. 9 - 10

DOI: https://doi.org/10.1017/9781108989060 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2021

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References

References and Further Reading

Department of Health. Comprehensive critical care. London: Department of Health; 2000.Google Scholar

Faculty of Intensive Care Medicine and Intensive Care Society. Section 3.1: Critical care services process – admission, discharge and handover. In: Guidelines for the provision of intensive care services, 2nd edn. 2019; pp. 76–9.Google Scholar

General Medical Council. Good Medical Practice. London: General Medical Council; 2013.Google Scholar

National Institute for Health and Care Excellence. Acutely ill patients in hospital: Recognition of and response to acute illness in adults in hospital. Clinical guideline [CG50]. London: National Institute for Health and Care Excellence; 2007.Google Scholar

National Institute for Health and Care Excellence. Rehabilitation after critical illness in adults. Clinical guideline [CG83]. London: National Institute for Health and Care Excellence; 2009.Google Scholar