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Intermediate care is provided in acute care hospitals to a patient population with a severity of illness that does not require intensive care but does require greater services than those provided by routine inpatient general pediatric care. These patients may require frequent monitoring of vital signs and/or nursing interventions but usually will not require invasive monitoring. The development of intermediate care services has been proposed as an appropriate means to enhance resource utilization for intermediately ill patients. 1 KNITWEAR Cardigans Dsquared2 Outlet With Paypal Order Free Shipping 2018 Buy Cheap Discounts KzMwjd
In light of the recent emphasis on cost containment, intermediate care promotes flexibility in patient triage, provides pediatric patients with monitoring and therapies tailored to their severity of illness, and may be a cost-effective alternative to admission to a pediatric intensive care unit. Patients with a low risk of, but potential for, significant deterioration and who are admitted for routine monitoring are excellent candidates for intermediate care.

Intermediate care is ideally provided in facilities that have a pediatric intensive care unit. 5 However, these resources may not be widely available, particularly in geographically remote regions, where tertiary pediatric centers may be several hours and hundreds of miles away. Therefore, this statement is also intended to provide guidance for the care of children requiring intermediate care in hospitals without a pediatric intensive care unit. These hospitals should ensure that the resources, facilities, and personnel needed to provide care beyond the level of a general pediatric medical-surgical unit are available; furthermore, they should have the ability to immediately stabilize a child who becomes critically ill. In addition, these hospitals should identify facilities with pediatric intensive care units to which patients can be transferred if their condition worsens. 6 Established transfer policies with these facilities can ensure timely and effective transition of care for these patients.

In a hospital that has a pediatric intensive care unit, these intermediate care admission and discharge guidelines should be compatible with the admission and discharge guidelines for the hospital's pediatric intensive care unit. 6 This statement provides a framework for individual hospitals to establish admission and discharge criteria for intermediate pediatric care. It is intended that these guidelines be modified by individual institutions, depending on the availability of resources, personnel, and equipment necessary to evaluate and treat a seriously ill child.

Physiologic parameters may be added to these guidelines according to individual patient care unit and institutional policies so that triage may be provided appropriately into and out of intermediate care. These criteria will need to be studied in relation to outcomes over the next several years, such as is done for pediatric intensive care units nationwide. Until that time these criteria, based on expert opinion, may assist hospitals and physicians in creating a safe environment for children with a higher intensity of service needs.

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owner of the video video uploaded to YouTube. Video Manager Subtitles and CC video language Add subtitles or CC your specified language (e.g. English).

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This method is recommended. Caption files Transcript files plain text file (.txt) Upload a file. Subtitles Choose File. Upload Publish. Transcribe and set timings. Actions Upload a File. Transcript Set timings

YouTube has provided a way to create caption files from videos you have uploaded. However, the quality of the captions is usually poor and you will probably need to edit the caption file manually.

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To remove the Automatic caption track, under the Subtitles and CC tab, select the original automatic captioned file and under the Actions tab, choose Unpublish . This ensures viewers will not be able to see the inaccurate version on YouTube.

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