Re: How Physically Demanding is PICU?
The prevailing attitude of our administration (our unit is primarily cardiovascular, so lots of infants and toddlers) is that all our patients are small and can be turned by one person, so we're not staffed to properly and safely turn and reposition teenagers and bigger tweens. One week in the summer we had four kids all weighing more than 65 kg on the unit, all but one were multitraumas (and the other one, in septic shock, had a syndrome and didn't have any self-care abilities at all) and we had to pull people from all over the unit to turn them. Now we're getting more and more patients with Berlin hearts and the Ikus driver is HEAVY and steers like a tank.
Today we had a patient who arrested twice, needing >60 minutes of compressions the first time. Multiple previous CV surgeries = ++ adhseions and a chest like a cinder block. One nurse who did compressions said she felt like she'd pushed a jumbo jet up a hill.
If your back is really bad, maybe you should think about NICU or intermediate care nursery. It's still not the perfect solution but those kids are generally not taken anywhere without an entourage.
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