Intermediate Care Unit question.

Specialties MICU

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Hi all. I'm sure someone posted a thread about this but I can't find it. What exactly is an intermediate care unit? What types of patients are in the unit? Thanks and sorry if this has been asked before.

Specializes in CCRN, CNRN, Flight Nurse.

The way my facility defines it (or seems to treat it) ...... It's like a stepdown unit.... Pt acuity isn't enough for the ICU, but is too much for the floor. Staffing is generally 4 patients to 1 nurse. Depending on the size of the facility, each ICU may have their 'own' stepdown. In fact, our neuro stepdown (only 4 beds) just opened 2 weeks ago.

Specializes in pediatrics.

I work in a pediatric IMCU. Mostly our pt load consist of kids with trachs, either on vent/cpap or just trach collar with warm/cold mist. We also get GI kids. Most of the kids come from the NICU or ICU. We only have 6 beds, which seem to always be full, so we staff 2 RNs and a PCA. These are high acuity kids that shouldn't be on a regular floor unit.

Thank you for your input. :) So it's kind of inbetween a regular floor and an ICU? I just wanted to know what kind of unit it was. I'm having trouble finding a job in the Boston area, but I have a friend who can get me a job in Springfield on an Intermediate Care Unit. She said that the nurse-patient ratio was 1:5, rarely 6...I thought the ratio wasn't too bad. Are ratios like this on an IMC the norm? Thanks again! :)

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