tazz_rn 9 Posts Specializes in Dialysis, ICU, PCU. Has 6 years experience. Aug 2, 2013 ICU and 2:1Sent from my iPhone using allnurses.com
Bringonthenight 310 Posts Aug 2, 2013 Any floor ratio of anywhere between 1:1-1:10.Hourly finger pricks with sliding scale.
meanmaryjean, DNP, RN 7,899 Posts Specializes in NICU, ICU, PICU, Academia. Has 46 years experience. Aug 2, 2013 (Peds hospital)PICU only, 2:1 nurse : patient ratio MAX. If 1:1 - no admits for that RN, but can take over another nurse's patient to allow admits.
SaoirseRN 650 Posts Has 8+ years experience. Aug 2, 2013 Med surg. We usually try not to have insulin drips on the floor because they are heavy workload when our ratios are 1:4 or 1:5. We have a pre-printed protocol, which starts with an insulin bolus based on blood glucose reading, followed by hourly-adjusted drip rate based on the bolus and bg readings. The required monitoring is stated right on the protocol/order sheet and we keep a copy on our (still paper) MAR to reference.We do try to send insulin drips to ICU for the workload rationale, but it isn't always possible when we only have 5 ICU beds.
bostonrnbsn 14 Posts Aug 3, 2013 Medsurg, up to 5 pts with hourly blood sugar checks and titration at times... Blah!
lmccrn62, MSN, RN 384 Posts Specializes in Pain, critical care, administration, med. Aug 4, 2013 I work in Pennsylvania and on med-surg floor 1:5 or 1:6. High mark of Pennsylvania gives money to hospitals and insulin drips, crazy insulin coverages are all too common. I think it's unsafe and risky!
SwansonRN 465 Posts Has 2 years experience. Aug 4, 2013 ICU 1-2 BS checks per protocol anywhere from q15-q2h. Other medical floors and Step Downs have insulin gtts, but they have to be less than x units/hr and their blood sugars need to be relatively stable.
