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Discussion

iabp

Hello. I was wondering what the nurse patient ratio was for iabp's in other units. I work in a 16 bed ICU/CCU unit. Until recently it was 1:1. Most of the times the balloon pumps go to CVICU, but this weekend CVI was closed and the unit I work in got 2. As I said until recently it was 1:1, but this weekend mgmt said it was only 1:1 for the first few hours, then it could be 2:1. Our hospital, previously a not for profit, was just recently bought out by a for profit hospital chain. Also, where can I find something from the state board of nursing about standards of practice on specific situations such as this. I don't want to put my nursing license or the patient's life on the line.

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I work in a CVICU and our IABP patients are always 1:1 with no exceptions. It is part of our hospital policy. Usually my balloon patients are either post op hearts or MI patients who are waiting for a CABG. Most of our balloon patients are hemodynamically unstable a.nd warrant the 1:1 status

In my unit all IABP's are 1:1 although some are stable enough to be paired with another pt.

I work in a CVICU and our IABP patients are always 1:1 with no exceptions. It is part of our hospital policy. Usually my balloon patients are either post op hearts or MI patients who are waiting for a CABG. Most of our balloon patients are hemodynamically unstable a.nd warrant the 1:1 status

same with us... sometimes I think they are NEVER going to take the IABP out so by then they are stable enough to be paired with a stable/not needy patient. But that happens NEVER.

In my hospital they are 1:1. I'm surprised they haven't tried to change this,since many times we can have a 3 pt assignment.

I have a question. I work in an ICU/CCU. In the hospital that I work at, we also have a CVICU, so our unit doesn't get many IABP's, but we do have a few. In the 2 years I've worked there, I've had the IABP class and have taken care of 3 pts with them. What is the normal nurse staffing ratio with a pt with a fresh MI on a balloon pump with a 1:1 ratio. I had this patient because CVI was closed and nursing supervisor tried to send me another pt with a subdural hematoma that was "stable". Just wondering about other units. Thanks for input.

I would looove to work at a facility where balloons are mandated 1:1. While I have had sick balloons that were 1:1, they would have been 1:1 with or without the IABP. We get pre-op balloons and they are a breeze and it would be stupid to single them. An IABP isnt all that much additional paperwork/monitoring. Then again I see them frequently, so driving them is second nature.

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