IV Lopressor on the med/surg ward? - page 3
Hi, I would like to know if anyone has been giving IV lopressor on the med/surg floor. Our surgeons have decided recently that the nurses on my unit need to give IV lopressor to post-op pt's. The... Read More
Jan 22, '07Occupation: HomeHealth Case Manager Specialty: 4.5 years Med/Surg, currently HomeHealth ; From: US ; Joined: Sep '03; Posts: 1,043; Likes: 712I also work med/surg floor and have given lopressor IV. We do not have insulin gtts though. I have had up to 10 patients and I dont feel I have the time to monitor like needed. 10 patients - too many.
Jan 23, '07Joined: Jan '05; Posts: 4,765; Likes: 2,554If I had to have a pt in the ICU who's only reason for being there was lopressor, then I'd be a very bored nurse, and a lot of real ICU patients would not get a bed because we'd be full with med-surg pts.
I'd start looking for another ICU to work in.
Insulin gtts-I can see those coming to the ICU. Our floors don't even take heparin gtts. But they can still take lopressor.
Jan 23, '07Specialty: Med-Surg, Wound Care ; Joined: Apr '03; Posts: 740; Likes: 296We use IV Lopressor all the time. Patient must be on tele...first dose has to be given by a doc(usually a resident) and parameters are followed on subsequent doses. We use a harvard pump to infuse it over 20 minutes. No big deal. Our ratio is 6:1.
Insulin drips are all in the ICU, due to the q 1 hour blood sugars.
Jan 23, '07Occupation: RN & Critter Mama From: US ; Joined: Feb '04; Posts: 4,977; Likes: 20,736Quote from cardiacRN2006Well, it's not that the particular patient needs 1:1 or 1:2 monitoring, it's just that they need more monitoring than can be provided under 1:6,7,8,9,10 care that's being expected of med-surg nurses these days. And at a lot of hospitals, there's just no in-between for these patients. And instead of recognizing that the ratios are too high in med-surg, management and MDs just say to monitor those patients more, and question your competency when you say you can't do it all (which in my mind, knowing what you cannot safely do is actually a sign of being very competent). And as long as nurses keep trying to do it all, it's going to keep happening. Until enough nurses band together on a unit to say enough is enough, it's going to keep happening.If I had to have a pt in the ICU who's only reason for being there was lopressor, then I'd be a very bored nurse, and a lot of real ICU patients would not get a bed because we'd be full with med-surg pts.