I am doing some research and I was wondering if you all could help me. I currently work in a PCU (progressive care unit), it's a step-down from ICU and when we receive pts from ED, they come with holding orders. Our holding orders state the Dr. needs to see the pt in 2 hours for ICU and 12 hours for a floor pt. The problem is PCU is not listed so some Dr.'s come see the pt quickly but sometimes we will have very sick pt's with multiple drips that do not see a Dr. for 12 hours.
We are working to change our ED holding orders/policy but of course it's a huge process. I am wondering if it would be possible to either get information or a copy of your holding orders if possible (blank of course).
My questions are:
1. How long are your holding orders good for?
2. Is PCU/step-down/intermediate care listed on your holding orders at all?
If anybody knows of any research regarding safe times for a pt to be on a floor with only holding orders, that would be great also.
Also, before I get flamed, I am doing more research than just posting on allnurses, but I figured it can't hurt to ask.
Thank you for any help/feedback.