This may turn out to be a vent also...BUT... For the past week I have had a 3 pt assignment. Was wondering if this was the "norm" in other units or just in our facility? We have 2 eight bed units that we "float" back and forth from. Due to staffing shortages, we are "capped" at 12 pts between the two. Last week I started with 2 pts, both on vents, Propofol, pressors, fluids, insulin gtts with hourly blood/glucose monitoring, and one was recieving blood. The house supervisor strolled in and told me I was going to get an "easy" pt that telemetry had no bed for. After a short "discussion":angryfire , I lost and had to accept the pt. And now there were three. Within 15 min. of recieving this third, his pressure bottomed out (50/doppler) was intubated(he decided he was to tired to breathe any more, I guess) and now HE was on ventilator/pressors. I survived the night, finished charting about 0930 and went home with relief. When I went back that night, I had the SAME THREE PTS:angryfire . I tried to refuse the assignment, but was told that since I had had them the night before, I was familiar with them and to just accept the assignment. I had these pts for 4 nights in a row. Am now mentally/physically exhausted even after my stretch off
. I guess my question is...Does anyone ELSE have to put up with this?
BTW...I have been an R.N. since 2 February'05. THANX for allowing me to ask/vent.
signed...A Disillusioned R.N.