Quote from traumaRUs
I couldn't imagine this "cluster" thing - is this a popular concept?
Some administrators may think so but the staff really hate it.
These are patients that you would find in an ordinary ICU that are not vented. NTG drips up to 50 mics, continuous pulseox, Amniodarone boluses/drips, low dose Dopamine/Dobutamine/Milrinone. ICU ratios are 1:2, telemetry is 1:4, 1:5 during the daytime, so why should cluster be 1:4? Should really be 1:3 but the beds were already set up as 4.
The bigger problem is getting coverage for breaks, meals,etc. and that tech help when you need it, plus if you have more than 1 patient having a critical problem at one time when you have 4 to be responsible for.