Kids Health Info

Discharge from the Intensive Care Unit to the ward

  • Intensive care is able to provide advanced therapies, monitoring and specialist nursing and medical care to help in your child's recovery.  At the RCH, the Paediatric Intensive Care Unit is called Rosella Ward.

    It is understandable that many parents may feel worried or concerned when their child moves from the Paediatric Intensive Care Unit (PICU) to a ward. During your child's stay in PICU, you may become familiar with the staff, and become used to the high levels of monitoring and care provided in the PICU environment. 

    When your child is ready for discharge from PICU, it means they are moving to a ward because their condition has improved and they no longer need the specialist PICU therapies. It is a positive step forward in your child's recovery.

    A PICU liaison nurse will visit your child and help you before, during and after your child's move to another ward. PICU liaison nurses are experienced PICU nurses who will ensure that you, your child and the staff on your child's new ward are fully informed and up to date with your child's progress.

    Sometimes, once your child has been discharged from PICU, your child may need follow up visits from the intensive care staff to ensure their condition continues to improve.

    Things that are different on the wards

    • Monitoring:  Monitors on the wards are different to those in PICU. Usually your child won't need continuous monitoring because they are getting better. The ward nurses will still take regular observations.
    • Doctors:  A team of doctors will manage your child's care on the ward. The team includes a medical or surgical consultant, who is the head of the team, and other doctors with a range of experience responsible for the day to day care of your child. The medical team will visit your child daily and coordinate all the required care as they monitor your child's progress. Medical or surgical registrars are available 24 hours a day within the hospital to ensure ongoing review of your child.
    • Nurses:  Nurses on the wards care for up to four children at the same time. They cannot be at your child's bedside at all times and they will need to leave the room. Sometimes they also need to leave the ward to take other children for tests. If they are off the ward there is always another nurse available for anything urgent.
    • Environment:  The ward may be more noisy than PICU. There may be more more visitors, televisions and the children are not so sick. There is a kitchen on the ward with supplies for breakfast. Lunch arrives from 11:30am and dinner from 5:00pm. Usually, you can sleep by your child's bed.

    The role of the PICU liaison nurse

    The PICU liaison nurse usually meets with you before your child leaves PICU. They will collect information about your child's stay in PICU from the bedside nurse, medical charts and discussion with you. ThePICU liaison nurse can tell you which ward your child will probably go to (but this may change) and what to expect in the new ward environment.

    You can ask any questions at all and raise any concerns you may have about your child's move with the PICU liaison nurse.

    On the day of discharge (moving) to the new ward, the PICU liaison nurse will maintain contact with you and your child's bedside nurse to keep you informed of any progress or changes. Because the hospital is a busy place and there is always demand for beds in wards, it is unlikely we will be able tell you exactly what time your child will move.

    Once your child is on the ward, the PICU liaison nurse will make visits. The liaison nurse will assess your child, review their charts and check that ward nurses have all the information they need to care for your child. Ask the liaison nurse any questions you may have. If you miss the liaison nurse's visit, you can ask to have them paged.

    Key points to remember

    • The move from PICU to the ward can be a stressful time for children and their families.
    • There are significant differences between PICU and the wards, including the level of monitoring and the number of nurses and doctors on the ward.
    • Your child is moving to the ward because they have improved - the move is a positive step forward in your child's recovery.
    • The PICU liaison nurse will visit you and your child to support you during this transition phase. Their role is to make the change from PICU to the ward as smooth as possible, and to help answer your questions.


    • PICU Liaison nurse
      8.00am-6.00pm, 7 days a week, pager 5252
      Telephone: RCH switchboard on (03) 9345 5522 and ask to have the PICU liaison nurse paged.
    • Ward Nurse Unit Manager
      Also called the NUM - 9.00am-5.00pm, Monday - Friday
    • Associate Unit Manager
      Also called the AUM - nurse in charge of ward. Available 24 hours a day.



    Developed by the RCH ICU Transition Nurses. Many thanks to the parents who contributed to this factsheet. First published October 2006. Updated November 2010.

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This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. The Royal Children's Hospital, Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts. Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout. The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout.