Should CVVHD be 1:1

  1. 0
    Should it be required that pts on CRTs be kept at a 1:1 ratio? I have a very unstable pt on CVVHD but also have to take on another pt cause my hospital doesn't require 1:1. I think it is ridic because my other patient gets super neglected while I'm constantly monitoring and managing this guy. We have a great suport system in my unit, but it all falls back on my nursing license. I can't seem to get my nurse manager to grasp on to my argument though...
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  3. 37 Comments so far...

  4. 0
    Whether a patient should be 1:1 depends on their acuity, not their machines. If he is seriously unstable, then yes. If he's regular-ICU-unstable, maybe not. Not just because he has a filter though.
  5. 0
    How do you mean your patient is unstable? BP/HR, pulmonary? CVVHD is NOT a 1:1 at my hospital, we try to make it a 1:1 if able however if the staffing does not allow then there is really nothing we can do about it. If the patient is unstable meaning....more than 1 vasopressor and just plain SICK!!!, then we will triple up another RN so that the CVVH can be 1:1....Just because a patient is on CVVHD should not dictate a 1:1 status.
  6. 3
    You are only responsible for the assignment you accept. If you feel that you are jeopardizing a patients care, you have the legal right to refuse the assignment on behalf of safety. Talk with your administrators in an open forum.
    CCL RN, Esme12, and CrabbyPatty like this.
  7. 2
    It's 1:1 in my hospital
    CCL RN and Esme12 like this.
  8. 0
    Vents are 1:1 here, CRRT is 1:1.

    95% of our patients are 1:1, even the people waiting to go to the ward.
  9. 4
    Your patient's just have to have a vent to be a 1:1? Where do I apply?!
    Dazglue, NightAngelle, shellsgogreen, and 1 other like this.
  10. 1
    Quote from MatthewRN
    Your patient's just have to have a vent to be a 1:1? Where do I apply?!
    Me too!!!
    Esme12 likes this.
  11. 1
    I'm in a nicu with not much experience yet, but we had a baby on cvvh and he was 1:2 meaning 1 baby w/ 2 nurses, I think he was also very unstable, also ended up on ecmo I believe
    twinkletoes53 likes this.
  12. 0
    our filters are 1:1 but not vents. balloons are not 1:1 either. The only way a vent should be 1:1 is if the Doc won't give adequate sedation!!!!!


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