Our TCU floor does not titrated cardizem gtts. What is involved with the titration of a drip. It would be nice if we could and cut down on patient expense. If the cardizem needs to be titrated, they are to be transferred to CCU or ICU. Thanks in advance.
Mar 19, '06
I still occasionally float to tele from ICU and this has been an issue for us as well.
The docs are always trying to fight our "no titrated drips" policy for the tele unit. It's hard for them because the tele unit is often staffed with floats from ICU and they see us doing it there all of the time, so why not do it on tele as well, is what they are thinking.
I understand where the OP is coming from, it truely can seem like a wasted ICU bed when that is the only reason to transfer them to ICU.
I'm not trying to say that tele nurses aren't capable of managing a titrated cardizem gtt, as one person pointed out that it's not difficult to do.
That's not the issue for me.
I flat out refuse to do it whenever I float to tele regardless of whether or not I do it in ICU everyday because I just plain have too many patients to care for on tele and I just don't think it's safe to give a nurse 6 patients and expect them to manage a titrated cardizem gtt.
I would discourage anyone from trying to advocate or push for titrated drips on tele, it's not in our best interest as nurses and I don't think it is for the patient either.
I realize that it could free up some ICU beds but staffing on tele units can be scary enough as it is.
It's just one more thing that could go wrong on a busy shift on tele and all of the fingers get pointed at one over-burdoned nurse who "wasn't monitoring his/her patient closely enough."
Tele nurses, IMHO, get enough real "iffy" ICU-would-be or should-be patients as it is.
Last edit by RN34TX on Mar 19, '06