no swans or vents, but active MI's, post plasty, icu "stepdowns" I put that in quotes because they really should ave gone to the unit, but "sorry, we dont have any unit beds, so they have to stay". lots of SIRS, sepsis, SBO,neuro( but not NIH), cardizem gtts nitro, lasix gtts, amio gtts, lidocaine gtts, heparin and angiomax gtts. etc. then throw in the confused post fx hip folks or confused falling all over the place old folks. oh forgot to add ciwa too. we've withdrawn quite a few etoh'ers lately.
oh and one tech for 26 pts at night :-(
This sounds like my last floor, yuck. I'm sorry, jr - agree that it's way too much, particularly without techs. It's why I left - the poor ratios and uncontrolled admissions (just taking everything with no care to staffing appropriately) with scant tech support made for too much work for any one nurse.
My current floor has usual intermediate ratio up to 4:1. The rest of the floor, however, operates 8-11:1 with 1:15 tech coverage to allow for a lower intermediate ratio.
Where I work it is 1:6 for sure and sometimes we are pushed to 7 pts. it is very frustrating because our patients are very sick and I feel like I can't give the best care to my patients. ughhh just venting but I feel your pain! I wish we had ratios here in Texas like they do in California.