ICU RNs running CRRT?

DroogieRN · Nov 3, 2013

We do CRRT on my ICU. We set up and run it in it's entirety, based upon a set of preprinted orders. It's always 2:1, but they try to gmake your second patient fairly stable, although one that will remain on the unit so you won't have to have an admission. We have to take a class in it first, and be "checked off" before we can take a CRRT patient. I personally love doing it.

Courtney1305 · Nov 4, 2013

In our ICU's in my area, the pt is 1:1 and only the ICU RN can run the machine. The patient is usually very sick with multiple drips and ventilated so I do not see how an non ICU RN could run that machine while changing the settings to keep the pt stable.

ktliz · Nov 6, 2013

CRRT is always 1:1 on my unit. What would you do if you were stuck in your other patient's room (perhaps elbow deep in a Code Brown) while the machine is alarming? As if the d*mn thing doesn't clot off enough already... :sarcastic:

jcyoung524 · Dec 5, 2013

Good afternoon,

I saw that you made a post once about the BKAT 6 and I was wondering if you ever found a copy of it. I used to work in a level one trauma center and then I took some time off and have to take it again for reemployment. I wanted to private message you but the site wouldn't let me. If you can message me back at [email protected] I would so greatly appreciate it!

Thanks

Cardiolyte · Dec 14, 2013

Level I Trauma Center with 23 Bed MICU (my unit), CRRT's are run by our RN's as throughout the other units. HD are run by the HD RN's.

Happy2beICU-RN · Jan 13, 2014

13 bed high acuity MICU at a level 1 trauma center and we run our own CVVH. Usually it's a 1:1 but with the fancy new machines we have, unless it's a super busy pt, they are starting to pair it. HD is still run by dialysis nurses though.

Muffa RN · Mar 31, 2014

Wow I wish we could do these patients 1:1, we still have a patient load with CRRT. I've even see 1:3 with CRRT. I know that it sounds ridiculous, but it is true. No respect for nurses in this ICU. One day they will understand that this is unsafe practice; and we are a magnet hospital.

PMFB-RN, RN · Apr 1, 2014

Wow I wish we could do these patients 1:1, we still have a patient load with CRRT. I've even see 1:3 with CRRT. I know that it sounds ridiculous, but it is true. No respect for nurses in this ICU. One day they will understand that this is unsafe practice; and we are a magnet hospital.

3 to 1 with CRRT!? Very unsafe. One day it may cost a patient their life. BTW such staffing is not only NOT a suprise in a Magnet hospital, it seems expected and normal to me.

gatorRN12 · Apr 4, 2014

I work at two facilities, a level 1 trauma and a smaller community hospital, and in both units do ICU RNs run their own CRRT. The only difference is that in the smaller hospital, HD RNs are called to set up the machine/do filter changes while in the TICU we do it all. Always a 1:1.

aei631 · Jun 28, 2014

RNs run CRRT on my unit, a 28 bed MRICU. These patients are only 1:1 if they are maxed on 3 or more pressors, have multiple blood products running, or some other special circumstance depending on how short staffed we are and which supervisor is on that shift lol. We can also have an open bed with CRRT, which gets a bit annoying if you get a sick admission or something is going bad with your CRRT patient.
I was also under the impression that all units had RNs running CRRT. The only thing we don't do is change the sets and do initial setup, that the HD nurses do

This is is our situation exactly in the level one trauma center I work at

SFANURSE2011, MSN, RN · Jun 28, 2014

Currently, ICU nurses run the CRRT machine. We use the NxStage One. For intermittent HD the dialysis nurse runs it.

Dodongo, APRN, NP · Jun 29, 2014

The ICU RNs are responsible for the CRRT machines. We are "supposed" to take classes with the machine before being allowed to staff a bed with CRRT - however - that doesn't always happen. The patient's are always 1:1 with it. Regular 3-4 hour HD is done by HD RNs.