Understanding how doctors determine it’s time to leave the ICU can help you feel more confident about the transition.
What the Care Team Looks For
Checking for Stability
- Steady vital signs (heart rate, blood pressure, temperature)
- Improved breathing (may still need some oxygen, but less support)
- Better kidney function (improved urine output, balanced electrolytes)
- Stable blood sugar levels
Less Need for Intensive Care
- Reduced need for breathing support (may be off ventilator or using simpler oxygen devices)
- Fewer medications to maintain blood pressure
- Ability to take medications by mouth instead of through IVs
- Decreased need for continuous monitoring
Improved Alertness and Movement
- More awake and responsive (following commands, engaging in conversations)
- Improved cognitive function (orientation to time, place, and situation)
- Starting to move around more (sitting up, possibly walking short distances)
- Participating in basic self-care activities
Nutritional Progress
- Tolerating regular meals or tube feedings well
- Improved appetite
- Able to swallow safely (if applicable)
Emotional and Psychological Readiness
- Showing signs of good coping and emotional stability
- Expressing readiness to move to a less intensive care setting
What You Can Do
- Ask about specific improvements the team has seen in each area
- Share changes you’ve noticed in your loved one’s condition or behavior
- Discuss any concerns about leaving the ICU environment
- Ask about the level of care and monitoring in the new unit
- Inquire about the rehabilitation plan moving forward
This transition is a positive step in your loved one’s recovery journey.
It’s helpful to find joy in these milestones and reflect on the challenges you’ve all overcome.