Quote from ~Mi Vida Loca~RN
Wow that seems crazy to me. In the OP especially since the patient was hypertensive and symptomatic and had IV meds ordered.
But in the case you're speaking of I am curious, if it was an acute care unit, what was the reasoning for the patients still being there if they no longer had a need for IV meds, heart monitors, and stuff. Why were they still in an acute care unit instead of like an observation unit or rehab unit?
I get accused of being a smart a** a lot, which I usually am, but I am not being here, I am genuinely curious because I have primarily worked in ER.
I know you're not being a smart...aleck. Haha.
After a few days, not all diagnoses require IV meds. A lot of neuro patients, for example. (CVA/TIA, weakness, frequent falls). Also DVTs (they're being bridged from Lovenox to Coumadin and can't be discharged until labs are therapeutic). Asthma/COPD, ARF sometimes (just waiting for labs to correct), etc.
Granted, most of these folks are probably very close to discharge, but still in need of closer monitoring than in rehab, for example.
As for heart monitors, most patients admitted don't need them, or just need them for 24 hours or so. It always bothered me when RRT nurses would chastise floor nurses for "not knowing" a patient had experienced a rhythm change. Well, no, we don't have all them fancy monitors, we gotta use our eyes. (And yes, I was also an ICU nurse, I'm not downplaying the reasoning for all of the bells and whistles).