[bluefabian]

I guess the trend nowadays is that CVVH or any other CRRT is being taken care of by ICU nurses. Depending on facility, some Renal nurses are wholly responsible for most renal/dialysis cases.

What do you all critical care nurses think of this?

[CVICURN2003]

In my ICU we are trained to tun the CRRT/CVVH machines. The dialysis nurses set up the machine and do the first connect to the pt. I am responsible for the UF rate and everything else. I am entirely responsible for my very sick patient. Yes, I will and have called the dialysis nurse to trouble shoot the machine, but not my patient. They don't touch my patient. Even during regular dialysis (in the ICU at bedside) I am responsible for what goes on with my patient. I have no problem calling the doc on the case and letting them know what is going on if I have a problem with what the dialysis nurse is doing. I have never had to do that, but I would in an ICU setting. I hope that answered you question.

[RNFELICITY]

Originally Posted by bluefabian

I guess the trend nowadays is that CVVH or any other CRRT is being taken care of by ICU nurses. Depending on facility, some Renal nurses are wholly responsible for most renal/dialysis cases.

What do you all critical care nurses think of this?

In the 3 ICU's I have worked in, we are trained for CRRT and we do all the start ups and stoppages. The dialysis nurse is not involved at all.

[gradcare]

All units i've been involved in ICU will do CRRT until the patient is stable and able to tollerate IHD (if it is going to be needed post discharge). If the patient is going to need IHD post ICU discharge then the renal people come and do it. So short answer for us continuous renal replacement from us Intermitent dialysis from the renal team. The Machines we use are different.