I'm in ICU here in Australia, and I've noticed that you guys in the states seem to have 1:2, even with stuff like vents and CRRT.
I'm just wondering about the practical aspects of this; what happens when one of your patients tries to rip something out? Are they all in four point restraints (I've seen a lady nearly self-extubate with a foot!)? Do you just keep them sedated? Are they right next to each other?
In my unit, we have 1:1 for 99% of patients; even the people going to the ward usually are 1:1. Vents are 1:1, no negotation. CRRT 1:1, etc etc.
We keep everything we need bedside, and aren't meant to leave the beside; for breaks we sit between two patients, during which time absolutely nothing can happen to either of them; no physio etc
The only 1:2 is our post-op HDU, and even then we have enough staffing for at least two of them to turn into 1:1's.
Just wondering what your thoughts are on 1:2, do you ever feel like your other patient could get into trouble without you watching?
Anyway, if you have any questions as to how our ICU runs please let me know!
(Also I understand some of you don't have 24/7 medical coverage? How the hell does that work?)