skyblue5454

Latest Activity

1. Is this too much or am I crazy...what are your units like?

   skyblue5454 replied to emersushea's topic in Cardiac

   You are not crazy, this kind of pt load is unsafe for any nurse and for any patient. I am a PCU nurse and these are the kind of patients we have,but the benchmark staffing across the nation is 4:1.for PCU.It is for reasons like this that there is a s...

2. They didn't teach me this in nursing school and I could have killed someone!

   skyblue5454 replied to Roland's topic in General Nursing

   I agree that as an RN it is her responsibilty to look up the capatabilty for any med before giving it. It has always been policy at the various facilities where I have worked to infuse TPN/lipids through a dedicated line..........meaning nothing else...

3. IV Fentanyl use on Med/Surg Unit

   skyblue5454 replied to abdnnurse's topic in Safety

   We give fentanyl via epidural and pca which require q1hr monitoring of pulse ox and pain scale as well as respirations. It is a high level of care. We do not give fentanyl iv push nor do I know anyone who does push it on the floor in the general pati...

4. Natrecor and BNP's

   skyblue5454 replied to Dinith88's topic in Cardiac

   If you want to know you need to ask him.I too would be interested in the answer because I can't detemine what your cardiologist expects to learn form a bnp on a pt on natrecor because it is always going to be elevated. A better way to determine the e...

5. nurse patient ratio..

   skyblue5454 replied to Lawton Nurse's topic in Safety

   .......So you have an acuity system? How about you send me a sample of the tool used on your unit? I would so much appreciate it as I am currently heading a task force to develop such a tool. ...

6. Survey: Has your facility implemented nurse to patient ratios?

   skyblue5454 replied to Brian's topic in General Nursing

   addendum:03/16/04I have spent many hours scanning the internet trying to find an example of an acuity assessment tool. I have found many refeferences to such but not seen the actual thing. California and New York who have mandated nurse/pt ratios sho...

7. Survey: Has your facility implemented nurse to patient ratios?

   skyblue5454 replied to Brian's topic in General Nursing

   As an RN on on a 28 bed medical telemetry unit we are in the process of developing an objective acuity assessment tool. To be honest I'm not sure that is really what nurses want. By implementing an acuity tool to determine staffing one nurse might ha...