Cost-Effective Nurse-Led Intervention to Reduce Patient Financial Burden in the Liver Transplant Intensive Care Unit

Background: Post–liver transplant patients admitted to intensive care units (ICUs) frequently require nebulization therapy and repeated random blood sugar (RBS) monitoring due to immunosuppressive regimens and steroid-induced hyperglycaemia. Routine use of shared medical equipment often results in repeated consumable and service charges, significantly increasing patient financial burden. Aim: To evaluate the effectiveness of individualized allocation of nebulization and glucometer devices in reducing avoidable patient expenses without compromising quality of care. Design: Prospective nurse-led quality improvement study with pre- and post-intervention comparison. Methods: Patient-specific nebulizers and glucometers were indented and allocated for exclusive use throughout ICU stay. Cost indicators, equipment utilization, and workflow efficiency were compared before and after implementation. Results: Mean daily treatment cost reduced from ₹10260 to ₹2320, representing a 77.39% relative reduction. Equipment availability improved, nursing workflow became more efficient, and patient satisfaction increased. Conclusion: Individualized equipment allocation is a cost-effective, sustainable nursing intervention that significantly reduces financial burden while maintaining clinical quality.