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COLD IN ALASKA

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  1. i work in an icu in a small hospital with a great group of nurses, but we work by the seat of our pants we really don't have a lot of policies to cover our butts. i have worked in bigger hospitals that had too many policies. there are so many different ideas about what drips shpuld be icu and what drip can be imcu. with management it changes due to staffing needs. for example a nitro drip is usually icu except when there is an admit in the er then the director says it can be imcu which of course means you will take this admit no matter what. integrilin is treated the same. what have ya'll seen? i have asked the director for a list of drips that make a pt icu and a list that can be imcu or even the floor like other hospitals i have worked in and was told we don't have one.this leaves a lot of us frustrated.

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