The hospital that I work for has a Critcal Care area and a special care area. The special care is a progressive care or step-down type of unit. They take vent patients, a few drips such as sedation, dopamine, nitro, milrinone. The staffing has just been changed to 2:1 which is what we have in Critical Care. No one disputes the need for this as they frequently have a high number of chronic vent patients which are high acuity. What is objected to is that now they want to change their name to ICU! Everyone in the true ICU/Critical Care is having a cow! The quality of care is much better in the ICU/Critical Care unit and how would the differences in care be explained to the patients and family? While they mat have the same nurse
t. ratio the focus is vastly different there. Does anyone have similiar units in their hospitals and how are the differences handled?
Jul 25, '08
I worked in progressive care and we didn't have sedation. Only ICUs have continuous sedation gtts. In progressive care, we would have insulin, heparin, dopamine, amiodarone and nitro and vents. The patient to nurse ratio should have been 2-1 but was 4-1. The quality of care is not always better in the ICU. It should be because nurses have 1-2 patients but I've sent many patients to ICU who had no bedsores and came back to me with stage 4 decubs. So I'm a bit insulted by the statement that the quality of care is much better in ICU. Progressive care is critical care and is recognized as such by AACN. No one should be having a cow over that. Perhaps they want to change it to an ICU. They certainly sound like ICU to me.
Last edit by RN1982 on Jul 25, '08