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Discussion

Making a pt 1:1

I'm looking for a research article that has evidence based practice guidelines on why you should have a pt 1:1 (example somone on ccrt therapy or ballon pump therapy), if any one has a link to an article it would be greatly appreciated. we trying to update our hospitals guidelines and need research articles to support why a pt should be 1:1.:)

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Not sure if this is what you're after but what makes a patient a 1:1 is the acuity of the patient. You have to measure the patient's acuity to know how much nursing care they need. I would recommend using the Therapeutic Intervention Scoring System (TISS). There are many variations of it but the one I am familiar with used a scoring system based on 76 points. A 1:1 is any score above 45. When I worked at the University of Tennessee that's how we staffed.

http://www.sfar.org/scores2/tiss2.html

http://www.ccmjournal.com/pt/re/ccm/abstract.00003246-199601000-00012.htm;jsessionid=JL2HJkkhnQMHTxRV5swFSlnhwKgQ903GQTrvWtKsGfDMLXbVqn1j!1321082991!181195629!8091!-1

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