staffing - page 2

How has staffing changed in the past two or three years for others around the country? We personally take much higher acuity assignments and and pair vent assignment much more often than just a few... Read More

  1. by   NotReady4PrimeTime
    Multiple inotropes... we routinely have patients on epinephrine, norepinephrine, milrinone, sodium nitroprusside and maybe vasopressin too. (We rarely use phenylephrine, though.) It's also not unusual for our patients to have more than a dozen infusions running at the same time, intracardiac lines, multiple chest tubes, external pacemakers and are being actively cooled. We try to staff these kids 1:1 except for breaks, when we cross cover. The only patients who are not routinely cross covered are the ECMO patients, and even that has been changing. Our upper management is trying to do away with our resource nurse role which will effectively take away the only flex we have in our staffing. Things may get very dicey, given that our acuity is only going up...