What is a step down unit in a hospital?

A step down unit (also known as intermediate care or progressive care unit) in a hospital is a specialized area that provides care for patients who are transitioning from the intensive care unit (ICU) to a general medical-surgical unit or who require a higher level of monitoring and nursing care than what is provided on a regular hospital unit.

Patients in a step down unit may have conditions such as heart failure, respiratory failure, sepsis, or post-operative care that require close observation and monitoring. The unit is staffed by nurses who are specially trained in managing complex conditions and providing advanced care techniques, such as telemetry monitoring and IV infusions.

The step down unit is typically located next to or near the ICU, allowing for close collaboration between the ICU team and the step down team to ensure a smooth transition of care for patients. Patients may spend a few days to a few weeks in a step down unit depending on their health status and progress.

Overall, the goal of a step down unit is to provide a higher level of care and monitoring than what is available on a general medical unit while preparing patients for discharge or transfer to a lower level of care.