Insulin and Levophed drips on cardiovascular unit - page 3

by heartnurse2012 9,465 Views | 41 Comments

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 aren't as critical. Total of 48... Read More


  1. 0
    That's like one of the cards docs wanted us to take balloon pumps on a stepdown floor. Seriously- while my two confused climbing out of bed medical patients are trying to be kept safe ????and my other 3 pts are prob post PCI's? Ain't happening. Luckily, the idea has sort of faded away for now. But if it comes up again- it will be met with much disapproval .
    I guess if they push this crap on you- you might as well consider going to the ICU- at least you'll have the right ratio's and get some good training hopefully. Ihave thought about this option before- if you cant beat em, join em.
    Some of the foolishness management is putting on us RN's. Somedays I feel like handing in my license at the door"here ya go"
  2. 1
    Quote from jrwest
    That's like one of the cards docs wanted us to take balloon pumps on a stepdown floor. Seriously- while my two confused climbing out of bed medical patients are trying to be kept safe ????and my other 3 pts are prob post PCI's? Ain't happening. Luckily, the idea has sort of faded away for now. But if it comes up again- it will be met with much disapproval .
    I guess if they push this crap on you- you might as well consider going to the ICU- at least you'll have the right ratio's and get some good training hopefully. Ihave thought about this option before- if you cant beat em, join em.
    Some of the foolishness management is putting on us RN's. Somedays I feel like handing in my license at the door"here ya go"
    A balloon pump? On the floor???? What are they thinking.....if only the public really knew.
    turnforthenurseRN likes this.
  3. 1
    If they are wanting to send balloon pumps to the step down & Levophed gtts to the floor, what exactly qualifies a patient for ICU status in your hospitals??
    LNRN11 likes this.
  4. 0
    ^^^ that's a good question.
    All I know, is that when we get a pt that MD wants in ICU, they are always so full that they have to kick someone out to make a bed for them, and the pt has to wait until that pt has moved.
    Seriously- If they opened up another ICU, Im sure they would have no prob. filling the beds
    I guess this is what they mean when they say pts are getting sicker and sicker.
  5. 0
    Quote from jrwest
    Seriously- If they opened up another ICU, Im sure they would have no prob. filling the beds
    I guess this is what they mean when they say pts are getting sicker and sicker.
    ^^this.
  6. 0
    Had the meeting today concerning the drips; suppose to last couple hours. Haha
    This is impossible for us on the floor, the program will alert you when an blood sugar needs checked, which can be q15 min and we have to carb count then bolus the patient which u will need a witness everytime. Cluster is what it is! Then went on to Levophed drips......yup lets throw them in too! Oh and no consideration of how many pts u have either, TL got mad at one time and made the comment "there's hospitals doing this and they have 6 pts" there is no compromise with this, the best part is this starts live Monday Jan 21!!!!! Are u kidding me? Of course all these great ideas have came from management who spend their time behind a desk and leave at 530pm, I pray that nothing bad happens but afraid it's going to take something happening to show we can't have 4-5 pts with these drips.
  7. 0
    ^^^ time to look for another job
  8. 0
    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.
  9. 0
    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.
  10. 0
    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.
    :-(


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