In this section
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 transfer from PICU, it means they are moving
to a ward because their condition has improved and they no longer need specialist PICU therapies. This is a positive step forward in your child's
recovery.A PICU outreach nurse will visit your child and help you before,
during and after your child's move to another ward. PICU outreach 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
PICU has an outreach team, which includes a PICU nurse and doctor. Once
your child has been transferred from PICU, your child will have follow up
visits from the intensive care staff to ensure their condition continues to
The PICU outreach 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 through discussion with you. The PICU outreach nurse can
tell you which ward your child will likely be transferred to (but this may
change), and what to expect in the new ward environment.
You can ask any questions you may have, and raise any concerns about your child's move
with the PICU outreach nurse.
On the day of transfer to the new ward, the PICU outreach 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
Once your child is on the
ward, the PICU outreach nurse will make visits. The outreach 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 outreach nurse any questions you have. If
you miss the outreach nurse's visit, you can ask to have them
paged. If you are very worried about your child, you can activate the hospital MET
(Medical Emergency Team) system.
Developed by ICU Transition Nurses at The Royal Children's Hospital, Melbourne. We acknowledge the input of RCH consumers and carers.
Reviewed August 2020.
Kids Health Info is supported by The Royal Children’s Hospital Foundation. To donate, visit www.rchfoundation.org.au.
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.