ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping? - page 5
by Scrubs911 34,684 Views | 129 Comments
*I posted this in the new grads section but I also want to hear from the experienced nurses* Hi. I'm a relatively new nurse in a general ICU (we get a variety of patients). Considering the shortage of jobs for new nurses, I'm... Read More
- 0Jan 27, '13 by DodongoQuote from shakanurseFirst of all, no, I'm not a manager. Second of all, the poster said that a pt on a vent, regardless of anything else going on with the pt, was 1:1. I have never heard of this. If this were the case then almost every pt in my ICU would be 1:1. Like I said, acuity of pts is a huge factor. Last night I had 2 vented pts. One was maxed on dopamine and close with dobutamine. Receiving blood products constantly. The other was rewarming from hypothermia on amio, lido and neo, and would probably be placed on CRRT today. Then he would be 1:1. Again, simply being on a vent should not make a pt 1:1. That would make some step down patients at my hospital 1:1.You must be a nurse manager...There are vented pts (sick as hell) that are maxed out on pressors. Think about why they are on the vent b/f you speak...Dodongo...Aloha
- 1Jan 27, '13 by DodongoQuote from shakanurseThis sounds like a normal ICU patient... What's your point? I've had plenty of patients in a shock state, pressors, swans and on the vent. They were not 1:1. Still 2:1.Septic shock+Titrating ALL pressors+VENT+Swan=1:1. Again, think about why they are on the vent...Not just because they are on the vent.
- 0Jan 27, '13 by tothc2Quote from DodongoI completely agree. I work in a mixed MICU/CCU (just like you according to your profile) and shock, pressors, IABPs, vents are totally common and are not considered criteria for 1:1. (Swans make things easier btw, i love them) Stable vents, stable pressors etc aren't even necessarily criteria for ICU, just step down. This is ICU nursing at a large academic hospital. My hospital has over 1600 beds. People from states away are transferred there. If other hospitals cant fix them - they come to us. If we can't fix them - they go to heaven.This sounds like a normal ICU patient... What's your point? I've had plenty of patients in a shock state, pressors, swans and on the vent. They were not 1:1. Still 2:1.
- 0Jan 27, '13 by tothc2Quote from shakanurseHundreds and hundreds of critical care RNs manage it everyday they go to work - myself included. You're busy every second of your shift. We have computers on the wall in all of our patients rooms so I usually do my charting in one of my patients rooms. The monitors show you what's happening in your other patients room so if you gotta go do something you go do it. We have clinicians and 2 charges covering so if you need help then you ask (or call the RIC nurse).Point--How are you going to help your "other pt." that is swimming in sh*t when your are titrating gtts every minute for 12 hours??
- 0Jan 28, '13 by IndiCRNAQuote from shakanurse*** No big deal. Standard even. BTW you shouldn't be titrating gtts every minute. Get a fecal containment system for the other patient, I like Flexi Seal.Point--How are you going to help your "other pt." that is swimming in sh*t when your are titrating gtts every minute for 12 hours??
- 0Jan 28, '13 by DodongoQuote from IndiCRNAThis. All of it. It is standard. Although if you don't flush those flexi seals often enough - explosions can occur.*** No big deal. Standard even. BTW you shouldn't be titrating gtts every minute. Get a fecal containment system for the other patient, I like Flexi Seal.