Pediatric Specialty Care

Defining the Acuity Levels

Category: General

Level 1  When a child is identified as his/her needs being at a Level 1 this includes:

Minimal Oxygen Requirements, Medication Administration, Minimal Chest Physical Therapy Enteral Feedings, Apnea Monitoring Basic Seizure Management, Orthopedic Devices and Interventions and Gastric Tubes

Level 2 When a child has any of Level 1 requirements PLUS any of the following:

Airway Management/Monitoring Tracheostomy Tube, Increased Oxygen Needs, Pulse Oximetry,

Increased CPT Needs, Suctioning & Nebulizers, Seizure Management/Intervention, Non Invasive Ventilation (CPAP/BiPAP), Multiple Medication Administration, Stoma Care and/or Wound Care

Level 3 When a child has any of Level 1 or 2 requirements plus any of the following:

Ventilator Dependent, Frequent Tracheostomy Tube Changes, Significant Seizure Management, Multiple Medication Administration, Requires Catherization, Frequent Vital Sign Monitoring

Level 4 When a child requires Level 1, 2, or 3 and any of the following:

Multiple Medication Administration Including IVs, Broviacs & Total Parental Nutrition, Significant Behavior Support/Management, Intensive Wound Care (requiring extensive and frequent care: i.e. dressing changes, wound clinic, wound VAC). A child identified at Level 4 is the most clinically demanding in a sub-acute setting, typically requires increased staffing



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