Figure 5.

Diagram showing model for staffing and support of PICUs embedded in facilities that routinely care for adult patients to support adult surge.32, 33, 34 Adult RNs, pharmacists, and physicians can provide brief daily and as-needed in-person or teleconsultation for pediatric ICUs of varying sizes providing care for critically ill adults starting with younger patients with less comorbidities, but with upper age of 70 years or older as needed to meet increasing demands. This model is supported most easily in facilities that also routinely care for adults because of existing logistic (“stuff”) and system capabilities. PICU = pediatric ICU; RN = registered nurse.