HDUs are wards for people who need more intensive observation, treatment and nursing care than is possible in a general ward but slightly less than that given in intensive care. Essential Functions. Whether you work at one of our large medical centers, small hospitals, clinics or nursing facilities, in the communities serving patients through home care, or in our corporate headquarters in Renton, you'll experience an exciting . Guidelines for Pediatric Intermediate Care. These units have the same goal of providing cost-effective, high-quality, safe patient care to progressive care patients. 3qT>c,ii3#Ow)~w,K $S7v/j~:=FsRpONUi(E;O%sB:,_X;S/ ZJ7-'7*VsS.eTb}d`*}V! . It also includes the spirit of intensive caring that inspires and guides everyone who works at Wesley Medical Center. Ruth Bader Ginsburg On Reading, Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. 9. The most common admission source was the ER (97%). Get Directions. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors. My old job was 4:1 sometimes 5:1 (day shift) and the patients there were much sicker than the place Im currently at. Abby, Kiara and Micah discuss working in the Progressive Care Unit at MultiCare Good Samaritan Hospital. In 2001 the American Association of CriticalCare Nurses (AACN) Found inside Page 9747The concept of the providers ' units is substantially similar to these types of rooms . We did not find statistically significant effects on other outcomes. PCUs are all designed to serve patients with the same level of acuity and/or intensity of nursing care and the nurses all require the same level of education and training. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. To use our website, you must agree with the Wesley Healthcare owns and operates Wesley Medical Center, Wesley Woodlawn Hospital & ER, Wesley Childrens Hospital, Wesley West ER, Wesley Derby ER and multiple WesleyCare clinics. endstream endobj 954 0 obj <>stream PCU patients can also be described in terms of the stability of their condition, their risk of a life-threatening event, their need for invasive monitoring, and their ability to participate in their care. ;ru:'hC4f*eGPNc0x ZL|4Gd\[?xWRL)9|0>)Q*;1Y8$>&2e%bz4WG1mbh4k@mln)`]-I!Z%|v 'j2,(?^yj^X}5] B'! z HWn6}WQ,V(R"\\4E Assessment is the key and this is a nice bridge to an ICU.. PCU patients may be transferred from the ICU or admitted directly from the emergency department or a physician's office or clinic. Progressive Care Unit This is a 40bed unit located on the 8th floor of the Dally Tower. 1. Providence is calling a Registered Nurse (0.9 FTE, Day Shift) to work in the Progressive Care Unit at Providence Centralia Hospital in Centralia, Washington. A total of 8 nurse competencies are listed: clinical judgment, advocacy and moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning, and clinical inquiry. Discharge criteria are also provided. AACN Scope and Standards for Acute Care Clinical Nurse Specialist Practice. 23 Analysis of the data led to the identification of the knowledge and skills necessary for registered nurses to practice in progressive care settings. Has 3 years experience. POLICY: STATEMENT: The following criteria will be used by the medical and nursing staff in making decisions regarding the admission and/or . #jF/a-2Z1\f ]rfI@.\fd`U[ This report provides admission and discharge guidelines for intermediate pediatric care. Whether the types of patients served by the PCU are very alike or very different, the characteristics of the patients cared for in PCUs are generally very similar. Criteria for ICU admission and discharge should be explicitly described. Cerner experience is preferred. And thats where hospitals get away with it. Typically progressive care patients have cardiac diagnoses ranging from post-stent placement, post-cardiac cath, heart attack, congestive . . Nursing. This tool details the policy used to ensure the appropriate utilization and resources of the intensive care unit and staff, including specific admission, transfer, and discharge criteria. Given this situation, it is time to stop bandaging our current staffing model and begin developing new approaches. Majority of PCU patients have a medical diagnosis and include COPD exacerbation, DKA, CHF, alcohol/opioid withdrawal, drug overdose . The current document is a compilation and revision of the previously published guidelines. endstream endobj 956 0 obj <>stream It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Critical care services can be life-saving, but many patients admitted to intensive care units (ICUs) are too sick or, conversely, not sick enough to benefit. NTI - How to Impact Change on Your Unit: Marian Altman, RN,MS,CCRN-K,CNS-BC,ANP Interview, Keeping the Passion in Nursing with Healthy Work Environments - Interview with Anna Dermenchyan, Opioid Addiction and The Alex Murdaugh Case, Baby Boomers and Hepatitis C: High-Risk Group with Low Rate of Testing, Technology that is allowing patients to live longer with chronic illness, Progressive care costs less than ICU level of care, Adds another tier of care to the hospitalized patient. Exploring evidenced-based criteria for the admission, transfer and discharge of General Surgical patients to a Surgical Progressive Care Unit (SPCU), together with a review of the educational and skill mix requirements of SPCU nursing staff. And sheath pulls. I work on a progressive care unit which had a pt: RN ratio of 3:1 when I started 3 years ago and now we are moving to 4:1 ratios now. These patients generally fall into 2 categories; patients who require an increased intensity of nursing care and/or patients who require an increased level of surveillance. Alternative names for progressive care units, Comparison of core competencies for progressive care nursing between 2004 and 2009. UO]$Ou/]/?=a vZuq&zN='S{ pJ{:*m[qn8Rq]f[U.P%V;5Iz-\%;+Gqu=+\ks\ua By Suhail Rafidi. Assess body system affected by infection if known source. Gourmet Choice Gift Basket. The other patients commonly seen in the PCU are patients who require a high level of surveillance. . The AACN's definition of progressive care . The PCU is a less intensive care environment for those patients who do not meet the criteria for admission to the Intensive Care Unit, where patients may require a breathing machine and frequent . $C`^$8[L@} N The guidelines proposed here provide models which ICUs may use in formulating admission, discharge and triage criteria. Thomas Jefferson University Hospitals Anaesthesist 17 : 237 , Jul 68 ( Ger ) G. Minerva Anest 33 : 597-8 , Aug 67 ( Ita ) Ohio Med J 64 : 1368-9 , Dec 68 ( Organization of an intensive care unit Im trying to get some feedback on what other progressive care/tele floors use as far as cardiac drip policies. What Is a Progressive Care Unit? 7 When compared with patients in the ICU, PCU patients can generally be described as having greater stability, a lower risk of a life-threatening event, less need for invasive monitoring, and a greater ability to participate in their care. Autism & Developmental Medicine Institute, Geisinger Commonwealth School of Medicine, Our DEI Council, Steering Committees and Employee Resource Groups, Geisinger Health Foundation impact report. We are constantly getting inappropriate admissions. 3. 24 In 2008, the AACN Certification Corporation completed a second study examining progressive care nursing practice. As a leader in overall recommend care, Wesley treats more than 24,000 patients annually and delivers more than 6,000 babies - more than any hospital in a 13 state region! Great co-workers and management. Specializes in Cardiology. She recently presented on the topic Why Building a Strong Foundation to Care for the Progressive Care Patient is Important. The most common indications were cardiac (34%), followed by pulmonary indications (28%). Progressive Care nursing is nursing of patients that dont meet ICU criteria but need a higher level of care than a medical-surgical unit. For ICU patients with higher illness . Veterinary Specialist Courses, Please, activate it in the options of your browser. Valid BLS and ACLS required, PCCN or CVRN certifications preferred, Clinical Advancement Program which provides advancement opportunities and financial rewards, Shared governance: Nurses are encouraged to participate in our unit based councils or one of the many other council opportunities. 8 , 10 Intensity of nursing care is the amount of nursing resources that a patient requires each shift and is a product of a number of factors, including the patient's age, the length of stay, and the complexity of the patient's care. Appropriateness of patients for the PCU can be an issue if clear admission criteria have not been developed. The purpose of this article is to discuss the typical profile of a patient being cared for in a PCU and to describe the basic competencies of the nurses required to provide care for these patients. Admission Criteria for Acute, Progressive and Intensive Care Units System Acute Care / General Care Telemetry Transitional Intensive Care Vital Signs Stability within acceptable range of tolerance for the patients and/or generally evidenced by: Systolic BP equal to or greater than 80 and equal to or less than 200 mmHg Has 15 years experience. 950 0 obj <> endobj A Progressive Care Unit nurse provides bedside care to patients in the PCU unit. A process for implementation, monitoring and performance review of Found inside Page 954MINIMUM ESSENTIALS , CAPABILITIES AND LIMITATIONS OF CARDIOVASCULAR CARE UNITS IN SMALLER HOSPITALS " Should my hospital have a with acute , intermediate and convalescent progressive care , feasible in practically any hospital . Since the adoption of the special Sakr Y, Moreira CL, Rhodes A, Ferguson ND, Kleinpell R, Pickkers P, et al. Sign in to save FT Nights - Progressive Care Unit - Methodist Hospital - Clinical Nurse at Thomas Jefferson University Hospitals. Your job seeking activity is only visible to you. Although some PCUs are designed to be specialized and focus on caring for a specific population of patients (eg, cardiac patients, respiratory patients, or stroke patients), other PCUs are designed to be eclectic and focus on caring for a wide assortment of patients. The purpose of this article was to describe and quantify these different formations and utilisation. In one hospital, the progressive care area may be called the PCU, but in another hospital, it may be called a variety of different names, for example, intermediate care unit. By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder 21 For example, if the unit manages patients who require long-term mechanical ventilation, then competencies regarding ventilators and weaning should be delineated and all staff should receive education and training to manage such patients. 9 , These core competencies have been specified by the AACN and have evolved during the past 10 years. Updated: Oct 3, 2020 And sheath pulls. Position Summary: D4 is a 30 bed intermediate care/stepdown unit. This requires a provider order. Different hospital systems refer to these units by many different names: This results in confusion among patients, visitors, and even staff. These became the core competencies for a PCU nurse ( Table 3 ). Providing custodial care is incorrect, as this facility provides service for a group of persons who assumes responsibility for their activity of daily living. Types of Care. Peace Health-St. Joseph Hospital Bellingham, Washington, USA. general considerations 7 general industry trends 11 veteran-centered care design trends 15 references 19 15 The original guidelines for inpatient telemetry (ECG) monitoring were . 13 Chronic critical illness is a syndrome that has been observed in patients with respiratory failure that requires prolonged mechanical ventilation. HWn#7}W*`e$lbM! As usual, staffing is always about money and numbers, never about acuity or patient needs. I now tell doctors that when they say they are sending someone to us for "closer monitoring" I tell them that our ratios are no different than the floor they are currently on. Due to the progressive care unit being a step above the surgical/medical floor and a step below intensive care, patients with specific and similar conditions will usually be admitted into progressive care. Of course there is heparin, Integrilin, Reopro and on We also do cardioversions with and with out anesthesia in room (nurses will/can handle conscious sedation), depends on doc preference. In the search for solutions to this funding dilemma, methods to reduce ICU costs have been proposed. Progressive care units are increasingly common in hospitals in the United States. Johns Hopkins Hospital is not only one of Americas Best Hospital, but it is also a great place to work!Learn more about our new facilities. The patients treated in the provider's Progressive Care Unit ( PCU ) did not require such care as was considered special Careers at Gaylord Specialty Healthcare . 0 suggestions are available, use up and down arrow to navigate them, Registered Nurse RN Cardiac Progressive Care Unit, Travel Nurse RN - PCU - Progressive Care Unit - $2,215 per week, Travel Nurse RN - PCU - Progressive Care Unit - $1,998 per week, 200 N. LaSalle St. Suite 1100, Chicago, IL 60601. Neurological Nursing Assessment, Intermediate care promotes greater flexibility in patient triage and provides a cost-effective alternative to admission to a pediatric intensive care unit. In addition, the revised competencies address management of chest tubes, insulin infusions, procedural sedation, stroke patients, behavioral emergencies, and complex wounds. Sometimes PCUs are called telemetry units, intermediate care units, direct observation units, step-down units, or transitional care units. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 I thought the CDU was for more stable patients. The main changes to the document are the name and updates to the . Specialist Data Engineer- AWS+EMR+Pyspark, Valuations Manager - Corporate Finance, Australia, Business Development Representative (Education Vertical), Environmental Health Safety & Sustainability Intern, Customer Service Specialist - Hybrid In-office, See who Thomas Jefferson University Hospitals has hired for this role, Think Global Recruitment - International Accountancy & Finance Recruitment. 16 Patients are often admitted to the PCU because the level of surveillance needed exceeds that which can be provided in the medical-surgical area. By continuing to use the site, well take it you dont mind. On a related noted, Dr. Bay indicated that a Progressive Care Unit is a good place for new grads, I believe nurses need these skills. "We had expected the changeover to be more gradual, but it happened within a week," Pratt said. Wesley Medical Center is an acute care center, level I trauma center and licensed for 760 beds and 102 bassinets. The American Association of Critical-Care Nurses (AACN) first coined the term progressive care nursing in 2001. Nashville, TN. 55 0 obj <> endobj workplace factors that affect the ability of nurses to provide patient care efficiently and safely. Family and patient support. I have also done MA In Philosophy (PU Lahore) and recently joined E-Commerce training. By calling it a PCU they dont have to do the recommendation for a step-down even though they are the exact same type of floor. Objective: To present guidelines for writing admission and discharge policies for adult intermediate care units. The impact of hospital and ICU organizational factors on outcome in critically ill patients: results from the extended prevalence of infection in intensive care study. I work on a 20 bed Step Down/Telemetry Unit. Admission. For the sake of this article, we will use the term 'intermediate care unit' (IMCU) and assume . With two primary campuses located in Lowell, Massachusetts, we are the second largest community hospital in Massachusetts. All BBU unit patients shall have an Admission Burn order set initiated. Peace Health-St. Joseph Hospital Bellingham, Washington, USA. About Geisinger The Magnet Recognition Program recognizes healthcare organizations that are dedicated to nursing excellence, professionalism and patient-focused care. Which criteria indicate that this patient is an appropriate candidate for implantation of this device? Nursing care is provided for medical and surgical patients at an ICU step-down level of care, based on patient acuity and provider determination, including the need for close nursing . Providing Health Care for Veterans: The Veterans Health Administration is Americas largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year. Since 1997, allnurses is trusted by nurses around the globe. @q@@T&b,)NECG4`WU In 1998, the American College of Critical Care Medicine of the Society of Critical Care Medicine (SCCM) published Guidelines on Admission and Discharge for Adult Intermediate Care Units. 10 These guidelines have become the standard for the development of many hospitals' PCU admission criteria. Located on the hospital's fourth floor, directly above the Intensive Care Unit (ICU), the . Found inside Page 16criterion which , effective October 1 , 1979 , was 115 percent of average group costs . Terms and Conditions The California ratio law apparently does not apply to PCU's but to a "stepdown unit". (239) 343-5000 View Details. Unit. This is an offshift position: 32 . This type of nursing can be found in step down units, telemetry floors, and even the emergency department. MO-SSM Health Saint Louis University Hospital 1201 Grand. 10/16/2021. Proposed decision pathway and coronary intensive care unit (CICU) admission criteria. If the unit manages patients or equipment not covered by the core competencies, additional competencies should be developed and incorporated into the unit's education plan. For your The ratio can be 1:4 on a PCU even in California. Enter the email address you signed up with and we'll email you a reset link. Progressive care nurses were asked to identify the incidence and importance of the various elements of their practice. This unit cares primarily for cardiac patients in need of cardiac catheterizations, post STEMI/angioplasty, NSTEMI, post pacemaker insertion, CHF patient's, Atrial Fibrillation or other cardiac arrhythmia's and hyper/hypotensive patients, not meeting ICU admission criteria. . and both meet and comply with their provisions. Abstract :Kidney diseases influence over 750 million persons all over the world. Listed on 2023-03-03. criteria in Sec . Inclusion-Exclusion Criteria for E4000 Progressive Care Beds . The RN is responsible for administering and monitoring drips independently. Considerations. Notably, adult congenital heart disease associated with heart failure, atrial or ventricular . These units, which arealso commonly referred to as intermediate care Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Thats awesome! The progressive care unit is comprised of 4 acute care, continuous telemetry monitored beds, located within the medical surgical telemetry unit. Individual ICUs, using the guidelines presented below, should create policies specific to their unit. U` y5`: 8 great aspects of progressive care unit nursing. The Synergy Model facilitates matching a patient with a nurse who is strong in the particular competencies that are required by the patient at that time, hence facilitating the achievement of optimal patient outcomes. endstream endobj 955 0 obj <>stream Tuition Reimbursement/Assistance Programs, 401k (100% annual match 3%-9% of pay based on years of service). At Wesley Healthcare, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Black Lightning And Flash Crossover, We usually have to fight to get 3:1 ratios for LVADs. 7 Although some units may take patients who require long-term mechanical ventilation, 4 , 5 this was not the norm when the 2008 practice survey was conducted and thus the competency was removed. Increased Level of Surveillance, Admission and Discharge Criteria, Synergy model, Comparison of core competencies for progressive care nursing between 2004 and 2009. )W6+6N-`-|y:Q6Xq:. The Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines, are an update to the 2013 Pain, Agitation, Delirium Guidelines. Specializes in Med nurse in med-surg., float, HH, and PDN. Background. Actively engaged in work designed to sustain and maintain Magnet Recognition Program accreditation (identifying and submitting 'evidence,' active mentorship and participation in Staff Nurse Leader group activities, preparing unit for Magnet Appraiser site visit activities, etc.). Found inside Page xiThe formation of these new patient care units created new challenges in the development of standards of practice, guidelines for care, and admission and discharge criteria. (e.g., a cardiac step-down unit is included under medical.) Criteria care: All of the following criteria are necessary for continuing treatment at this level of 1. In other words, it is an intermediary level of hospital care. DdH "l0 DuHPH2n'~A$.0!30120a`g c determine if an outpatient should be transitioned to an inpatient stay due to care needed. Care. Registered Nurse and Educator BScN (UHS Lahore) specialized in CCU(CON-NHMC) and Biostatistics Environmental Design (PIMS). Enter your email below to receive job recommendations for similar positions. Editor-In-Chief: C. Michael Gibson, M.S., M.D. Level 0 and 1 patients are cared for on the ward in the acute hospital setting, with level 1 patients defined by a higher risk of deterioration or a recent discharge from intensive care. PCUs, sometimes referred to as intermediate care or step-down units, provide an intermediate level of patient care that bridges the gap between intensive care units and med surg units. Ancient Letter Crossword, general considerations 7 general industry trends 11 veteran-centered care design trends 15 references 19 Progressive care refers to care provided to hospital patients who need more monitoring and assessment than patients on the surgical/medical floor but whose conditions aren't so unstable that they need to be in the ICU. Medical Specialist, Healthcare Nursing, Critical Care. The patient's condition may be stable enough for the patient to go to a medical-surgical unit but either the number of hours of nursing care or the complexity of nursing care required exceeds 11 that which is provided in the medical-surgical areas. Some of these interventions include weaning a patient off mechanical ventilation 5 and managing a patient with an arterial catheter, a temporary pacemaker, or a ventricular assist device. allnurses is a Nursing Career & Support site for Nurses and Students. A PCU is a Progressive Care Unit. The recommendations of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) on the personnel, capacity, equipment and structure of these units are intended to provide the framework for the setting up and operation of intermediate care units in collaboration with experts on both an evidence-based and an . 45a\UuZUcC/iO,-Li7yk|HP>we*~ =*DGdQ2^$1tF;dlnLz,c-c[[iV( lR2)}{VLvyVTC4P>5fCA - ([M3KW\+s\b2N1!8#:P5 The progressive care unit (PCU) is considered a critical care unit, but it's also a step down unit. It does have multiple PCU's and the PCU is staffed with the mandated telemetry ratio of 1:4 unless you have a vented patient, then you will have a 1:3 assignment. EE5A=LFUQ(Qm+C9?H-gu6H#Q[z$TI*-x/C-kW_]C&qpkueq?5*&-gJ' E_ ? As a current PCU nurse I can tell you most hospitals do not treat PCU's as a higher level of care, its used as a dumping ground. Key words: Healthcare, critical care, patient ow, queueing, uid an alysis, diffusion analysis, state-space collapse 1. We are actively interviewing so apply today! This particular award looks at individual units and evaluates more than 30 criteria that are indicative of overall quality Found inside Page 954MINIMUM ESSENTIALS , CAPABILITIES AND LIMITATIONS OF CARDIOVASCULAR CARE UNITS IN SMALLER HOSPITALS " Should my hospital have a with acute , intermediate and contalescent progressive care , feasible in practically any hospital . Consumer Experience Specialist I - AdventHealth Centralized Scheduling - Tampa, FL. The type of monitoring equipment will vary depending on the purpose of the PCU and the demographics of the patients being served by the unit. The document can be viewed in the guidelines section of the SCCM website. Distinction between intensive care unit, intermediate care unit and standard care unit. Explanation: Progressive care unit provides care for clients who were critical and have recovered sufficiently to require less intensive nursing care is correct. 61 0 obj <>/Filter/FlateDecode/ID[<44ED785EEA78C175D0A11FA841139C55><5D65617F58807F49B5775A1EA70FFFF5>]/Index[55 15]/Info 54 0 R/Length 53/Prev 40897/Root 56 0 R/Size 70/Type/XRef/W[1 2 1]>>stream JkV]"*L#vN`GWW+fhuFMF;.Zu=zZ>g)t @8WEsV(2wq*Hy0]}gNQ,'Vp"R`672fUYKU}eALng;\1j#o`!yFfi)"~*i\j+q6y18{]~'/ PFZ No ventsyet. Bulechek et al 17 (p699) describe surveillance as the "purposeful and ongoing collection and analysis of information about the patient and the environment for use in promoting and maintaining patient safety." AACN now offers certification for this specialty. Most Common Skill. Usually these are patients who have been transferred from the ICU as their condition has stabilized and they no longer require the ICU level of technology. AACN Scope and Standards for Progressive and Critical Care Nursing Practice. Specializes in Nephrology, Cardiology, ER, ICU. Intensive care unit professionals have experience in critical care and its proportionality, collegial decision-making, withholding or withdrawal of treatment deemed futile, and communication with patients' relatives. I agree 100% that if you aren't ready for ICU but don't want a typical M/S floor then a PCU/Step-down is a great place to start. This would lead to an undesired waste of critical care resources. Admission from a nursing home in the setting of one or more chronic conditions (e.g., dementia) . AACN Tele . ICU Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research aims to update the SCCM Guidelines for ICU ADT and to provide a framework for the development of institutional policies, further research, and . We are in the process of creating our admission/discharage criteria and also working on a cardiac drip policy. In this article, we'll address your questions about PCUs and PCU nursing so you can plan for your future career. This study guide will help you focus your time on what's most important. 10/30/2021. Surveillance is a critical element of patient safety. issues R/T criteria, patient flow, assessment, reassessment 3) Establish a measure for data collection R/T admission & D/C in PCU Do: 0 Burn ICU/Progressive Floor The Burn Center has an 18 -bed adult unit with six ICU beds and 12 progressive care beds. Get email updates for new Registered Nurse jobs in Philadelphia, PA. By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. 9981 S HealthPark Dr Fort Myers, FL 33908. It is important to define as objectively as possible the characteristics of the patients who should be placed in the ICU, the PCU, and the medical-surgical unit. Specializes in IMCU, Oncology. Examples of such patients include patients who require frequent neurological assessments, patients experiencing cardiac dysrhythmias, and patients receiving continuous intravenous infusions of medications such as nitroglycerine or insulin. These units are often used to bridge the gap between intensive care units and medical-surgical units, with the goal of providing cost-effective, high-quality, safe care. They discussed that the goal of progressive care is to keep patients out of the ICU. The recommendations made by the Ethics Commission of the French Intensive Care . 5 The guidelines provide a list of examples of patients by body system (eg, cardiac, pulmonary) that would and would not be appropriate for admission to the PCU. About Lowell General Hospital: Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities.