ICU RNs running CRRT? - page 3

by liz0105

9,844 Views | 37 Comments

Hi everyone, I'm curious to know if any ICU RN's out there are currently practicing in an ICU where they are called upon to do CRRT at the bedside. Currently, all HD/CRRT/SLED are done by HD RNs in our hospital, but there is... Read More


  1. 0
    CRRT's in my hospital are 1:1 unless they aren't that sick (not vented or not on many pressors). HD nurses come to bedside when ever the kidney clots off/is due to be changed. Its such an easy thing (we use NxStage) but the dialysis company that our hospital contracts with make$ a killing each time they come to do that 45 minute process. Its terrible sometimes because in the middle of the night I've had patients wait for up to 6+ hours for the on-call dialysis nurse to get there and get the CRRT running again. I've worked at a facility (not in the ICU though) that keeps there CRRT patients as normal staffing (2 patients per nurse) AND they have to do all the setting up/etc themselves. It really just depends on where you work. The NxStage systems are so easy to run that its become much less labor intensive.
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    Dialysis RNs set up, but we run the machines after that. It really isn't that bad once you get the hang of it, and we have them frequently enough that most of the nurses are accustomed to it. We keep 2:1 ratio, but if the patient that is paired with the CVVH is pretty sick then we might split. And obviously we would split the assignment if both patients were on it, but I haven't seen that happen yet.
  3. 0
    In my Twin Cities area ICU the pt and the machine both get a nurse, so, 2 RN's in the room - this is for as long as it is felt that it's necessary, then if the pt is stable (in ICU terms) then it's a 1:1.
    Never will the CRRT nurse have another pt.
  4. 0
    I work at a Level 1 trauma center. The ICU nurses run the CRRT, but the HD nurses set it up. Most times the patient is grouped with another assignment, depending how sick the CRRT patient is, but we try to make them 1:1 if staffing allows and unit acuity.
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    We do CRRT on my ICU. We set up and run it in it's entirety, based upon a set of preprinted orders. It's always 2:1, but they try to gmake your second patient fairly stable, although one that will remain on the unit so you won't have to have an admission. We have to take a class in it first, and be "checked off" before we can take a CRRT patient. I personally love doing it.
  6. 0
    In our ICU's in my area, the pt is 1:1 and only the ICU RN can run the machine. The patient is usually very sick with multiple drips and ventilated so I do not see how an non ICU RN could run that machine while changing the settings to keep the pt stable.
  7. 0
    CRRT is always 1:1 on my unit. What would you do if you were stuck in your other patient's room (perhaps elbow deep in a Code Brown) while the machine is alarming? As if the d*mn thing doesn't clot off enough already...
  8. 0
    Good afternoon,
    I saw that you made a post once about the BKAT 6 and I was wondering if you ever found a copy of it. I used to work in a level one trauma center and then I took some time off and have to take it again for reemployment. I wanted to private message you but the site wouldn't let me. If you can message me back at jcyoung524@gmail.com I would so greatly appreciate it!
    Thanks
  9. 0
    Level I Trauma Center with 23 Bed MICU (my unit), CRRT's are run by our RN's as throughout the other units. HD are run by the HD RN's.
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    13 bed high acuity MICU at a level 1 trauma center and we run our own CVVH. Usually it's a 1:1 but with the fancy new machines we have, unless it's a super busy pt, they are starting to pair it. HD is still run by dialysis nurses though.


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