A. | Needed medical service |
1. | Need surgery or follow-up treatment within 24 hours: (1) local anesthesia or general anesthesia; and/or (2) instruments or other facilities that are only available for hospitalized patients (angiography, visceral biopsy) |
2. | Treatment with varying dosage or drug on a regular basis under direct medical supervision |
3. | Calculation of intake and output volume |
4. | Operation to be conducted on the following day in the operating room, detailed pre-operative consultation or evaluation on the day of admission |
5. | Main surgical incision and drainage nursing |
6. | Quarantined patients |
7. | Bedside electrocardiogram (ECG) monitoring or testing vital signs at least every 2 hours |
8. | Stopping (at least once every 8 hours) or continuing oxygen inhalation |
9. | Referral of post-operative recovery |
B. | Severity of illness |
1. | Continuous fever > 38.0°C for more than 5 days |
2. | Acute confusion (coma or adiaphoria) |
3. | Severe anomaly in electrolyte or blood and vigor, showing the following situations: (1) Na < 123 mEq/L or > 156 mEq/L; (2) K < 2.5 mEqt/L or > 6.0 mEq/L; (3) HCO3 < 20 mEq/L or > 36 mEq/L; and (4) arterial blood pH < 7.30 or > 7.45 |
4. | Loss of sight or hearing for 48 hours |
5. | Loss of activity in any part of the body for 48 hours |
6. | Excretion disorder or absence of intestinal peristalsis in the past 24 hours |
7. | Active bleeding |
8. | Needing blood transfusion because of bleeding |
9. | Mental disorders caused by non-alcohol dependence |
10. | Viscera removal or surgical wound dehiscence |
11. | Pulse less than 50 times or greater than 140 times per minute |
12. | Abnormal blood pressure: systolic blood pressure < 90 mmHg or > 200 mmHg and/or diastolic blood pressure < 60 mmHg or > 120 mmHg |
13. | Ventricular fibrillation or acute myocardial ischemia shown by electrocardiogram (ECG) report or course log |
14. | Acute blood disorder, severe medium-sized leukopenia, thrombocytopenia, leukocytosis, erythrocytosis, thrombocytosis or hemolysis-resulted symptoms |
15. | Progressive acute neurological disorders |
16. | Soft tissue injuries affecting basic self-care |
17. | Acute myocardial infarction or cerebrovascular accident (stroke) |
18. | Spinal cord lesions |
19. | Lung infection above 40% or leafy lesions according to X-ray examination |
20. | Hyperemesis or acute pain at acute attack by chronic diseases |