Question

148 Chapter 8 Refining the Continuum of Care Case Study Table 8.3 is a set of admission criteria for medical and surgical admissions. Figure 8.10 shows an example of one patient's history and physical report. Use the patient history and physical report (figure 8.10) and the admission criteria (table 8.3) to determine whether this patient meets the criteria fo admission to the hospital. The patient must meet at least one criterion in severity of illness and one crite rion in intensity of service. Table 8.3. Admission criteria Severity of Illness Intensity of Service Sudden onset of unconsciousness or disorientation Intravenous medications and/or fluid replacement. Pulse rate: <50/min or >140/min and not typical for patient Inpatient-approved surgery or procedure within 24 hours of admission Blood pressure: systolic <90 or >200 mm Hg or diastolic <60 or 120 mm Hg and not typical for patient Vital signs every 2 hours or more often Acute loss of sight or hearing Chemotherapeutic agents requiring continuous observation Acute loss of ability to move body part Treatment in an ICU, if indicated Persistent fever Intramuscular injection every 8 hours Active bleeding Respiratory care at least every 8 hours Glucose monitoring at least 4 times daily Severe electrolyte/blood gas abnormality EKG evidence of acute ischemia Wound dehiscence or evisceration Widely fluctuating blood glucose levels Hemoglobin levels 1.4 times upper limit of normal