Best Practices for Transitioning Patients from ICU to Step-down Unit: 
A Recent Study



Sarah Heili, MD, PhD

Pulmonology Critical Care Specialist, 

Fundación Jiménez Díaz Quirón Salud, 

Madrid, Spain 




Patients requiring specialized respiratory care often have extended stays in the intensive/critical care settings. Financial constraints, patient flow, unit management, and limited resources make finding safe, alternative sites important. A recently completed 13-year study in a Madrid teaching hospital demonstrated that through their protocol including transitioning from the use of mechanical ventilation to non-invasive ventilation, patient outcomes were comparable to patients in the ICU, but at significant cost savings. The speaker, one of the principal investigators, will discuss the study, protocols, and results. She will share insights on how to incorporate their best practices into your hospital.


Learning Objectives:

After the completion of this activity, the learner will be able to:

  1. Describe the protocol for the safe transfer of patients to step down units

  2. Discuss the role of NIV in the transition of ICU patients to lower acuity units

  3. Discuss the cost savings and clinical outcomes associated with the study   

Supported by an educational grant 

Philips Healthcare

Continuing Education for Nurses and Respiratory Therapists

This education activity is approved for 1.0 contact hour. Provider approved by California Board of Nursing, Provider # 14477  and the
Florida Board of Nursing Provider # 50-17032

This program has been approved for 1.0 Non-Traditional contact hours Continuing Respiratory Care Education (CRCE) credit by the
American Association for Respiratory Care, 9425 N. MacArthur Blvd., Suite 100, Irving TX 75063