TABLE 1.
Comparison of Monitoring Capacities on ICU, MCU, and Regular Care Neurosurgical Ward prior to New Regimen
| ICU | MCU | Ward | |
|---|---|---|---|
| Daytime nurse:patient ratio | 0.83 | 0.5 | 0.25 |
| Nighttime nurse:patient ratio | 0.57 | 0.4 | 0.1 |
| Interval of Neuro checks (min) | 15-30 | 30-60 | 120 |
| Continuous pulse and saturation measurement | + | + | − |
| Non-invasive RR registration | + | + | + |
| Central intravenous line (monitoring) | + | + | − |
| Arterial line monitoring | + | + | − |
| Continuous EEG Registration | + | + | − |
| IV pressor/inotropic medication | + | + | − |
| High dose IV pressor/inotropic medication | + | − | − |
| Advanced (thermodilution) hemodynamic monitoring | + | − | − |
| Intracranial pressure monitoring | + | − | − |
Within the new regimen the interval of neuro checks at the ward changed from 120 to 60 min and continuous monitoring of pulse and saturation was added. Frequency of RR checks was increased from every 4 h to once each hour.