Harbor:Interqual Criteria Tips

• Interqual criteria
  • See helpful document

File:InterQual admission guide checklist adult2021

InterQual Guide

• • Admitting for WORK-UP will never meet (be creative, talk to UR, and find an actual admission diagnosis)
  • Ever wonder why you need an override note? Here are some top diagnoses and what makes them meet for admission
    • We don't have obs status, which is why override notes are needed
    • Abdominal pain - will not meet (only obs)
    • Chest Pain - STEMI, NSTEMI, or suspected ACS with
      • new LBBB,
      • unstable angina and IV NTG, or
      • 2 or more doses of morphine
    • Anaphylaxis - inhaler Q2 hours, impending intubation or on BiPAP
    • Anemia - only for symptomatic hemolytic anemia with Hgb <10 AND
      • Hgb q12 hrs with transfusion or
      • steroids, immunotherapy, or immunoglobin
    • A-fib/flutter: Requiring continuous antiarrhythmic/digoxin loading/permanent pacemaker OR
    • Asthma: Impending respiratory failure, mechanical ventilation, NIPPV, status asthmaticus, PEF/FEV1 < 40% after 2h treatment in ED, PEF/FEV1 ≤ 25%, use of accessory muscles, MS changes/drowsiness, albuterol q1-2h continuous
    • Cellulitis: Immunocompromised OR located over a prosthesis/implanted device OR orbital
    • COPD: Impending intubation OR NIPPV OR mechanical ventilation OR dyspnea AND ≥ 2 doses

short-acting beta-agonist AND 02 sat ≤ 89% OR arterial Po2 ≤ 55 mmHg and pH > 7.45 OR Pco2 > 45 mmHg and pH < 7.35 OR increased work of breathing OR cyanosis OR paradoxical chest wall motion OR risk factor (e.g., cor pulmonale, cancer, pneumonia, DM, home O2, Class III or IV HF, mental illness, substance use disorder, stable angina)

• • • DVT
    • DKA
    • Gastroenteritis/Dehydration
    • GI Bleed
    • CHF
    • HTN
    • Migraine
    • Nephrolithiasis
    • Hypoglycemia
    • Pneumonia
    • PE
    • Pyelonephritis
    • Sickle Cell
    • Stroke
    • Syncope
    • TIA