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Appendix 7: Community hospital day of care criteria
Further information on the community hospital day of care criteria is available. 65
Components of the community hospital day of care criteria#
One or more criteria may be met for agreement.
1. Any invasive procedure that day which could not have been done as a day case.
2. New/change in treatment under medical supervision, requiring 24-hour nursing observation.*
3. Parenteral therapy - intermittent or continuous IV fluids.*
4. Vital sign monitoring at least four times a day.
5. IM or SC injections more than twice a day.*
6. Fluid balance or daily weighing.*
7. Major surgical wound care three times a day.*
8. Close nurse monitoring more than three times a day.*
9. Wound management requiring 24-hour nursing supervision.*
10. General supervision required at least four times a night.
11. Bowel management plan with nursing input more than three times a day.
12. Bladder management plan with nursing input more than three times a day.
13. Blood transfusion.
14. Fever of at least 38ºC within past 48 hours.*
15. Coma/unresponsiveness in past 24 hours.*
16. Acute confusional state for less than 48 hours with provisional diagnosis and treatment plan.*
17. Terminal care.
18. Recent recovery from major surgery.
19. New acute illness - onset within 24 hours, not requiring DGH care but requiring non-resident medical care and nursing assessment.
20. Rehabilitation plan.
21. Medical respite care.
*Criterion also appears in the Assessment Evaluation Protocol tool.
Departure from the criteria
No community hospital day-of-care criteria met - reason assigned for departure:
1. Patient needs 24-hour care but at a lower level of care than a community hospital.
2. Problem in scheduling procedure.
3. Scheduled procedure was delayed.
4. Down days at the hospital (eg certain procedures not performed at weekend).
5. Waiting for results of tests/procedures.
6. Diagnostic procedure could be done as an outpatient.
7. Waiting for medical agreement for discharge.
8. Family/regular carers causing delay in discharge.
9. Organisation of services outside hospital delaying discharge.
10. Other.
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