Hey! So I have a complicated situation. I was recently hired to a telemetry floor and I was talking to the charge nurse about a new charge nurse position opening up. She said that all the charge nurses have to go through the critical care course at the hospital, and THEN have to be certified as a CCRN. I asked her how thats possible since you have to be working in critical care for 2 years before you can take the test. She said that our floor is considered to be a critical care floor/PCU. I was floored! My background is in tele, but ever since I started working I kept thinking that these patients are a LOT more acute than my last job. We do cardiac drips (which I didnt do before), but dont titrate for BP, only for chest pain etc. We have a ratio of 4-5 pts (which, during the interview, I thought was great for a tele floor, but now I think its crappy for a PCU!)
I asked her why they dont call the floor PCU, and she said that there is another PCU floor, and they needed to differientate the names, so they call that one Tele. We aren't required to take a critical care course, only if we want to. She said that according to state standards (Florida) that our patient acuity is considered critical care. My question is, how can I find out the official state standards? I am just curious as to how Florida designates a critical care patient. I tried looking at the CCRN page to see if they had a definition of critical care, but I couldnt find it.
I hope all this made sense....