Does the patient require continuous monitoring via apnea or pulse ox? Trach, Vent, CPAP/BiPAP, continuous O2? Jtube, Gtube, GJtube, NG tube? Colostomy,ileostomy, urostomy, nephrostomy? IV medications? continuous IV infusions? Central line, PICC, peripheral IV line? Contininent, Incontinent, catheterization required? Seizure monitoring/precautions? Technology dependent? Assistive communication? DME such as splints, monitors, standers/walkers/wheelchair? Rehabilitative nursing? Complex wound care or simple wound care?
A patient with a trach, vent dependent with a GJ tube (J tube continuous feed via pump, meds via GT), wound vac for sacral ulcer, IV antibiotics via PICC, continuous pulse ox and trach suctioning q1-2hrs, straight cath PRN, VS q2h and PRN change in status, etc. would be a very complex patient.
A stable patient with a Gtube and some PO intake, seizure precautions (no active seizing but risk for, well controlled on antiepileptic medications), insulin pump with AC/HS glucose monitoring, routine vital signs q shift and PRN change in status would be a less complex patient. Or a PO fed, incontinent patient VS q shift or PRN, risk for seizures requiring skilled nursing monitoring and complex medication (PO) schedule would perhaps be non complex.