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The Critical Care Guidelines

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The critical care guidelines discussed here were found on the website of the Society of Critical Care Medicine (SCCM, 2005, http://www.sccm.org/). They were found by going to the search engine Google and typing in ôGuidelines for critical care.ö The guidelines were developed for the care of patients needing critical care. The guidelines were published in Critical Care Medicine between 2001 and 2004 (http://www.sccm.org/press_room/press_releases/Guidelines.asp). The guidelines were developed to set standards of critical care for admission and discharge, for triage of critical care patients, for defining clinical roles and the best practice model, for critical care services and personnel, and for critical care of pediatric patients.

The first Consensus Conference on Critical Care Medicine, which was led by the National Institutes of Health in 1983, indicated that clinical practice had expanded the need for admission to critical care units, and most physicians felt that the benefits of ICU care were unmeasured. Care in an ICU entails the use of expensive resources, and as such, it was determined that it should be used for patients who ôhave a reasonable prospect of substantial recovery.ö Recent changes in the health car environment have made efficient use of the ICU a priority, yet few studies have been carried out to examine the indications for the outcome of ICU care. The few studies that have been carried out suggest that there is little difference in some cases be

. . .
shed in 1993. These are the latest guidelines on pediatric critical care and would be most useful; for those working in this specialty. The information given is current and valid. These guidelines could be applied directly to current practice by any nurses now working in pediatric critical care units to set up the organization and structure of the ICU, select the necessary personnel, and determine the guidelines for preadmission care of pediatric patients. There is section in the guidelines specifically dealing with nursing staff. Guidelines for admission and discharge of pediatric patients requiring intermediate care is given by Jaimovich (2004, 1215-1218). These are useful for pediatric patients who do not require intensive care but require greater care than that provided by routine inpatient general pediatric care. They are particularly useful for those dealing with critically ill pediatric patients, and would be most helpful for those units with limited PICU availability. The guidelines are divided into sections for different disease entities, so can be used for specialized circumstances. They have been proposed as a means to enhance resource utilization and as a measure of cost containment, with patients receiving
. . .

Some common words found in the essay are:
Level II, Care Medicine, Care ICU, ICU Committee, Level III, critical care, Medicine SCCM, Institutes Health, Wedel Horst, Weled Peruzzi, Rosenberg Moss, critical care medicine, care medicine, care units, admission discharge, pediatric patients, intensive care, critical care units, practice model, level ii, care guidelines, critical care services, guidelines developed, guidelines critical care, care services personnel,
Approximate Word count = 1368
Approximate Pages = 5 (250 words per page)

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