Admission Criteria

Original Date: 04/2011 | Last Review Date: 08/2024
Purpose: To specify physiologic criteria for appropriate patient triage to admission level of care.

See below for STICU, SIMU, Silver Telemetry and Ortho Trauma admission criteria.

This is a general comparison of trauma unit admission criteria. For more clarification, please see individual admission criteria.

STICU 6N Sarofim	SIMU 6S Sarofim	Silver Telemetry 5S Sarofim	Ortho Trauma 7 Sarofim
Any nursing or respiratory intervention that requires a frequency less than Q2H (Q1hr or Q30min). Need for Mechanical Ventilation Trach collar ≥60% Vapotherm >60% ICP monitoring Continuous IV drip sedation or analgesics (Ketamine analgesia okay in IMU) Titratable vasoactive drips CPR within 24HRS CRRT Uncontrolled FBG requiring STICU sliding scale Bedside procedures requiring sedation. Drips: All All admissions require physician to physician handoff prior to accepting patient	Any nursing or respiratory intervention that requires a frequency b/t 2-4H. exception: Free Flap Protocol Continuous pulse oximetry (airway edema, new post-op trachs) Oxygen Requirement ≥5L/min NC * ≥40% facemask * Trach collar >30% and ≤60% BIPAP up to 100% with ABG improving Cardiac monitoring Arterial or CVP monitoring Drips: Insulin (SIMU protocol) Factors Argatroban Heparin Lasix Bumex Octreotide Protonix TXA Amiodarone Lidocaine (pain mgmt) Ketamine (analgesia) Cardizem No independent titrations/all rate changes require an MD order	Any nursing or respiratory intervention that requires a frequency of Q4H or less frequently (Q4H or Q6H). exception: Free Flap Protocol Cardiac monitoring via telemetry holter monitor. Oxygen Requirement ≤5L/min NC * Trach collar ≤30% * <40% facemask O2 * CPAP at night with history of OSA Drips: Heparin Argatroban Octreotide Protonix Bumex Lasix Factors IgG (After 1st infusion in IMU setting)	Any nursing or respiratory intervention that requires a frequency of Q4H or less frequently (Q4H or Q6H). exception: Free Flap Protocol Oxygen Requirement ≤5L/min NC * Trach collar ≤30% * <40% facemask O2 * CPAP at night with history of OSA Drips: Heparin Argatroban Octreotide Protonix Bumex Lasix Factors IgG (After 1st infusion in IMU setting)