IABP - page 2

To all ICU nurses; How much training did you recieve before you were expected to be able to safely care for a patient with a balloon pump? I work in a community hospital that has decided to be... Read More

  1. by   CCL RN
    No matter what, IABP=1:1.
    if they are sick enough for a IABP then they are sick enough for one nurse.

    We had the same 8 hr class when I worked ICU, For cath lab, I'm just supposed to know it. No training.
  2. by   Biffbradford
    Besides the training, you simply need to get your hands on it until you're comfortable. If it's not your patient, see if you can do a timing check, or print a paper strip, just something to keep your head in the game. Then when you're on that run to the CT scanner, and the IABP starts screaming at you while you're crammed in the elevator , you'll have the confidence to trouble shoot the problem and be on your way. (gee, how would I ever think up a senario like that? )
  3. by   ghillbert
    They don't need to be 1:1 for the IABP - what staffing they need depends on how sick they are. People are not always "super sick" (comparatively) when they have an IABP - sometimes it is extra perfusion/lower workload in people with AMI, or to offload the heart prior to putting a VAD in someone, etc etc. Sometimes they are put in almost electively if someone has the potential to be unstable.

    If you are competent/trained correctly, the management of the console/device itself is not time consuming (assuming all goes smoothly).
  4. by   Biffbradford
    Okay. You take the IABP and first admission. Hope that it doesn't happen when the doc wants to pull the balloon in the AM.
  5. by   ghillbert
    No problem. They can pull the balloon whenever they want - won't be me holding pressure on it!
  6. by   Maevish
    That all sounds very unsafe....you worked hard for your RN and this is a disaster waiting to happen.