benham

I work on a 32 bed PCU that is divided into 2 floors. We get fresh MIs from ER prior to going to cath lab, post cath lab pt. some with lines in, but most without. our cath lab staff will come back after 2-3 hours most of the time to pull lines,occasionally we get pts. that keep their lines overnight for repeat procedures the next day. We get post CABG pts. from the ICU, some with chest tubes and pacer generators and some without, we also get post valve replacement pts. from ICU. we get alot of rule out MI and general chest pain pts. We have standard chest pain guideline orders, MI guidelines and we also have CABG and valve guidelines that we follow those include lab work and ekgs and such. our docs give us written admit orders. Drips in our unit include Dopamine ( we can't titrate for B/P) Dobutrex, NTG (which we can titrate) Amiodarone, lasix, insulin, Cardizem, heparin, integrilin, reapro. We do use LVN as primary nurses, and we have one tech per floor and we have monitor techs watching the tele for us. gtts. come from pharmacy USUALLY and we do cardioversions, TEE, and bedside bronchs on our unit. nurse:patient raito is 1:4 Hope this helps