Cvvhd

Specialties MICU

Published

Our manager is trying to convince us that a patient on CVVHD is not a 1:1 patient. This therapy requiers constant monitoring and calculation changes. Usually they are not very stable, or they could have regular dialysis. Are any of you doing this in your ICU's? Are they 1:1?

sometimes you wish you had 10 hands and 10 eyes all working at the same time. I don't mind being busy, but hate the paper work at the end of it all!!!

On our floor we NEVER have 1:1 patients and we run crrt a lot. The only exception would be if our patient was on cvvhd waiting for a transplant, the day they get the transplant we go to OR with them to run the machine. But other than that, its always 1:2 and on top of that we never get a free floating charge either! They have at least one, sometimes 2 patients as well. Its a madhouse sometimes!

Specializes in Emergency Dept, ICU.

We do our's 1:1, it's all about safety and competence. I have worked at other hospitals though with a big disconect between managers and the patient's acuity.

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