kaylasmommy

kaylasmommy

Critical Care

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All Content by kaylasmommy

  1. Patient ratios progressive care units

    kaylasmommy posted a topic in Cardiac

    I work on a progressive care unit which had a pt:RN ratio of 3:1 when I started 3 years ago and now we are moving to 4:1 ratios now. The facility/mgmt has stated that 4:1 is the national standard for...

  2. annoying little thing some of our docs are doing

    kaylasmommy replied to psu_213's topic in Emergency

    In our ER we have chief complaint driven protocols in which we can order stuff based on the CC on behalf of the doc based on pt presentation. So often things (lab work, line, X-ray, EKG) are done...

  3. Telephone order errors

    kaylasmommy posted a topic in Patient Medications

    I believe I recently had an error in taking a telephone order. Our facility has gone to mostly cpoe but not all of the physicians are able to enter their own orders yet. So the other day, I floated...

  4. Telephone order errors

    kaylasmommy replied to kaylasmommy's topic in Patient Medications

    We don't have that policy but that is a good idea. We just have to read back the orders and then the physician has to sign off on them within 24

  5. ER float nurses

    kaylasmommy posted a topic in Emergency

    Our facility has decided to create a critical care float pool taking nurses from progressive care/stepdown and sending them to the er. The way our er works is team nursing where 2 nurses are...

  6. ER float nurses

    kaylasmommy replied to kaylasmommy's topic in Emergency

    It's not that I don't want to float to the ER, I had actually applied for a position there but then they implemented a hiring freeze. I would just feel better about it if we were fully trained for it....

  7. ER float nurses

    kaylasmommy replied to kaylasmommy's topic in Emergency

    That's exactly my point about using progressive care nurses and calling them critical care and using them in the ER, about it being unsafe and unfair. By non-invasive ventilator I mean not intubated...

  8. ER float nurses

    kaylasmommy replied to kaylasmommy's topic in Emergency

    We take some titratable gtts (nitro, dilt, esmolol, a few others), non-invasive vents, bipap, hi flow 02, etc. We are on an in-between unit, pts that aren't so unstable that they need icu but can't be...

  9. Patient ratios progressive care units

    kaylasmommy replied to kaylasmommy's topic in Cardiac

    Wow thanks for your input. I guess it does kind of depend on pt acuity. I am really surprised to hear how few CNAs you work with. I think we are going through an adjustment period, 4 patients seems...

  10. Any Study Suggestions--NCLEX RN?

    kaylasmommy replied to jlp2778's topic in NCLEX Exam, Programs

    I just took the NCLEX today and it was awful. I did so many questions and Kaplan before I took the exam, and I didn't think it helped at all. All I can say is know infection control. I also had a...