It is the policy of my small hospital for a ED Rn and tech to bring the patient to the AICU. We do go down in pinches. I believe that a physician and RN or two RN's bring the unstable patient to the unit. I would not want to be the one in the elevator for the crash!!!!
In the facitility that I work in levafed is the last choice of pressors. We are usually starting to max out on neo the starting to add the levo. Checked at my facitlity to see what the max is levo 30 mcg's, neois 200 mcg's. Our docs are pretty open to suggestions from us in AICU but we are a just a small unit. that may be the difference too.:chuckle
I would perfer to work just the 7a -7p shift but unfortunately no one has a straight any thing in our unit. Craziness!!! The nights just leaves me feeling ill and all messed up in the head.