ICU RNs running CRRT? - page 3

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... Read More

  1. Visit  ktliz profile page
    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...
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  3. Visit  jcyoung524 profile page
    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
  4. Visit  Cardiolyte profile page
    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.
  5. Visit  Happy2beICU-RN profile page
    0
    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.
  6. Visit  Muffa RN profile page
    0
    Wow I wish we could do these patients 1:1, we still have a patient load with CRRT. I've even see 1:3 with CRRT. I know that it sounds ridiculous, but it is true. No respect for nurses in this ICU. One day they will understand that this is unsafe practice; and we are a magnet hospital.
  7. Visit  PMFB-RN profile page
    0
    Quote from Muffa RN
    Wow I wish we could do these patients 1:1, we still have a patient load with CRRT. I've even see 1:3 with CRRT. I know that it sounds ridiculous, but it is true. No respect for nurses in this ICU. One day they will understand that this is unsafe practice; and we are a magnet hospital.
    3 to 1 with CRRT!? Very unsafe. One day it may cost a patient their life. BTW such staffing is not only NOT a suprise in a Magnet hospital, it seems expected and normal to me.
  8. Visit  gatorRN12 profile page
    0
    I work at two facilities, a level 1 trauma and a smaller community hospital, and in both units do ICU RNs run their own CRRT. The only difference is that in the smaller hospital, HD RNs are called to set up the machine/do filter changes while in the TICU we do it all. Always a 1:1.
  9. Visit  aei631 profile page
    1
    Quote from MartinaLorraine
    RNs run CRRT on my unit, a 28 bed MRICU. These patients are only 1:1 if they are maxed on 3 or more pressors, have multiple blood products running, or some other special circumstance depending on how short staffed we are and which supervisor is on that shift lol. We can also have an open bed with CRRT, which gets a bit annoying if you get a sick admission or something is going bad with your CRRT patient.
    I was also under the impression that all units had RNs running CRRT. The only thing we don't do is change the sets and do initial setup, that the HD nurses do

    This is is our situation exactly in the level one trauma center I work at
    Cardiolyte likes this.
  10. Visit  SFANURSE2011 profile page
    0
    Currently, ICU nurses run the CRRT machine. We use the NxStage One. For intermittent HD the dialysis nurse runs it.
  11. Visit  Dodongo profile page
    0
    The ICU RNs are responsible for the CRRT machines. We are "supposed" to take classes with the machine before being allowed to staff a bed with CRRT - however - that doesn't always happen. The patient's are always 1:1 with it. Regular 3-4 hour HD is done by HD RNs.
  12. Visit  Fumanchuesday profile page
    0
    Our ICU RNs do CRRT. It is 1:1. It's not a big deal... probably much easier than you think... the machine basically runs itself
  13. Visit  3fins profile page
    3
    CRRT is 1:1 in our ICU.

    I'm appalled to hear the staffing ratios at other facilities are anything but 1:1. Maybe our dialysis machines are just old, but between changing bags of fluid, titrating drips, drawing labs, calling docs, documentation, managing the machine, etc.etc. it's a full time job.

    I've never heard of stable patients being on CRRT, they are all on pressors and have multiple other issues to manage. That's why they're on CRRT.

    Someone mentioned 3:1 or receiving admissions to open beds during CRRT. You do have a right to refuse an assignment; legally, and for the sake of your license, this would likely be a good idea.
    Chisca, Here.I.Stand, and PMFB-RN like this.


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