bobogirl33

I know what you are talking about!!! I can start the morning in the ICU with a known transfer to the tele floor, be called at 10:30 am with an assigned bed, but then be told it's not ready yet. We will call you when it's ready. ALWAYS, ALWAYS, ALWAYS they drag their feet until change of shift and then call 3- minutes before I am to begin to give report stating they are ready and could we get the patient up there ASAP!! I sometimes feel like saying to them, let me stop dealing with my post open heart patient and delivery this other gentleman right too you!! I have to find someone to cover my open heart pt and then get the other patient out of there. When arriving on the tele floor the nurse receiving the pt is very seldom there and a CNA comes in and puts the water pitcher on the table and leaves. I would like to know what they are doing up there? One doctor I spoke to said that he doesn't like going on the floor because he has to stroke some egos to get what he wants out of the nurses. Makes me want to just scream!!! I too wonder when this will get better. I hate transfers at change of shift. SO much gets missed and falls through the cracks when this happens.

I guess that I didn't access my search correctly. I was looking for information about titrating off Nimbex in a patient with severe ARDS. He had been on Nimbex for three days and they were wanting to titrate off the paralytic but to stop if he began to desaturate. Of course the patient is intubated with sedation and the ventilator is breathing for him. Just looking for information as to what are the things to look for when taking this medication off. I have dealt with Propofol before in similar situations in intubated patients only. Interesting reading all of your comments on this subject.