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.

Nursing Theme 1 - Assessment and Observation

  • Instability requiring continuous observation, for example cardiac monitoring, invasive pressure monitoring, invasive neurological monitoring
  • Patient receiving interventions for high NEWS
  • Emergency admissions requiring immediate therapeutic intervention
  • Patients requiring two-to-one care for 24 hours or one-to-one care for the majority of the day
  • Requires ongoing monitoring and observations 1-2 hourly due to unstable and unpredictable condition
  • Cord compression with unstable spine, for example requires log roll