What do you think about ICU RN's being responsible for setting up, troubleshooting and maintaining CRRT devices? Do you do this in your ICU and if so, what is your staffing ratio? If there are not a large volume of patients requiring this therapy how do you maintain competency among the many staff?ThanksGrace V
In our ICU, the diailysis nurse sets up the CRRT and the bedside nurse is responsible for running, maintaining , and trouble shooting the system. IF the system clots off, we may stop running CRRT & flush the line with saline and pack with heparin until the am when the dialysis nurse is in, or Call the dialysis nurse in to set up a new system. I myself would prefer it if they would let us set it up. I like to know all there is to know about a system I am responsible for. Our ratio is 1:1, but we had to fight for that. Now they are doing something called SLED, where its slow dialysis over a long time at the same ultrafiltration rate that doesn't require hourly adjustments according to I&O's like CRRT does. For example the doctor will order 10 liters off in 24 hours and the ultrafiltration rate doesn't change. they are going to make the nurse ratio 1:2 for thisI'm sure once it takes off. We have quite a few patients requring this on our unit so the problem of skill loss isn't so much.
Last edit by dorimar on Oct 17, '05