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Last Post 19 Jan 2024 10:35 PM by  Lori Erni
ICU patients meet discharge criteria?
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17 Jan 2024 08:43 PM
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Recently our hospital is having many ICU patients stay in PACU overnight due to no ICU beds being available. We are following ICU orders in the PACU. This situation is causing staff and revenue integrity to question, how do you assign a ready for discharge from PACU Phase I time if they do not meet medical discharge criteria from PACU due to being intubated and on vasopressors? Do ICU patients not meet criteria until they leave PACU, or when they have aldrete of 8 or higher? Or when ICU team begins managing patient?


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19 Jan 2024 10:35 PM
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Thank you for your question. I had been a travel nurse and have had this same issue in a number of PACU's. The practice that was common was to end the Phase 1 billing time (or meeting criteria) when you would have normally transferred the patient to the ICU. We would then follow the orders that the patient would have in the unit. The intensivist would be the doctor consulted for consultation and follow through on issues. The ending of phase 1 time/billing is a financial one. PACU care was billed at a higher rate than ICU time. PACU was per minute.
Does this help?
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