Level 4: Urgent Care

The patient is in a highly unstable and unpredictable condition either related to their primary problem or an exacerbation of other related factors.

Clinical Descriptors

  • Requiring a similar level of nursing care as a patient within a typical high dependency environment, for example, a bed dedicated to high risk patients
  • Patients requiring two-to-one care for 24 hours or one-to-one care for the majority of the day
  • Requires highly skilled, proactive intervention to prevent the patient deteriorating or requires urgent intervention due to a rapidly changing condition or ongoing instability
  • Deteriorating or compromised single organ system
  • Maintain and stabilise prior to urgent transfer
  • Pre-operative invasive monitoring and extended post operative optimisation
  • Severe infection or sepsis