Cvvhd - Page 9

and in my wonderful ICU, I had a cvvhd pt who had to be started on insulin drip, tube feeds, and blood transfusions (nevermind the lab draws, EKGs, and regular pt care). Yep, all on my shift. Did I say I had another patient, who was postop day 2 (thankfully stable), but on isolation for TB, and had to be tranferred out?! I don't know how I made it out of the unit after 12 hours!!!

That's crazy especially if this is the norm!

I had a CRRT patient last week and I had 2 other patients. The patient was stable but on CRRT for an aspirin overdose. We ending up discontinuing his CRRT treatment around noon, thank God. I have never worked so hard in my life.

That day I started out with 2 patients (1 on CRRT, 1 septic GVHD with multi-system organ failure on xigris). Then at 0800 I got a rapid response from the floor that needed 2 units PRBCs, 2 units of Platelets, and a levo drip.

sometimes you wish you had 10 hands and 10 eyes all working at the same time. I don't mind being busy, but hate the paper work at the end of it all!!!

On our floor we NEVER have 1:1 patients and we run crrt a lot. The only exception would be if our patient was on cvvhd waiting for a transplant, the day they get the transplant we go to OR with them to run the machine. But other than that, its always 1:2 and on top of that we never get a free floating charge either! They have at least one, sometimes 2 patients as well. Its a madhouse sometimes!

We do our's 1:1, it's all about safety and competence. I have worked at other hospitals though with a big disconect between managers and the patient's acuity.