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ICU Admission from ED Audit
Form best completed in real time by ICU registrar.
UR number *
Your answer
Triage time *
Time
:
Triage category *
Required
Time first seen by doctor
Time
:
Time referred to ICU
Time
:
Time reviewed by ICU
Time
:
Time patient accepted by ICU for admission
Time
:
Time patient arrived in ICU *
Time
:
Were any patients required to be discharged from ICU in order to admit the patient? *
If yes, how many? *
Was the ACCESS nurse used to admit this patient? *
If time from acceptance for admission to ICU amd time was arrival was delayed by > 1 hour, what were the reasons (more than one option can be nominated)? *
Name of person completing form *
Your answer
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