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ICU and critical care standard of care review

A critical care nurse compares what the nurses did with what the standard of care and the unit's policies required, and documents each deviation with record citations. Critical care cases turn on minute-to-minute monitoring and fast escalation.

What it costs

$1,250–3,600

Estimate for about 1,000 pages of records

How fast

2–3 weeks

Post a case in ICU and critical care

Free to post · you pick the nurse and the price

What the ICU and critical care nurse checks

  • Recognition and escalation of deterioration (sepsis, shock, respiratory failure)
  • Titration of vasoactive and sedation drips
  • Ventilator and airway management
  • Frequency of assessments and vital signs against unit policy

What the review examines

  • Insertion: indication, technique and documentation of the insertion bundle
  • Daily maintenance: dressing changes, line access, catheter care
  • Daily review of whether the line or catheter was still needed, and line days
  • Wound and site assessments after surgery
  • Early signs of infection: fever, site changes, labs, and the response to them
  • Isolation and hand hygiene where the records address them
  • Vital sign trends and early warning scores against the frequency ordered and unit policy

Proposals come from license-verified ICU and critical care nurses, with their fee and turnaround.

Post a case

Records to request

  • Line and catheter insertion records
  • Line and catheter maintenance flowsheets
  • Wound and dressing assessments
  • Vital signs, lab and culture results with times
  • Infection prevention reports for the event
  • Unit policies on central lines and catheters
  • Antibiotic orders and MAR
  • Vital sign flowsheets and monitor or telemetry data, with timestamps

What you get

  • Each potential deviation described, with the policy or practice it departs from
  • The supporting chronology entries and source pages
  • Severity and open questions, clearly separated from conclusions
  • Findings tracked in the case workspace and exported with the chronology

ICU and critical care consultant profiles

Jesse D. Example profile

ICU RN, 17 years

8 yrs consulting · NC

Medical chronologyRecord summaryStandard of care review +1 more
ICU / Critical care
$95/hr Testifies Plaintiff

Jose B. Example profile

ICU RN, 19 years

8 yrs consulting · FL

Medical chronologyMerit screeningStandard of care review
ICU / Critical careNICUMed-surg
$150/hr Plaintiff & Defense

Marie S. Example profile

Orthopedic RN, 24 years

5 yrs consulting · FL

LNCC Medical chronologyRecord summary
Orthopedics / rehabICU / Critical care
$110/hr Plaintiff & Defense

Joyce S. Example profile

Psychiatric RN, 26 years

4 yrs consulting · GA

LNCC Medical chronologyRecord summary
PsychiatricICU / Critical care
$125/hr Defense

Margaret M. Example profile

ICU RN, 10 years

3 yrs consulting · VA

Medical chronologyMerit screening
ICU / Critical carePediatrics
$95/hr Defense

Elizabeth E. Example profile

ICU RN, 26 years

2 yrs consulting · AZ

Medical chronologyRecord summary
ICU / Critical care
$150/hr Defense
Search all ICU and critical care consultants →

Post a redacted brief, compare proposals

Describe the case without names. License-verified nurses in the right specialty send proposals with their experience and rate. Records are shared only after you hire, in an encrypted workspace.

Need a physician for causation or a certificate of merit? Request one from the case. Already work with a nurse consultant? Bring them into the same workspace on a plan.

Post a case: it's free