WOW, ... Jenny P. I want to come work with you!!!
And Julie F, sure does sound BAD, I'm afraid that would have been one contract I would have broken!!!!
I guess I really con't say much though. The unit I work in is almost as bad. But it is a little easier for me, I've been there almost 3 years. We seem to take 3 patients on a regualr basis. Never enough staff. It's nothing for us to accept fresh CAB's along with two other patients or another fresh CAB!!!! Very dangerous I know. That's why I am considering leaving.
I love my job and the group of docs I work with but it is getting very unsafe. Now they are starting to admit whatever comes through the door to our (heart/vascular)unit.
I don't mind taking other kinds of patients but I don't think it is appropriate with a fresh heart. (our rooms are separated by curtains, set-up like PACU) The bad thing is, we work so hard to get people out (to make beds for the hearts that day) and they will fill the bed with a code or admit from ER then we have to run to get the patient moved before the heart comes. Between 2 beds monday I had 5 patients!!!!! 2 were hearts from the day before (moved out) a fresh CAB, code from the telemetry floor, (lateraled over to ICU once stable) and finally a good old GIB that died later that night!!!!
Sorry, I know this is long just blowing off some steam!!!!
As far as a 1:1, that's something I've NEVER seen at this hospital. However, we do have a bivad but have never used it. The day they get brave and use it, it will be a 2:1 ratio (doctor,nurse
atient!!!!) We have never used it so I'm not sure anyone there would know how to take care of it!!!
Also forgot to add, we don't have a tech, and only one secretary we share between 4 units (what has turned into basically one big unit.) We spend ALOT of time taking off orders and putting labs in the computer. (even with 3 patients and fresh hearts!!!) THis is on day. At night, they NEVER have a secretary.