can ICU nurse handle 2 pts on the levophed same time - page 3

by Snoopy54321

5,123 Views | 25 Comments

Hello! I am a med/surge nurse that need to transfer my pt to ICU with order for levophed. Registry ICU refused to take the pt citing government policy for not to keep 2 icu pts with levophed at the same time. I end up... Read More


  1. 0
    Depends if they are stable or not and if you are actively titrating.
  2. 0
    I tend to err on the side that a ICU patient is never stable till they get transferred...
  3. 0
    Clearly, an ICU nurse can handle 2 patients on drips, vents etc.... but the documentation becomes a nightmare because CMS expects perfect charts such as restraint documentation. We utilize online charting and the detailed charting is ridiculous. Oh and ALL the Interruptions...24 hour family presence.... residents who can't carry their weight. I really feel they want a perfect chart but whether you do the care or not doens't really matter. It's a very scary at the bedside sometimes.... when I see a nurse charting at 0805, has 2 patient assignmnet.....so what care did they provide.....did they even turn the patient. Interesting how oral care, a basic need, has been researched and proven to be important but you find the toothbrush still in plastic and the patient has been in the unit for 3 days. But it is charted as completed.
  4. 0
    Ridiculous. Nurses in my ICU have two patients with multiply gtt nearly every shift. Levophed is among the easiest of the gtts to manage.
  5. 1
    Quote from JF808Rn
    I tend to err on the side that a ICU patient is never stable till they get transferred...
    LOL It always seemed to me that the pts are stable until they transfer, then all goes to heck and they bounce right back!
    whynursing likes this.
  6. 1
    Quote from whynursing
    Clearly, an ICU nurse can handle 2 patients on drips, vents etc.... but the documentation becomes a nightmare because CMS expects perfect charts such as restraint documentation. We utilize online charting and the detailed charting is ridiculous. Oh and ALL the Interruptions...24 hour family presence.... residents who can't carry their weight. I really feel they want a perfect chart but whether you do the care or not doens't really matter. It's a very scary at the bedside sometimes.... when I see a nurse charting at 0805, has 2 patient assignmnet.....so what care did they provide.....did they even turn the patient. Interesting how oral care, a basic need, has been researched and proven to be important but you find the toothbrush still in plastic and the patient has been in the unit for 3 days. But it is charted as completed.
    I just wanna point out that just cause someone is charting at 0805 doesn't mean they didn't provide care. Some of us chart as we go, or in some cases, we get lucky and the first assessments get done very quick and easy!
    matthewrn03 likes this.


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