Admission Criteria

Original Date: 04/2011 | Supersedes: 09/2017 | Last Review Date: 06/2020
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 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, extubation within last 24HRS) 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 (low dose PCA) Cardizem	Any nursing or respiratory intervention that requires a frequency of Q4H or greater (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 greater (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)