OR patients bypass PACU for ICU - page 3

Just wondering if anyone else out there is seeing a trend toward patients who should go to the PACU being sent to general ICU's directly from the OR instead? This is a common practice for our open... Read More

  1. Visit  Ortho_RN profile page
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    We send patients straight up to ICU if they are going to be on vent... No point in wasting time moving the patient and the vent twice... Nothing to recover when they are on a vent...
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  3. Visit  kcmagu profile page
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    In our ICU, most patients that are going to stay on the vent come directly to ICU from OR, so does any major surgical trauma pt and any patient going to the or that was already an icu pt. they are not 1:1's - except for the open hearts. Is anyone aware of any literature on recovering pts in the icu?
  4. Visit  NurseSnarky profile page
    0
    Quote from Ortho_RN
    We send patients straight up to ICU if they are going to be on vent... No point in wasting time moving the patient and the vent twice... Nothing to recover when they are on a vent...
    Same here...and I fought a year and a half for this change in our hospital. I worked in a bigger facility and then came to this small hospital. NO ONE wanted to stand up and make changes. I didn't see the point in moving RT twice, bagging the patient twice, and all of this disruption when the ICU staff were perfectly capable of recovering. The new ICU manager thankfully came from a big city hospital where that's how it was done and she agreed...the docs wanted it done that way too...so it finally was changed. I will go over and help if I have time and they need me, but they can handle it. It actually was the OR nurses who felt uncomfortable about it all...they felt they were dumping on the ICU nurses! And us PACU nurses were "getting out recovering". It finally all fell into place and now it all goes smoothly. It's the right thing to do for the patient. In our hospital there are only two PACU nurses and many more ICU nurses.


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