ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping? - page 6
by Scrubs911 35,363 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 28, '13 by shakanurseQuote from IndiCRNAYeah...Every single minute is a bit excessive (my bad), but i have ran epi @ 999...Takes time for gtts to take affect. But, Nipride is a differnt story. This drug is a must after CT surgery. And, it does take a lot of time to get to where you want to be...*** 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.
FMS is ONLY for loose stool.
- 1Jan 28, '13 by LadyFree28Quote from shakanurse^True, not every facility has the up-to-date technology or resources. The OP may not have these resources, thus their concern and start for this thread...I'm learning from this post...post on!Not every facility has the luxury that you have. So, there are true 1:1 ICU pts "on the vent" somewhere...
And thanks shakanurse...BTW...my thick skin ways are still in place
- 0Jan 28, '13 by FlorenceNtheMachineQuote from imaginationsI think what I've picked up on, is in other countries, they use fewer restraints and less sedation with vents. I would want a vented pt 1:1 if I didn't have propofol and fentanyl.I believe this is the norm in Australia, in all critical care units for adults, children and neonates.
- 0Jan 28, '13 by edmiaQuote from FlorenceNtheMachineYes, it sounds like a dream come true! I would love to be able to have a 1:1.Actually strike that, I would want EVERY patient of mine to be 1:1! How fantastic would that be?
Last time I had 3, I felt completely pulled and didn't accomplish good care on any one of them. Thankfully, all were stable ICU pts... If that's ever a possibility.
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- 3Jan 28, '13 by IndiCRNAi have ran epi @ 999...
Takes time for gtts to take affect. But, Nipride is a differnt story. This drug is a must after CT surgery. And, it does take a lot of time to get to where you want to be...
FMS is ONLY for loose stool.Patient is swimming in sh*t
- 0Jan 29, '13 by shakanurseQuote from IndiCRNAIt was a code while having 3 pts. So, I didn't know the ratio/proportion...The ED doc said to slam it...The L bag was alreay made. SOME CRNA's think they know it all...Last post from me to you...AlohaYou are saying you have run epi at 1L/hour? What was the concentration? What were titrating every min at that rate?
Uh, OK, if you say so.
FMS are only for loose stools? Thank you for the education. However I thought the description you chose of "swimming" indicated loose stools. I think swimming in solid matter would be difficult.Last edit by shakanurse on Jan 29, '13 : Reason: ERROR
- 0Jan 29, '13 by imaginationsQuote from FlorenceNtheMachineToo true. We nurse patients as awake as tolerable. We do not leave them out of sight, ever.I think what I've picked up on, is in other countries, they use fewer restraints and less sedation with vents. I would want a vented pt 1:1 if I didn't have propofol and fentanyl.
- 1Jan 29, '13 by tothc2So in other countries they either have about twice as many RNs as we do in the states or they have half as many ICU beds available. How the hospitals can eat the costs of that many employees or that few patients is beyond me. And epi at 1L/hr?? We use one concentration at my hospital 16mg/250ml with a "preferred" dosage range of 0.1-0.15 mcg/kg/min. You can go pretty high above these parameters, and I have, but I am also generally getting another pressor to hang along with it... And how did you program the pump or know how to titrate if you didn't know the conc? That is a bit scary.