Insulin and Levophed drips on cardiovascular unit - page 3

This is something new coming to us nurses on the floor, we have 4 pts each but somedays it can be 5 pts. We have an A side which is the more critical and post op day 1 CABG's then the B side which... Read More

  1. by   martymoose
    ^^^ time to look for another job
  2. by   ccweisbard
    You need to find another job, you are risking your license to work on this unit and I would probably report them to state as well for endangering patients (after I left)..... OP you can't get out of there fast enough!! Our max on insulin gtts was 3pts and we had q1hr accuchecks. Levophed is just dangerous to have on the floor.
  3. by   AggieNurse2B
    Run. Run fast. Run hard. Don't look back. Levo on the floor is an absolute no-no--Very dangerous for patients and very dangerous for an RN with 4-6 patients to be trying to juggle. To me, it's absolutely insane to even suggest something so ridiculous.

    Our facility doesn't send out vasoactives, central lines or art lines, or insulin gtts to the floor or step-down. Ever. Under any circumstances. We are max 2 patients in ICU--I've only been tripled once in 1.5 years, and it was only for an hour or so.

    I just can't believe anyone who knows anything about these drugs would even suggest such a thing.
  4. by   martymoose
    Because facilities are trying to see what they can get away with.
    How stupid in this day and age of litigation.
    But , of course, they will blame the nurse and throw them under the bus, then hire one of the millions of nurses who don't have a job due to over saturation.
  5. by   heartnurse2012
    Those are my thoughts too, they really don't care about the staff they have. The new team leader is willing to do whatever for the docs, and yes us hard working nurses will be thrown under the bus and then ran over.
  6. by   lilpetRN
    I work on a cardiac/step down ICU. Our max is a 4 patient load. We have insulin gtts a lot but our MST's do the finger sticks. We do allow Levo on our floor; however if your patient is placed on it you automatically go to two patients. We are never allowed to have it with more than two.
  7. by   martymoose
    ^^ what if you are already running short to begin with that you wouldnt be able to go to 2 pts?
  8. by   lilpetRN
    Quote from jrwest
    ^^ what if you are already running short to begin with that you wouldnt be able to go to 2 pts?
    Then the pt has to go to CCU.
  9. by   martymoose
    wow- I guess some places are better than others.
  10. by   Esme12
    I have seen some PCU/Stepdown units with a lower nurse patient ratio that have bedside and central monitoring....where most of the patients are on "Eagle" or satellite monitors that have portable bedisde monitors with noninvasive monitoring (B/P SaO2) and the ICU/PCU nurses are interchangeable ....where this can be done safely. However most PCU/Stepdown units are not set up for this intensive of a patient and that is what makes it not a very safe situation.
  11. by   DoeRN
    OP I hope you can find another job. This is one of the many crazy "bright ideas" I've heard lately. I hope the floor invested in more crash carts. Sorry you are going through this.

    Sent from my iPhone using
  12. by   heartnurse2012
    Had my first experience with having an insulin drip with having 4 patients, plus an empty room I was praying would stay empty. With 2 very needy patients on the call light every 5 mins, plus every hour accuchecks on day 1 open heart patient, I worked 14.90 hours straight thru no lunch. Next day got even worse. From all the stress I've been home sick the last 2 days, the stress made my body run down and positive for strep.
    I don't know what to think of this, we are getting them right and left.
  13. by   skyandsydneysmom
    I work on a PCU unit in Illinois and we never have Levo drips BUT have insulin drips all the time. Our patient ratio is usually 4:1 but sometimes 5:1. It is interesting to hear how much these units vary in different locations.