can ICU nurse handle 2 pts on the levophed same time

  1. 0
    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 stuck with a critical pt over 1 hour when
    they find another ICU nurse.

    Just want to ask if it is true for what registry nurse said. I am really mad if
    he is a lazy ICU nurse that want to pick up easy pt.

    thanks for your feedback

    snoopy 54321

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 25 Comments...

  3. 0
    What country are you in? It may or not be policy.
  4. 0
    in los angeles actually
  5. 1
    I don't believe any such policy exists at my facility and I have had two patients on levo at the same time. However you don't really know what is going on with this nurse's other patient. They could be going down the crapper even while on the levo. Did you actually look up the policy?
    resumecpr likes this.
  6. 0
    I'm in Orange County and I have cared for 2 patients on Levophed drips, in fact, come to think of it, I've cared for 2 patients on multiple pressors......
  7. 1
    Hello, I do not believe there is such a policy. I know there is no such policy in my facility. I currently work in CVICU. I have also taken care of more than one patient on Levo. As a matter of fact some of our patients are on more than ust Levo. They come with Epi, Levo,or Neo. Very few of our pt's even have Vasopressin on board. I would ask your director to pull the ICU policy and review. However, one other person stated that you may not have know what was going on with their other patient. That is correct. This is a very important factor to consider. If the patient is beginning to decline and it's quickly sush as septic shock. No that nurse was 100% correct not to accept another patient that may need just as much titration and intervention as their other patient. It's best to know the policy so that you know and it helps if you are ablet to provide support to your fellow nurse/co-worker.
    Snoopy54321 likes this.
  8. 1
    You're probably more familiar with California law, but as far as I know there is no California policy or law regarding patient ratios with pressors, the ratio laws only apply to patient location, which just requires that a an ICU patient not exceed a 1:2 ratio, and BON policy/rules never get that specific.

    ACCN does have guidelines for 1:1 care, although ACCN guidelines are not enforceable. Their guidelines were written in 2000 and are already way out of date.
    http://www.aacn.org/wd/certification...s?pid=1&&menu=
    Today they are only useful as an interesting look at how things have changed in the last 10 years. The parameters they give for making a patient 1:1 are now the parameters required to be in ICU in general, much less 1:1, many of the patients described as requiring 1:1 care in 2000 are now 4:1, some of these patients may even be on a 1:6 ratio floor. This absorption of higher acuity in stepdowns and lower acuity floors is why the supposed nursing shortage never materialized.

    I could see not wanting to take two patients were being actively titrated on levo if we still did only manual BP's, but with automatic NBP's, and even better an art line, there's no reason why a nurse can't titrate two patients at the same time.
    Snoopy54321 likes this.
  9. 0
    Yeah that's very stupid to say the nurse cannot accept another pt because that would make 2 patients on levo. Maybe they meant to say the nurse cannot accept another because the other pt was too unstable. Being on levophed really doesn't have much to do with the overall stability of the patient. We use levo sometimes just to give back some tone to a patient on sedatives and not because they are crashing.
  10. 0
    Thanks for everyone for your feedback. I am really grateful for all your assistance.

    For last three days I have been working and that ICU registry nurse is not seen anymore.
    My patient is still alive on ICU (thank god for that). I think my hospital supervisor's
    patience is running out and tell registry not to send him anymore.

    Certainly this ICU nurse can decline 2nd pt but has to inform us before the transfer to ICU
    bed. I am fortunate my supervisor step in and stabilize the pt during the time I wait for
    another ICU nurse. Unlike me, she is so calm and manage the situation so well; she is the
    best supervisor I ever had.


    snoopy54321
  11. 3
    Quote from Snoopy54321
    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 stuck with a critical pt over 1 hour when
    they find another ICU nurse.

    Just want to ask if it is true for what registry nurse said. I am really mad if
    he is a lazy ICU nurse that want to pick up easy pt.

    thanks for your feedback

    snoopy 54321
    Late to the thread but.....

    Government policy against 2 patients on levophed at the same time??????? That's the funniest yhing I have hear in a long time!!!!!!!!!!!!!!


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top